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1.
Oncology ; 97(1): 18-25, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31132779

RESUMO

PURPOSE: It is usual for cancer patients to use complementary and alternative medicines (CAMs) and yet the literature evaluating their efficacy in cancer patients is very limited. The objective of the present study was to report on the nature, frequency of use, and patient-reported outcome of CAMs in a single-center study. METHODS: All the consecutive patients treated between November 2017 and June 2018 at the Lucien Neuwirth Cancer Institute (France) were screened. Their reasons for using CAMs and their usage habits were collected. Patients evaluated their benefit. RESULTS: Of the 209 patients screened, 200 patients were included. CAMs ranged from osteopathy, homeopathy, acupuncture, healing touch, magnetism, naturopathy, suction cups, Chinese medicine, reflexology, to hypnosis. CAMs were widely used (n = 166, 83%), the first being osteopathy (n = 99, 49.5%), the second homeopathy (n = 78, 39.0%), and finally acupuncture (n = 76, 38.0%). Whatever the CAM, high satisfaction rates were reported (median satisfaction: 61-81%). CAMs were mainly used to prevent/treat side effects of anticancer treatments (81.2% for healing touch), increase well-being (55.4% for naturopathy), improve the immune system (16.9% for homeopathy), and treat cancer (n = 3, 5.1% for homeopathy). Patients could easily consider using CAMs, as up to 50.8% would have accepted a consultation. CONCLUSIONS: The reasons for using CAMs differed among patients. They praised CAMs and kept asking for more information although there is limited evidence about their efficacy in the literature. Thus, prospective randomized controlled trials exploring the safety and efficacy of CAMs in cancer patients are needed.


Assuntos
Terapia por Acupuntura/métodos , Terapias Complementares/métodos , Medicina Tradicional Chinesa/métodos , Neoplasias/terapia , Terapias Complementares/psicologia , Feminino , França/epidemiologia , Homeopatia/métodos , Humanos , Hipnose/métodos , Masculino , Massagem/métodos , Naturopatia/métodos , Neoplasias/epidemiologia , Neoplasias/patologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Satisfação do Paciente , Resultado do Tratamento
2.
Orthod Fr ; 90(1): 29-36, 2019 Mar.
Artigo em Francês | MEDLINE | ID: mdl-30994447

RESUMO

INTRODUCTION: After being discarded from hospitals due to its lack of scientific evidence, medical hypnosis is once more in the spotlight thanks to neuroscience and medical imaging, which have proven its specificity. Medical hypnosis is currently enjoying real enthusiasm, and now the doors are opening not only to medical and surgical units but also to our orthodontic clinics. MATERIALS AND METHODS: This article defines hypnosis and its different levels of application and the required techniques. It also explores all the different fields in which it can be used in orthodontic treatment. DISCUSSION: Hypnosis can be applied from the very first contact with the patient and can be useful and therapeutic at every step of the process. It is useful to think of it in our discipline as a treatment in its own right contributing to heal parafunctions and tongue disorders more efficiently.


Assuntos
Assistência Odontológica/métodos , Hipnose/métodos , Ortodontia/métodos , Adolescente , Ansiedade/terapia , Conscientização/fisiologia , Comunicação , Assistência Odontológica/psicologia , Feminino , Sucção de Dedo/psicologia , Sucção de Dedo/terapia , Humanos , Masculino , Relações Médico-Paciente , Sono/fisiologia , Fases do Sono/fisiologia , Estresse Psicológico/terapia , Transtornos de Tique/psicologia , Transtornos de Tique/terapia , Hábitos Linguais/psicologia , Hábitos Linguais/terapia
3.
Am J Clin Hypn ; 61(4): 370-393, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017544

RESUMO

Registered nurses (RNs) are the largest, most diverse, and most respected of all healthcare professions in the United States, numbering over 3.5 million (Gallup poll, 2017). Nurses have evolved from being the handmaidens of physicians and bedpan handlers to highly trained and educated clinicians who have assumed an important, integral, and indispensable role in the healthcare system. The capabilities of nurses to expand the excellent care they can provide has historically been thwarted by others in the healthcare field, including in the area of hypnosis. This article begins with a historical perspective on the education, training, and ever-expanding profession of nursing. The multiplicity of settings where nurses have the opportunity to incorporate clinical hypnosis into the care of their patients is discussed.


Assuntos
Educação em Enfermagem/métodos , Hipnose/métodos , Enfermagem/métodos , Humanos
4.
Am J Clin Hypn ; 61(4): 345-369, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017546

RESUMO

The purpose of this article is to share approaches and program design to assist healthcare professionals trained in hypnosis help tobacco users become tobacco free. Helping tobacco users overcome their tobacco dependency is generally seen as challenging to healthcare professionals. Efforts to stop a tobacco habit have components which are both physical and emotional in nature and which produce periods of discomfort and high relapse rates. Hypnosis can be supportive for both the physical and emotional aspects necessary for successful cessation. Health risks of tobacco use cannot be overlooked, and individuals burdened by tobacco habits will benefit from health professionals' greater appreciation for the contributions hypnosis can offer. Tobacco cessation incorporating hypnosis can be successful when careful attention is given to the program design.


