1
|
Forgács‐Kristóf K, Ádám S, Vargay A, Major J. Novel motivational interviewing-based intervention improves engagement in physical activity and readiness to change among adolescents with chronic pain. Health Expect 2024; 27:e14031. [PMID: 38556853 PMCID: PMC10982597 DOI: 10.1111/hex.14031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 01/22/2024] [Accepted: 03/17/2024] [Indexed: 04/02/2024] Open
Abstract
INTRODUCTION Engaging adolescents with chronic pain in physical activities is challenging. Motivational interviewing (MI) combined with activity promotion may encourage teens to make behavioural changes. This research aimed to assess the feasibility and acceptability of our MI-based physical activity promotion programme, the M3 training. METHODS In our exploratory study with 35 adolescent-parent dyads, we evaluated the feasibility by enrolment, drop-out and retention rates. Acceptability of the M3 training was examined by adherence rates and participation experiences through open-ended questions. We also assessed changes in pain self-efficacy and readiness to change after the M3 training intervention. RESULTS The M3 training was feasible with an adequate enrolment (77.8%) and retention (85.7%) rate. Both teens and parents found the M3 training acceptable and considered exercise and physical activity the most helpful elements of the programme (36% and 37%, respectively). While self-efficacy remained unchanged, we identified a significant increase in the readiness to change for adolescents and parents. CONCLUSION M3 training improved physical activity engagement while prioritising adolescents' autonomy. Furthermore, it appears to be a clinically relevant approach and could result in a positive shift in readiness to change within a shorter timeframe. PATIENT OR PUBLIC CONTRIBUTION The preliminary version of the M3 training was reviewed and commented upon by the public (adolescents and adults). Adolescents who participated in this study were designing their own movement programme, considering their lived experiences. Participants' feedback was used to create the online version of the M3 training (which will be published elsewhere).
Collapse
Affiliation(s)
| | - Szilvia Ádám
- Health Services Management Training Centre, Faculty of Health and Public ServicesSemmelweis UniversityBudapestHungary
| | - Adrienn Vargay
- Institute of PsychologyELTE Eötvös Loránd UniversityBudapestHungary
- HRC Bethesda Children's HospitalPaediatric Pain CentreBudapestHungary
| | - János Major
- HRC Bethesda Children's HospitalPaediatric Pain CentreBudapestHungary
- Institute of Behavioural SciencesSemmelweis UniversityBudapestHungary
| |
Collapse
|
2
|
Brugnoli MP. Spiritual healing in palliative care with clinical hypnosis: neuroscience and therapy. AMERICAN JOURNAL OF CLINICAL HYPNOSIS 2023:1-13. [PMID: 38117544 DOI: 10.1080/00029157.2023.2281466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
THIS PAPER REVIEWS The neuroscientific features of inner consciousness, including its role in suffering and in accessing states of mind that relieve suffering; details salient meditative and hypnotic approaches appropriate for palliative settings of care; discusses core principles and orientations shared by effective approaches; and proposes early integration of hypnotic training as a coping skill and a platform for spiritual exploration, as desired.
Collapse
Affiliation(s)
- Maria Paola Brugnoli
- Interdisciplinary Research Group in Neurobioethics (GdN) at the Pontifical Athenaeum Regina Apostolorum (APRA), Roma, Italy
- Chairperson Ethical Committee ISH International Society of Hypnosis, Verona, Italy
- President SIPMU Italian Scientific Society Clinical Hypnosis in Psychotherapy and Humanistic Medicine, Verona, Italy
| |
Collapse
|
3
|
Husna C, Yahya M, Kamil H, Tahlil T. The Impact of Islamic-Based Disaster Response Competencies Program on Nurses: A Computer-based Training Randomized Controlled Trial. Open Nurs J 2021. [DOI: 10.2174/1874434602115010433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction:
Disasters have a significant impact on physical, psychological, psychosocial, and spiritual conditions. Indonesia, a predominately Muslim country, is a country of high vulnerability and risk for disasters. The nurses are frontliners and care providers need sufficient competencies in handling the survivors in health service centers. Local government regulations in the Aceh Province required Islamic-based health services.
