Randomized controlled trial investigating potential effects of relaxation on mitochondrial function in immune cells: A pilot experiment.

This study aimed to investigate the effect of a relaxation response induced by hypnosis on the mitochondrial energy production of immune cells compared to an everyday relaxing situation. Chronically stressed individuals (88% women) with at least moderate suggestibility were randomized to a hypnosis (20 min relaxation hypnosis; n = 20) or a control condition (20 min documentary; n = 22). Before and after intervention, peripheral blood was collected. The primary outcomes were mitochondrial respiration and density in immune cells measured by high-resolution respirometry and citrate synthase activity assays. As secondary outcome, perceived stress, anxiety, and depressive mood were assessed. The intervention led to no significant Group × Time effects on mitochondrial bioenergetic parameters but a significant Time effect (ηp2 = .09 -.10). Thus, there were no differences in the experimental conditions concerning the measured parameters of mitochondrial bioenergetics. Exploratory subanalyses indicated that stress, anxiety, and depressive mood were linked to lower mitochondrial respiration. Individuals with higher anxiety had less decrease in routine respiration over time than those with lower anxiety (ηp2 = .09). This study explores the effects of relaxation in the form of hypnosis compared to watching a video on the energy metabolism of immune cells. Relaxation, whether in targeted (hypnosis) or untargeted (documentary) form, affected mitochondrial respiration. Further research should focus on the long-term effects of relaxation on bioenergetics. The trial was retrospectively registered on 07/12/2021, DRKS00027356, https://drks.de/search/de/trial/DRKS00027356.

An exploratory study of hypnosis-induced blood count changes in chronically stressed individuals.

Hypnosis is a clinically accepted relaxation technique known for stress reduction. Results from hematological research provide evidence of changes in blood components through hypnosis. However, these hematological effects have been rarely examined. Hence, we exploratively investigated the effect of a single relaxation hypnosis on the hemogram in stressed individuals, assuming a reduction of leukocytes, thrombocytes, and erythrocytes (primary outcomes). Additionally, a reduction in the erythrocyte-related parameters (hemoglobin, hematocrit), and an increase in plasma volume was hypothesized (secondary outcomes). Forty-four either individuals (89 % women) with chronic stress and moderate to high hypnotic suggestibility were randomized to a hypnosis condition (20 min relaxation hypnosis; n = 20) or a control condition (20 min documentary; n = 24). Venous blood was drawn before and after the intervention and used to generate a differential hemogram and determine the plasma volume. The relaxation hypnosis led to a significant reduction in erythrocytes (Cohen's d=0.23) and consequently to a decrease in erythrocyte-related parameters (hemoglobin, d=0.27; hematocrit, d=0.37) as well as to a reduction in thrombocytes (d=0.15) in the hypnosis compared to the control condition. Putatively, this could be the consequence of an increased plasma volume (d=0.10), estimated by the hematocrit concentration and body weight. A hypnosis-induced change in leukocyte count could not be confirmed. Thus, a single session of relaxation hypnosis already alters specific blood count parameters. While relaxation-induced vasodilatation might explain these changes, it is still not completely clear how these changes affect our stress response system.

Modern and traditional trance language: a comparison.

This study compares the effects of two trance texts using different language patterns, i.e., modern trance language (MTL) characterized by indirect suggestions as well as narrative style and traditional trance language (TTL) found in traditional societies (e.g., Navajo, San, Aranda aborigines, etc.) that uses multiple repetitions along with narrative sequences. The Phenomenology of Consciousness Inventory (PCI) was used to evaluate the effects of both texts regarding cognition, emotion, physical experience, and trance depth. In this randomized controlled online study, 178 participants were assigned either to the MTL group or to the TTL group. The PCI and other tests (e.g. Positive and Negative Affect Schedule, State-Trait-Anxiety Inventory) were presented to the participants before and after listening to the hypnosis audio of the respective trance text. There were no significant differences between groups concerning trance depth, emotional, and physical experience. However, on the cognitive-imaginative level it was shown that the TTL group experienced more imaginations (PCI-subdimension "visual imagery," p = .009, d = 0.38) and less cognitive activity (PCI-subdimension "inner dialogue," p = .002, d = 0.40) than the MTL group. The results indicate that TTL increases imagery and decreases cognitive activity to a larger extent than MTL. This further indicates the potential of TTL to facilitate more vivid and intensive trance experiences.

