Perioperative medicine & outcomes

Preoperative Hypnosis versus Mindfulness for Reducing Postoperative Symptoms in Breast Surgery: A Randomized Clinical Trial

AnesthesiologyPublished Randomised controlled trial

Authors' conclusion

A brief preoperative hypnosis session before breast cancer surgery appears to be more effective than mindfulness in reducing postoperative fatigue, emotional distress, and fentanyl dose.

Study context

Population
Women scheduled for breast cancer surgery, Oslo University Hospital, Norway
Participants
203 women
Comparison
Preoperative hypnosis vs mindfulness
Primary endpoint
Postoperative pain, fatigue, nausea, discomfort and emotional distress (100-mm VAS)
Follow-up
Day of surgery after recovery from GA

Primary result

As reported in the abstract

Hypnosis vs MindfulnessMD (95% CI)
Postoperative fatigue, significantly lower with hypnosis; Cohen's d = 0.30
6.4(0.40–12.4)
Postoperative emotional distress, significantly lower with hypnosis; d = 0.24
5.7(0.24–11.2)

Further findings

OutcomeMD (95% CI)
Postoperative fentanyl useSignificant reduction with hypnosis; d = 0.54−0.03 (−0.047 to −0.005)

Emotional distress by preoperative anxiety (subgroup)

Preoperative anxiety moderated the effect of hypnosis on emotional distress; more pronounced benefit with high preoperative anxiety

Safety

No adverse events attributed to the interventions reported

Original publication

Preoperative Hypnosis versus Mindfulness for Reducing Postoperative Symptoms in Breast Surgery: A Randomized Clinical Trial. Anesthesiology. Published 7 November 2025. doi:10.1097/aln.0000000000005821

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