Objective:
The study aims to identify the effectiveness of the Islamic-based disaster response competencies on nurses at the Banda Aceh Hospitals.
Methods:
A randomized controlled trial with a pre- and post-tests with a control group design was used in this study. The population was all nurses at three hospitals in four wards: emergency department, intensive care, medical, and surgical wards. The samples were selected using cluster random sampling and assigned into three groups: evidence = 50, Islamic = 49, and control = 48. Data were analyzed using parametric and non-parametric tests.
Results:
The results showed a significant increase in nurses’ knowledge, skills, and attitudes of disaster response in the evidence and Islamic groups with the mean and SD of the Islamic group in post-test 1 and 2 (knowledge = 15.9±2.9 and 15.8±2.9, skills = 19.0±1.4 and 18.9±1.4, attitude = 108.1±6.9 and 108.2±6.9) were higher than the evidence group (knowledge = 15.6±2.7 and 15.5±2.7, skills = 18.7±1.5 and 18.8±1.5, attitudes = 107.5±7.4 and 107.4±7.3) and the control group (knowledge=13.8±4.0 and 13.9±4.0, skills = 17.9±1.9 and 17.9±1.9, attitude = 104.5±8.8 and 104.6±8.8), respectively.
Conclusion:
The results indicate the Islamic group is more effective in increasing the disaster response competencies of nurses. This finding suggests the importance of developing regulations including policies, guidelines, emergency and disaster training, and public health services to support the implementation of an appropriate Islamic-based disaster nursing responses for hospitals in the Aceh Province and other regions with the implementation of Islamic law. Request number ANZCTR 378930
Collapse
|
4
|
Oakley DA, Walsh E, Mehta MA, Halligan PW, Deeley Q. Direct verbal suggestibility: Measurement and significance. Conscious Cogn 2021; 89:103036. [DOI: 10.1016/j.concog.2020.103036] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 08/19/2020] [Accepted: 10/09/2020] [Indexed: 10/22/2022]
|
5
|
Schmidt B, Holroyd CB. Hypnotic suggestions of safety reduce neuronal signals of delay discounting. Sci Rep 2021; 11:2706. [PMID: 33526790 PMCID: PMC7851403 DOI: 10.1038/s41598-021-81572-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 01/08/2021] [Indexed: 01/30/2023] Open
Abstract
Waiting for delayed rewards is important to reach long-term goals, yet most people prefer immediate rewards. This tendency is called delay discounting. Evidence shows that people are more willing to wait for delayed rewards when they believe that the delayed reward is certain. We hypothesized that feeling safe makes delayed outcomes subjectively more certain, which should in turn reduce neuronal signals of delay discounting. We hypnotized 24 highly suggestible participants and gave them a suggestion to feel safe. We then used EEG to measure their brain responses to immediate and delayed rewards while they played a delayed gratification game. As compared to a control condition without hypnosis, participants that were suggested to feel safe under hypnosis reported feeling significantly safer. Further, their reward-related brain activity differentiated less between immediate and delayed rewards. We conclude that feeling safe makes delayed outcomes subjectively more certain and therefore reduces neuronal signals of delay discounting.
Collapse
Affiliation(s)
- Barbara Schmidt
- Institute of Psychology, University of Jena, Am Steiger 3, Haus 1, 07743, Jena, Germany.