Suggestion-Induced Modulation of Semantic Priming during Functional Magnetic Resonance Imaging.

Using functional magnetic resonance imaging during a primed visual lexical decision task, we investigated the neural and functional mechanisms underlying modulations of semantic word processing through hypnotic suggestions aimed at altering lexical processing of primes. The priming task was to discriminate between target words and pseudowords presented 200 ms after the prime word which was semantically related or unrelated to the target. In a counterbalanced study design, each participant performed the task once at normal wakefulness and once after the administration of hypnotic suggestions to perceive the prime as a meaningless symbol of a foreign language. Neural correlates of priming were defined as significantly lower activations upon semantically related compared to unrelated trials. We found significant suggestive treatment-induced reductions in neural priming, albeit irrespective of the degree of suggestibility. Neural priming was attenuated upon suggestive treatment compared with normal wakefulness in brain regions supporting automatic (fusiform gyrus) and controlled semantic processing (superior and middle temporal gyri, pre- and postcentral gyri, and supplementary motor area). Hence, suggestions reduced semantic word processing by conjointly dampening both automatic and strategic semantic processes.

[The determination of emotional resource potentials--psychometric analysis of a test for the assessment of individual emotional experiencing]. / Die "Bestimmung des emotionalen Ressourcenpotenzials (BER)"--Psychometrische Uberprüfung eines Tests zur Erfassung individueller emotionaler Erfahrungsmöglichkeiten.

We introduce a test for the assessment of individual emotional resources (BER). The BER can be used to induce positive emotional experiences in both an individual and group setting. These experiences are then in a second step rated by the individuals in terms of their immediate intensity as well as their occurrence in everyday life. We examined the psychometric properties of the BER in a non-clinical student sample (n = 614) and a clinical sample of psychotherapy inpatients (n = 164). Reliabilities ranged from 0.75 to 0.89 (internal consistency) and 0.68 to 0.71 (retest). Neither age or gender, nor group size were related to the BER scores. Some empirical support was found for the expected two factorial structure. The correlations of the BER with related psychological constructs and the comparison of non clinical and clinical scores indicate good convergent and discriminant validity. According to the correlational analyses, emotional experiences induced by the BER seem not to be activated via direct hypnotic induction. They rather seem to be connected to an individual's capability of mental imagery. Implications of this novel approach for the assessment of emotional resources in research and clinical practice are discussed.

High resolution EEG indicators of pain responses in relation to hypnotic susceptibility and suggestion.

In this report we use a dense array (129 electrodes) EEG procedure to examine the effects of hypnotic susceptibility and hypnotic suggestions on electrocortical and self-report measures of painful stimuli. Self-report and event-related potential measures of six high and six low hypnotic susceptible individuals in response to pain were examined during an initial baseline condition and following a standard hypnotic induction under suggestions to either increase (hyperalgesia) or decrease (hypoalgesia) the painful stimulation. Our results show that high and low hypnotically susceptible individuals: (1) show few self-report or psychophysiological differences in response to baseline pain stimuli; (2) report differential pain experiences depending on hypnotic suggestions and (3) display differential psychophysiological indicators following an hypnotic induction with a suggestion of hypoalgesia. Overall, the findings suggest that hypnotic suggestions with high susceptible individuals modulate the later components of the evoked potential in a global manner and point up the importance of using both high and low hypnotically susceptible individuals preceding and following an hypnotic induction.