The Effectiveness of Hypnotherapy in Reducing Pain in Patients with Cervical Cancer


  • Hanung Prasetya Study Program in Acupuncture, Health Polytechnics, Ministry of Health Surakarta
  • Heni Nur Kusumawati Study Program in Acupuncture, Health Polytechnics, Ministry of Health Surakarta
  • Wardiyatmi Wardiyatmi Dr. Moewardi Hospital, Surakarta


Background: Complaints of pain in cervical cancer patients make the patient suffer more. Pain is a subjective matter so that hypnothe­rapy can reduce the pain suffered by patients. The use of hypnotherapy in cancer patients focuses on the emotional aspects and dynamics that occur in the client's subconscious mind. Hypnotherapy can change sensations, percep­tions, thoughts, feelings or behavior after being suggested. Positive suggestions given are able to influence the perception of someone who is in a hypnotic state so that they behave or per­ceive according to the suggestions given. The purpose of this study was to analyze the effect of hypnotherapy as a complementary therapy in reducing pain in cervical cancer patients.

Subjects and Method: The experimental study used a random control trial which was conducted at the Dr. Moewardi Hospital from January to September 2019. A sample of 90 patients was selected by purposive sampling. 45 subjects from the treatment group received the hypnotherapy intervention and 45 subjects from the control group received standard care. The dependent variable is the level of pain. The independent variable is hypnotherapy. The level of pain is measured by a numerical pain scale of 0 to 10. Hypnotherapy is performed using hypnosis recording/ audio. Data analysis was performed using an independent t test.

Results: The mean pain level after hypno­therapy (Mean= 0.8; SD= 1.96) was lower than the control group (Mean= 3.2; SD= 1.7), effect size= -1.31, and it was statistically significant (p <0.001).

Conclusion: Hypnotherapy complementary therapy can help reduce pain levels in cervical cancer patients.

Keywords: hypnotherapy, pain, cervical cancer

Correspondence:Hanung Prasetya. Study Program in Acu­puncture, Health Polytechnics, Ministry of Health. Jl. Letjend Sutoyo, Mojosongo, Sura­karta 57127, Central Java. Email: Hanung­ Mobile: +62812263­8908.

Indonesian Journal of Medicine (2021), 06(02): 152-158


Arter D (2014). Step by step of learning the power of Hypnosis. Yogyakarta: Arasaka.

Benson H, Proctor (2000). Relaxation response basics. Edisi 1 Bandung Kaifa.

Brooker C (2009). Ensiklopedia Keperawatan. Jakarta: EGC.

Eisenberg E, Borsook D, LeBes AA (1996). Pain in terminally ill. The Masachu-setts General Hospital Handbook of Pain Management. 1st ed. Little Brown.

Green JP, Barabasz AF, Barret D, Montgo-mery GH (2005). Forging a head: The 2003 APA Definition of Hypnosis. Int J Clin Exp Hypn. 53(3): 259-64.

Guardian L, Harjanto E (2007). Tata lak-sana farmakologis nyeri kanker (Phar macological Management of Cancer Pain). Journal of Cancer. 3, 121-123.

Gunawan, Adi W (2006). Hypnotherapy: The art of subsconcious restructuring. Jakarta: Gramedia Pustaka Utama.

Hermes D, Truebger D, Hakim SG, Sieg P (2005). Tape recor ded hypnosis in oral and maxillofacial surgery—basics and first clinical ex pe rience. J Cranio-maxillofac Surg. 33(2): 123-9. https:-//

Iserson, Kenneth V (2014). An hypnotic suggestion: Review of hypnosis for clinical emergency care. The Journal of Emergency Medicine J Emerg Med. 46(4): 588-96.

Kemenkes RI (2015). National program guide for cancer prevention and early detection movement: Cervical cancer and breast cancer. Jakarta.

Kemenkes RI (2015). Panduan nasional penanganan kanker (National guide to cancer management), Kanker Ser-viks. Komite Nasional Penanggulang-an Kanker (KPKN). Jakarta.

Kirsch I (1985). Response expectancy as a determinant of experience and beha-vior. American Psychologist 40 (11): 1189–1202.

Lankton, Stephen. 2015. A SoC Model of Hypnosis and Induction. Am J Clin Hypn. 57(4): 367-377. https://doi.-org/10.1080/00029157.2015.1011461.

Lubis RC (2018). Risk factors which influ-ence the incidence of cervical cancer in women at RSUD Dr. Pirngadi, Medan. Theses. The University Insti-tutional Repository: Universitas Sumatera Utara.

Murti B (2013). Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif di bidang kesehatan (Design and sample size for quantitative and qualitative research in the health). Yogyakarta: Gadjah Mada University Press.

Sulistiya DP, Pramono D, Nurdiati D (2017). Faktor-faktor yang berhu bungan dengan kejadian kanker ser viks di rumah sakit Sardjito Yogya karta (Related factors for cervical cancer incidence at Dr.Sardjito Hos pital Yogyakarta). Berita Kedokteran Masyarakat. 33(3): 125-130.

Patterson DR, Tininenko, Schmidt AE, Sharar S (2004). Virtual reality hypnosis: A case report. Int J Clin Exp Hypn. 52(1): 27-38.

Parris WCV (1997). Cancer pain manage-ment: Principles and practice. 1st ed. Butterworth-Heinemann.

Hanung P (2017). Hanung induksi sebagai induksi hipnosis yang efektif, nyaman dan aman (Hanung induction as an effective, comfortable and safe hyp-nosis induction). Surakarta: Program Studi Ilmu Kesehatan Masyarakat Pascasarjana, Universitas Sebelas Maret.

Hanung P, Murti B, Anantanyu S Syamsul-hadi M (2018). The effect of hypnosis on adherence to antituberculosis drugs using the health belief model. Int J Clin Exp Hypn. 66(2): 211-227.

Potter, Perry (2005). Buku ajar fundamental keperawatan. Jakarta: EGC.

Rasjidi I (2010). Perawatan Paliatif Suportif & Bebas Nyeri Pada Kanker. Jakarta: Sagung Seto.

Rogovik AL, Goldman RD (2007). Hypnosis for treatment of pain in children. Canadian Family Physician Journal. 53(5): 823-5.

Schnur JB, David D, Kangas M, Green S, Bovbjerg DH, Montgomery GH (2009). A randomized trial of cog ni-tive-behavioral therapy and hypnosis intervention on positive and negative affect during breast cancer radiotherapy. J Clin Psychol. 65 (4): 443-455.

Shahbazi K, Solati K, Hasanpour-Dehkordi A (2016).

Comparison of hypnotherapy and standard medical treatment alone on quality of life in patients with irritable bowel syndrome: A rando-mized controlled trial. J Clin Diagn Res. (5): OC01-4.

Suwiyoga IK (2007). Tes Human Papillo-mavirus sebagai Skrining Alternatif Kanker Serviks. HumanPapillomavirus.html.

Smeltzer CS (2010). Medical surgical nurs-ing. Lippincott Williams & Wilkins: China.

Tamsuri A (2007). Konsep dan penatalak-sanaannyeri . Jakarta : EGC.

Tarwoto, Wartonah (2010). Kebutuhan dasar manusia dan proses keperawatan. Edisi 4. Surakarta: PT Salemba Medika.

Wargo BW, Burton AW (2005). Cancer Pain, Pain Medicine and Managemen, Just The Fact. 1st ed. Mc Graw-Hill.

Woody EZ, Barnier AJ, McConkey KM (2005). Multiple hypnotizabilities: Differentiating the building blocks of hypnotic response. Journal Abnormal Psychology. 17(2): 200-211.