| | - Clay B Holroyd
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| |
Collapse
|
6
|
Positive communication behaviour during handover and team-based clinical performance in critical situations: a simulation randomised controlled trial. Br J Anaesth 2021; 126:854-861. [PMID: 33422288 DOI: 10.1016/j.bja.2020.12.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 11/27/2020] [Accepted: 12/06/2020] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Positive communication behaviour within anaesthesia teams may decrease stress response and improve clinical performance. We aimed to evaluate the effect of positive communication during medical handover on the subsequent team-based clinical performance in a simulated critical situation. We also assessed the effect of positive communication behaviour on stress response. METHODS This single-centre RCT involved anaesthesia teams composed of a resident and a nurse in a high-fidelity scenario of anaesthesia-related paediatric laryngospasm after a standardised handover. During the handover, similar information was provided to all teams, but positive communication behaviour was adopted only for teams in the intervention group. Primary outcome was team-based clinical performance, assessed by an independent blinded observer, using video recordings and a 0-to 100-point scenario-specific scoring tool. Three categories of tasks were considered: safety checks before the incision, diagnosis/treatment of laryngospasm, and crisis resource management/non-technical skills. Individual stress response was monitored by perceived level of stress and HR variability. RESULTS The clinical performance of 64 anaesthesia professionals (grouped into 32 teams) was analysed. The mean (standard deviation) team-based performance score in the intervention group was 44 (10) points vs 35 (12) in the control group (difference: +8.4; CI95% [0.4-16.4]; P=0.04). The effects were homogeneous over the three categories of tasks. Perceived level of stress and HR variability were not significantly different between groups. CONCLUSIONS Positive communication behaviour between healthcare professionals during medical handover improved team-based performance in a simulation-based critical situation. CLINICAL TRIAL REGISTRATION NCT03375073.
Collapse
|
7
|
Curtis AN, Morriss WW, Sharples A. Please mind your language! Anaesth Intensive Care 2020; 48:411-414. [DOI: 10.1177/0310057x20949556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Andrew N Curtis
- Department of Anaesthesia, Christchurch Hospital, Christchurch, New Zealand
| | - Wayne W Morriss
- Department of Anaesthesia, Christchurch Hospital, Christchurch, New Zealand
| | - Andrew Sharples
- Department of Anaesthesia, Christchurch Hospital, Christchurch, New Zealand
| |
Collapse
|
8
|
Tan Y, Gajic O, Schulte PJ, Clark MM, Philbrick KL, Karnatovskaia LV. Feasibility of a Behavioral Intervention to Reduce Psychological Distress in Mechanically Ventilated Patients. Int J Clin Exp Hypn 2020; 68:419-432. [PMID: 32730136 DOI: 10.1080/00207144.2020.1795663] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Many survivors of acute respiratory failure suffer from mood disorders following discharge from the hospital. We investigated the feasibility of intensivists delivering psychological support based on positive suggestion (PSBPS) to 20 intubated patients to reduce their psychological distress. Thirteen patients completed follow-up surveys. Of those, 9 remembered the intensive care unit physician talking to them, and 7 described it as comforting. Five patients (38%) met criteria for anxiety, depression, and acute stress. In comparison to historical controls, intervention may be associated with lower estimated odds of anxiety. PSBPS can be performed with patients in parallel with medical treatment to potentially reduce psychological morbidity and to humanize critical care. A larger randomized study is warranted to assess the efficacy of PSBPS.
Collapse
Affiliation(s)
- Yanni Tan
- National University Hospital , Singapore
| | - Ognjen Gajic
- Division of Pulmonary and Critical Care Medicine, Mayo Clinic , Rochester, Minnesota, USA
| | - Phillip J Schulte
- Division of Biomedical Statistics and Informatics, Mayo Clinic , Rochester, Minnesota, USA
| | - Matthew M Clark
- Department of Psychiatry and Psychology, Mayo Clinic , Rochester, Minnesota, USA
| | - Kemuel L Philbrick
- Department of Psychiatry and Psychology, Mayo Clinic , Rochester, Minnesota, USA
| | | |
Collapse
|
9
|
Schmidt B, Hoffmann E, Rasch B. Feel Safe and Money is Less Important! Hypnotic Suggestions of Safety Decrease Brain Responses to Monetary Rewards in a Risk Game. Cereb Cortex Commun 2020; 1:tgaa050. [PMID: 34296116 PMCID: PMC8152948 DOI: 10.1093/texcom/tgaa050] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Revised: 08/06/2020] [Accepted: 08/07/2020] [Indexed: 11/13/2022] Open
Abstract
When a stimulus is important, the corresponding brain responses increase, especially the P300 brain response. This is true for all kinds of important stimuli, also monetary rewards. In our study, we developed a hypnotic suggestion to reduce the subjective importance of monetary rewards. As successful suggestions do not contain negations, we suggested participants to feel safe during hypnosis instead of suggesting that money is not important anymore. We predicted lower P300 amplitudes when participants feel safe during hypnosis. We tested 24 highly suggestible participants playing a risk game in 2 conditions with monetary rewards while we measured their EEG brain responses. In the safety condition, we induced a hypnotic state and suggested that participants feel safe. In the control condition, participants played the risk game without hypnosis. Here we show that participants felt significantly safer in the safety condition and showed significantly lower P300 amplitudes to monetary rewards. Risk behavior did not differ significantly between conditions. Our results are important for substance use disorders, as decreased P300 responses to substance-related stimuli are associated with less craving and better abstinence. Therefore, we conclude that suggestions to feel safe during hypnosis might work as a treatment for individuals with substance use disorders.
