title: A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients.
abstract: OBJECTIVE
  The randomized study aimed to determine the efficacy of psychological intervention consisting of relaxation and guided imagery to reduce anxiety and depression in gynecologic and breast cancer patients undergoing brachytherapy during hospitalization.
  
  
  METHODS
  Sixty-six patients programmed to receive brachytherapy in two hospitals in Barcelona (Spain) were included in this study. The patients were randomly allocated to either the study group (n=32) or the control group (n=34). Patients in both groups received training regarding brachytherapy, but only study group patients received training in relaxation and guided imagery. After collection of sociodemographic data, all patients were given a set of questionnaires on anxiety and depression: the Hospital Anxiety and Depression Scale (HADS), and on quality of life: Cuestionario de Calidad de Vida QL-CA-AFex (CCV), prior to, during and after brachytherapy.
  
  
  RESULTS
  The study group demonstrated a statistically significant reduction in anxiety (p=0.008), depression (p=0.03) and body discomfort (p=0.04) compared with the control group.
  
  
  CONCLUSIONS
  The use of relaxation techniques and guided imagery is effective in reducing the levels of anxiety, depression and body discomfort in patients who must remain isolated while undergoing brachytherapy. This simple and inexpensive intervention enhances the psychological wellness in patients undergoing brachytherapy.State: This study has passed Ethical Committee review.
authors.affiliation: Psycho-Oncology, Oncology Department, Hospital de Terrassa, Terrassa, Barcelona, Spain. cleon@csdt.es
authors.forename: Concha
authors.initials: C
authors.lastname: León-Pizarro
authors.forename: Ignasi
authors.initials: I
authors.lastname: Gich
authors.forename: Emma
authors.initials: E
authors.lastname: Barthe
authors.forename: Angeles
authors.initials: A
authors.lastname: Rovirosa
authors.forename: Blanca
authors.initials: B
authors.lastname: Farrús
authors.forename: Francesc
authors.initials: F
authors.lastname: Casas
authors.forename: Eugènia
authors.initials: E
authors.lastname: Verger
authors.forename: Albert
authors.initials: A
authors.lastname: Biete
authors.forename: Jordi
authors.initials: J
authors.lastname: Craven-Bartle
authors.forename: Jordi
authors.initials: J
authors.lastname: Sierra
authors.forename: Angeles
authors.initials: A
authors.lastname: Arcusa
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001918:Brachytherapy / Q000523:psychology*; D001943:Breast Neoplasms / Q000523:psychology / Q000532:radiotherapy*; D005260:Female; D005833:Genital Neoplasms, Female / Q000523:psychology / Q000532:radiotherapy*; D006801:Humans; D019018:Imagery, Psychotherapy; D008875:Middle Aged; D011788:Quality of Life; D012064:Relaxation Therapy; D013030:Spain