Treatment of non-cardiac chest pain: a controlled trial of hypnotherapy.
Gut
; 55(10): 1403-8, 2006 Oct.
Article
en En
| MEDLINE
| ID: mdl-16627548
ABSTRACT
BACKGROUND:
Non-cardiac chest pain (NCCP) is an extremely debilitating condition of uncertain origin which is difficult to treat and consequently has a high psychological morbidity. Hypnotherapy has been shown to be effective in related conditions such as irritable bowel syndrome where its beneficial effects are long lasting.AIMS:
This study aimed to assess the efficacy of hypnotherapy in a selected group of patients with angina-like chest pain in whom coronary angiography was normal and oesophageal reflux was not contributory. PATIENTS ANDMETHODS:
Twenty eight patients fulfilling the entry criteria were randomised to receive, after a four week baseline period, either 12 sessions of hypnotherapy or supportive therapy plus placebo medication over a 17 week period. The primary outcome measure was global assessment of chest pain improvement. Secondary variables were a change in scores for quality of life, pain severity, pain frequency, anxiety, and depression, as well as any alteration in the use of medication.RESULTS:
Twelve of 15 (80%) hypnotherapy patients compared with three of 13 (23%) controls experienced a global improvement in pain (p = 0.008) which was associated with a significantly greater reduction in pain intensity (p = 0.046) although not frequency. Hypnotherapy also resulted in a significantly greater improvement in overall well being in addition to a reduction in medication usage. There were no differences favouring hypnotherapy with respect to anxiety or depression scores.CONCLUSION:
Hypnotherapy appears to have use in this highly selected group of NCCP patients and warrants further assessment in the broader context of this disorder.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor en el Pecho
/
Hipnosis
Tipo de estudio:
Clinical_trials
/
Etiology_studies
Límite:
Female
/
Humans
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Male
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Middle aged
Idioma:
En
Año:
2006
Tipo del documento:
Article