Collapse
Affiliation(s)
- Barbara Schmidt
- Institute of Psychology, University of Jena, 07743 Jena, Germany
| | - Elisa Hoffmann
- Institute of Psychology, University of Jena, 07743 Jena, Germany
| | - Björn Rasch
- Department of Psychology, University of Fribourg, CH-1701 Fribourg, Switzerland
| |
Collapse
|
10
|
Abstract
Pain is a significant public healthcare challenge. There is growing support for the use of music and suggestive techniques as adjuvant pain treatments. The purpose of this study was to (1) examine the effects of music listening combined with relaxation suggestions compared to music alone and silence on experimental pain, and (2) to explore the potential mechanisms of music-induced analgesia. Sixty-six healthy females were randomized to receive either (1) music plus relaxation suggestions, (2) music alone, or (3) silence. Pain and psychological constructs were assessed following two cold-pressor trials. Between-group comparisons indicated that music and suggestions for relaxation are not superior to music alone for pain. More research is needed to explore the effect of analgesic suggestions in combination with music to further investigate music's potential in clinical pain management.
Collapse
Affiliation(s)
- Alisa J Johnson
- Pain Research & Intervention Center of Excellence, Department of Community Dentistry & Behavioral Sciences, Institute of Aging, University of Florida, Gainesville, USA.,Department of Psychology & Neuroscience, Baylor University, Waco, Texas, USA
| | - Gary R Elkins
- Department of Psychology & Neuroscience, Baylor University, Waco, Texas, USA
| |
Collapse
|
11
|
Roesch M. The Potential to Source a Patient's Imaginative Powers in Treating Cancer: Illustrated in Three Cases. Complement Med Res 2019; 27:55-60. [PMID: 31480042 DOI: 10.1159/000502281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 07/22/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND The imaginative power of a human patient has the big advantage of sourcing his/her own depth leading to first-hand experiencing. Such experiences have a potential to make a deep impact that can be instrumental to the process of healing. Successful healing is almost inevitably linked to new recognitions and perceptions, changes in attitudes or changes in lifestyle. Therapists in charge may find that they cannot exert direct control over this process but nevertheless, there is a big inherent potential to such processes as a truly complementary approach to clinical oncology. CASE REPORTS Going by the characteristic of the matter, it seems impossible to conduct randomized trials; rather, we have to learn from the very individual experiences and try to find common traits. Hence, in this contribution, it is "just" three cases that are presented: patients with a pancreatic tumor, lung metastasis, and a colon carcinoma. Still, the same objectives of evaluation criteria as in any conventional clinical trial, namely overall survival and quality of life, are followed here. The presented cases are set against expected outcomes of the guideline-oriented therapy options. CONCLUSION Quality of life has improved in all three cases, expected overall survival extended in one case, the second is still to be verified. Certainly beneficially, however, is the ratio of effect to - in these cases - no negative side effects.
Collapse
|
12
|
Lee JK, Zubaidah JO, Fadhilah ISI, Normala I, Jensen MP. PRERECORDED HYPNOTIC PERI-SURGICAL INTERVENTION TO ALLEVIATE RISK OF CHRONIC POSTSURGICAL PAIN IN TOTAL KNEE REPLACEMENT: A RANDOMIZED CONTROLLED PILOT STUDY. Int J Clin Exp Hypn 2019; 67:217-245. [PMID: 30939085 DOI: 10.1080/00207144.2019.1580975] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This pilot study evaluated the effect sizes associated with prerecorded hypnotic interventions provided during the perisurgical period for reducing risk factors associated with chronic postsurgical pain, including acute postsurgical pain, anxiety, depression, and pain catastrophizing. A total of 25 participants (N = -25) were randomly assigned to receive a hypnotic intervention (n = 8), minimal-effect treatment (n = 8), or treatment as usual (n = 9) during their hospital stay for total knee replacement (TKR). Participants were followed for 6 months after hospital discharge. Results indicate that prerecorded hypnotic intervention exerted medium effects for reducing acute postsurgical pain and large effects for reducing perisurgical anxiety and pain catastrophizing. The findings indicate that a fully powered clinical trial to evaluate the beneficial effects of prerecorded hypnosis to manage pain and psychological distress in patients undergoing TKR is warranted.
Collapse
Affiliation(s)
- Ji Kwan Lee
- a Department of Psychiatry, Faculty of Medicine and Health Sciences , University Putra Malaysia , Serdang , Malaysia
| | - J O Zubaidah
- a Department of Psychiatry, Faculty of Medicine and Health Sciences , University Putra Malaysia , Serdang , Malaysia
| | - I Siti Irma Fadhilah
- a Department of Psychiatry, Faculty of Medicine and Health Sciences , University Putra Malaysia , Serdang , Malaysia
| | - I Normala
- a Department of Psychiatry, Faculty of Medicine and Health Sciences , University Putra Malaysia , Serdang , Malaysia
| | - Mark P Jensen
- b Department of Rehabilitation Medicine , University of Washington , Seattle , USA
| |
Collapse
|
13
|
Kaiser P, Kohen DP, Brown ML, Kajander RL, Barnes AJ. Integrating Pediatric Hypnosis with Complementary Modalities: Clinical Perspectives on Personalized Treatment. CHILDREN (BASEL, SWITZERLAND) 2018; 5:E108. [PMID: 30087271 PMCID: PMC6111600 DOI: 10.3390/children5080108] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 07/30/2018] [Accepted: 07/31/2018] [Indexed: 02/06/2023]
Abstract
While pediatric integrative medicine (PIM) emphasizes an "evidence-based practice using multiple therapeutic modalities"; paradoxically, literature reviews examining the prevalence and/or efficacy of such mind⁻body approaches often address PIM modalities separately. Such contributions are relevant, yet documentation of how to deliver combined complementary approaches in children and youth are scarce. Nevertheless, integrative practitioners in clinical practice routinely mix approaches to meet the individual needs of each patient. Best practices are flexible, and include blending and augmenting services within the same session, and/or connecting modalities sequentially for an incremental effect, and/or referring to outside resources for additional interventions. Resonating with integrative medicine's definition, this article's goal is to demonstrate paradigms that "bring together complementary approaches in a coordinated way within clinical practice" by linking clinical hypnosis, the trail-blazer modality in PIM's history, with mindfulness, biofeedback, acupuncture, and yoga. Following the consideration of the overlap of guided imagery with hypnosis and an abridged literature report, this clinical perspective considers the selection of modalities within a collaborative relationship with the child/teen and parents, emphasizing goodness-of-fit with patients' contexts, e.g., symptoms, resources, interests, goals, and developmental stage. Case vignettes illustrate practical strategies for mixing approaches.
Collapse
Affiliation(s)
- Pamela Kaiser
- National Pediatric Hypnosis Training Institute (NPHTI), 29 Western Terrace, Minneapolis, MN 55426, USA.
| | - Daniel P Kohen
- National Pediatric Hypnosis Training Institute (NPHTI), 29 Western Terrace, Minneapolis, MN 55426, USA.
- Partners-in-Healing, 10505 Wayzata Blvd #200, Minnetonka, MN 55305, USA.
- Department of Pediatrics, University of Minnesota, 717 Delaware St SE #353, Minneapolis, MN 55414, USA.
| | - Melanie L Brown
- Department of Pediatrics, University of Minnesota, 717 Delaware St SE #353, Minneapolis, MN 55414, USA.
- Children's Hospitals and Clinics of Minnesota, 2525 Chicago Ave, Minneapolis, MN 55404, USA.
| | - Rebecca L Kajander
- National Pediatric Hypnosis Training Institute (NPHTI), 29 Western Terrace, Minneapolis, MN 55426, USA.
| | - Andrew J Barnes
- National Pediatric Hypnosis Training Institute (NPHTI), 29 Western Terrace, Minneapolis, MN 55426, USA.
- Department of Pediatrics, University of Minnesota, 717 Delaware St SE #353, Minneapolis, MN 55414, USA.
| |
Collapse
|
14
|
Garland EL, Baker AK, Larsen P, Riquino MR, Priddy SE, Thomas E, Hanley AW, Galbraith P, Wanner N, Nakamura Y. Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting. J Gen Intern Med 2017; 32:1106-1113. [PMID: 28702870 PMCID: PMC5602767 DOI: 10.1007/s11606-017-4116-9] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 05/15/2017] [Accepted: 06/14/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Medical management of acute pain among hospital inpatients may be enhanced by mind-body interventions. OBJECTIVE We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery would significantly reduce acute pain intensity and unpleasantness compared to a psychoeducation pain coping control. We also hypothesized that mindfulness and suggestion would produce significant improvements in secondary outcomes including relaxation, pleasant body sensations, anxiety, and desire for opioids, compared to the control condition. METHODS This three-arm, parallel-group randomized controlled trial conducted at a university-based hospital examined the acute effects of 15-min psychosocial interventions (mindfulness, hypnotic suggestion, psychoeducation) on adult inpatients reporting "intolerable pain" or "inadequate pain control." Participants (N = 244) were assigned to one of three intervention conditions: mindfulness (n = 86), suggestion (n = 73), or psychoeducation (n = 85). KEY RESULTS Participants in the mind-body interventions reported significantly lower baseline-adjusted pain intensity post-intervention than those assigned to psychoeducation (p < 0.001, percentage pain reduction: mindfulness = 23%, suggestion = 29%, education = 9%), and lower baseline-adjusted pain unpleasantness (p < 0.001). Intervention conditions differed significantly with regard to relaxation (p < 0.001), pleasurable body sensations (p = 0.001), and desire for opioids (p = 0.015), but all three interventions were associated with a significant reduction in anxiety (p < 0.001). CONCLUSIONS Brief, single-session mind-body interventions delivered by hospital social workers led to clinically significant improvements in pain and related outcomes, suggesting that such interventions may be useful adjuncts to medical pain management. TRIAL REGISTRATION Trial Registry: ClinicalTrials.gov ; registration ID number: NCT02590029 URL: https://clinicaltrials.gov/ct2/show/NCT02590029.
Collapse
Affiliation(s)
- Eric L Garland
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA.
| | - Anne K Baker
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| | - Paula Larsen
- Social Work Department, University of Utah Hospital, Salt Lake City, UT, USA
| | - Michael R Riquino
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| | - Sarah E Priddy
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| | - Elizabeth Thomas
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| | - Adam W Hanley
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| | - Patricia Galbraith
- Social Work Department, University of Utah Hospital, Salt Lake City, UT, USA
| | - Nathan Wanner
- Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA
| | - Yoshio Nakamura
- Center on Mindfulness and Integrative Health Intervention Development (C-MIIND), University of Utah, 395 South, 1500 East, Salt Lake City, UT, 84112, USA
| |
Collapse
|
15
|
Abstract
For many years, the therapy field was dominated by a focus on the past. In this context, many clinicians were trained to use hypnosis as a tool to explore the past, and there is a rich literature documenting the use of hypnosis as a tool to induce age regression and the uncovering of traumatic memories. This article presents a therapeutic paradigm that focuses on the future. Hypnosis is used to induce creativity, flexibility, and openness to the future. In the context of health care, hypnosis is used to explore the best possible treatment outcome, which may be pharmacological, surgical, or a combination of both as well as other nonsurgical interventions. This article elaborates on the effective use of a therapeutic hypnosis strategy and technique focused on the future.
Collapse
Affiliation(s)
- Moshe S Torem
- a Cleveland Clinic-Akron General & Northeast Ohio Medical University , Akron, USA
| |
Collapse
|
16
|
Waisblat V, Langholz B, Bernard FJ, Arnould M, Benassi A, Ginsbourger F, Guillou N, Hamelin K, Houssel P, Hugot P, Martel-Jacob S, Moufouki M, Musellec H, Nid Mansour S, Ogagna D, Paqueron X, Zerguine S, Cavagna P, Bloc S, Jensen MP, Dhonneur G. Impact of a Hypnotically-Based Intervention on Pain and Fear in Women Undergoing Labor. Int J Clin Exp Hypn 2017; 65:64-85. [PMID: 27935457 DOI: 10.1080/00207144.2017.1246876] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The purpose of this study was to evaluate the effects of a hypnotically-based intervention for pain and fear in women undergoing labor who are about to receive an epidural catheter. A group of 155 women received interventions that included either (a) patient rocking, gentle touching, and hypnotic communication or (b) patient rocking, gentle touching, and standard communication. The authors found that the hypnotic communication intervention was more effective than the standard communication intervention for reducing both pain intensity and fear. The results support the use of hypnotic communication just before and during epidural placement for women who are in labor and also indicate that additional research to evaluate the benefits and mechanism of this treatment is warranted.
Collapse
Affiliation(s)
| | - Bryan Langholz
- b University of Southern California , Los Angeles , California , USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Sébastien Bloc
- h Hôpital privé Claude Galien , Quincy-sous-Sénart , France
| | - Mark P Jensen
- i University of Washington Seattle, Seattle , Washington , USA
| | | |
Collapse
|
17
|
Szeverényi C, Csernátony Z, Balogh Á, Simon T, Varga K. Effects of Positive Suggestions on the Need for Red Blood Cell Transfusion in Orthopedic Surgery. Int J Clin Exp Hypn 2016; 64:404-18. [PMID: 27585725 DOI: 10.1080/00207144.2016.1209041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This study examined whether positive suggestions applied without a hypnotic induction in the perioperative period reduces the need for red blood cell transfusions in patients who underwent total hip or knee arthroplasties with spinal anesthesia. No hypnotic assessment was performed. Ninety-five patients were randomly assigned to the suggestion group (n = 45) and to the control group (n = 50). Patients in the suggestion group received verbal suggestions before and audiotaped suggestions during the surgery for reducing blood loss, anxiety, postoperative pain, and fast recovery. Our study showed that using positive suggestions in the perioperative period significantly decreases the necessity for transfusion.
Collapse
Affiliation(s)
| | | | | | - Tünde Simon
- a University of Debrecen , Clinical Center , Hungary
| | | |
Collapse
|
18
|
Kekecs Z, Szekely A, Varga K. Alterations in electrodermal activity and cardiac parasympathetic tone during hypnosis. Psychophysiology 2015; 53:268-77. [PMID: 26488759 DOI: 10.1111/psyp.12570] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Accepted: 10/04/2015] [Indexed: 02/06/2023]
Abstract
Exploring autonomic nervous system (ANS) changes during hypnosis is critical for understanding the nature and extent of the hypnotic phenomenon and for identifying the mechanisms underlying the effects of hypnosis in different medical conditions. To assess ANS changes during hypnosis, electrodermal activity and pulse rate variability (PRV) were measured in 121 young adults. Participants either received hypnotic induction (hypnosis condition) or listened to music (control condition), and both groups were exposed to test suggestions. Blocks of silence and experimental sound stimuli were presented at baseline, after induction, and after de-induction. Skin conductance level (SCL) and high frequency (HF) power of PRV measured at each phase were compared between groups. Hypnosis decreased SCL compared to the control condition; however, there were no group differences in HF power. Furthermore, hypnotic suggestibility did not moderate ANS changes in the hypnosis group. These findings indicate that hypnosis reduces tonic sympathetic nervous system activity, which might explain why hypnosis is effective in the treatment of disorders with strong sympathetic nervous system involvement, such as rheumatoid arthritis, hot flashes, hypertension, and chronic pain. Further studies with different control conditions are required to examine the specificity of the sympathetic effects of hypnosis.
Collapse
Affiliation(s)
- Zoltán Kekecs
- Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA
| | - Anna Szekely
- Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Katalin Varga
- Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| |
Collapse
|
19
|
Kekecs Z, Jakubovits E, Varga K, Gombos K. Effects of patient education and therapeutic suggestions on cataract surgery patients: a randomized controlled clinical trial. PATIENT EDUCATION AND COUNSELING 2014; 94:116-122. [PMID: 24183068 DOI: 10.1016/j.pec.2013.09.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Revised: 09/13/2013] [Accepted: 09/27/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE This paper describes a randomized controlled single blind study testing the effects of a patient education intervention combined with positive therapeutic suggestions on anxiety for cataract surgery patients. METHODS 84 patients participated in the study. Physiological and behavioral indicators of anxiety were compared between a regularly treated control and an intervention group receiving an audio CD containing information, relaxation, and positive imagery. RESULTS We found that the intervention group was calmer throughout the four measurement points of the study (p=.004; d=0.71) and they were more cooperative (p=.01; d=0.60) during the operation. The groups did not differ in sleep quality before the day of the operation, heart rate during the procedure, and subjective Well-being. CONCLUSION Findings indicate that preoperative information combined with positive suggestions and anxiety management techniques might reduce patient anxiety in the perioperative period of cataract surgery, but further research is needed to investigate the benefits of such interventions and to uncover the underlying mechanisms. PRACTICE IMPLICATIONS Patient education interventions providing additional anxiety management techniques are recommended for use prior to cataract surgery.
Collapse
Affiliation(s)
- Zoltán Kekecs
- Eötvös Loránd University, Faculty of Education and Psychology, Affective Psychology Department, Budapest, Hungary.
| | | | - Katalin Varga
- Eötvös Loránd University, Faculty of Education and Psychology, Affective Psychology Department, Hungary
| | - Katalin Gombos
- Szent János Kórház és Észak-budai Egyesített Kórházak, Ophthalmology, Hungary
| |
Collapse
|
20
|
Varga K, Varga Z, Fritúz G. Psychological support based on positive suggestions in the treatment of a critically ill ICU patient - A case report. Interv Med Appl Sci 2013; 5:153-61. [PMID: 24381733 DOI: 10.1556/imas.5.2013.4.2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2013] [Revised: 10/28/2013] [Accepted: 10/30/2013] [Indexed: 01/25/2023] Open
Abstract
This case report describes the way psychological support based on positive suggestions (PSBPS) was added to the traditional somatic treatment of an acute pancreatitis 36-year-old male patient. Psychological support based on positive suggestions (PSBPS) is a new adjunct therapeutic tool focused on applying suggestive techniques in medical settings. The suggestive techniques usually applied with critically ill patients are based on a number of pre-prepared scripts like future orientation, reframing, positivity, supporting autonomy, etc., and other, very unique and personalized interventions, which are exemplified with verbatim quotations. We describe the way several problems during treatment of intensive care unit (ICU) patients were solved using suggestive methods: uncooperativeness, difficulties of weaning, building up enteral nutrition, supporting recovery motivation, and so on, which permanently facilitated the patient's medical state: the elimination of gastrointestinal bleeding, recovery of the skin on the abdomen, etc. Medical effects follow-up data at 10 months show that the patient recovered and soon returned to his original work following discharge.
Collapse
|