Assuntos
Hipnose/métodos , Desenvolvimento de Programas , Abandono do Hábito de Fumar/métodos , Tabagismo/terapia , Humanos
5.
Am J Clin Hypn ; 61(4): 322-334, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017547

RESUMO

Hypnosis and biofeedback techniques are evidence-based psychophysiological therapies that can be applied with a wide variety of medical and mental health disorders. Research shows efficacy for anxiety, depression, post-traumatic stress disorder (PTDS), chronic pain, hypertension, fibromyalgia, and a host of other disorders. Hypnosis and biofeedback can also augment the effectiveness of psychotherapy. The author utilizes the case narrative of a 36-year-old woman, presenting with postpartum depression and dissociative features, to illustrate the integration of biofeedback training, physiological monitoring, self-hypnosis, hypnotic age regression, and affective journaling into dynamic psychotherapy. The hypnotic techniques and the affective journaling assisted in the retrieval of critical traumatic events during the patient's adolescence, and a combination of breath training, self-hypnosis, and biofeedback aided the patient in self-calming.


Assuntos
Biorretroalimentação Psicológica/métodos , Depressão Pós-Parto/terapia , Transtornos Dissociativos/terapia , Hipnose/métodos , Adulto , Feminino , Humanos
7.
Am J Clin Hypn ; 61(4): 394-408, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017549

RESUMO

This case study reports on a 28-year-old male with spinal cord injury (SCI), quadriplegia, and chronic pain with neuropathic characteristics. The treatment had to be adapted to address the patient's needs, as he was on a respirator and paralyzed from the chin down. The intervention consisted of eight 90-minute sessions. The first four sessions were based on a standardized hypnotic cognitive therapy protocol developed for a randomized controlled trial (RCT). The sessions included training in cognitive restructuring skills and a hypnosis session with suggestions that was audiorecorded. Instructions to practice at home, both with the recording and by using self-hypnosis, were provided as well. Most of the outcome domains assessed (i.e., pain intensity, pain interference, sleep quality) showed clinically meaningful improvements that were maintained (or increased) at one-year follow-up. The patient reported that he was still using self-hypnosis at one-year follow-up. His subjective impression of change was positive and he did not report any negative side effects. Results show that the hypnotic cognitive therapy protocol used is a promising intervention that can benefit individuals with SCI presenting with complex symptomatology. Such therapy helps patients by teaching them effective coping strategies that they can use on their own to manage pain and its effects. In addition, it is important to note that this therapy provided benefits to someone who had not experienced any benefits from numerous medications he had tried before treatment. Therefore, the findings support continued efforts to make this treatment more accessible to patients who could benefit from this approach.


Assuntos
Dor Crônica/terapia , Terapia Cognitivo-Comportamental/métodos , Hipnose/métodos , Quadriplegia , Traumatismos da Medula Espinal , Adulto , Dor Crônica/etiologia , Humanos , Masculino , Quadriplegia/etiologia , Traumatismos da Medula Espinal/complicações
8.
Am J Clin Hypn ; 61(4): 335-344, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017551

RESUMO

The incidence of stress-related, psychophysiological disorders in children is increasing. A goal of both parenting and pediatric health care is to teach children the skills of problem solving, affective and physical regulation, and techniques to better manage stress. In primary care pediatrics, both hypnotherapy and biofeedback can be used to teach psychophysiological self-regulation through relaxation and stress management affecting cognitive change and improving the child's self-image. This article uses case examples to review how hypnosis and relatively inexpensive biofeedback equipment can be implemented in primary care pediatrics to teach psychophysiological self-regulation through relaxation and stress management to effect cognitive change and improving the child's self-image.


Assuntos
Biorretroalimentação Psicológica/métodos , Hipnose/métodos , Pediatria/métodos , Atenção Primária à Saúde/métodos , Terapia de Relaxamento/métodos , Estresse Psicológico/terapia , Criança , Humanos
9.
Am J Clin Hypn ; 61(4): 302-321, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017552

RESUMO

Hypnosis and neurofeedback each provide unique therapeutic strengths and opportunities. This article provides an overview of some of the research on neurofeedback and hypnosis. The author's perspective and recommendations are provided on the relative clinical utility of using either neurofeedback or hypnosis as the initial treatment of choice with various clinical conditions.


Assuntos
Terapia Combinada/métodos , Hipnose/métodos , Neurorretroalimentação/métodos , Humanos
10.
Am J Clin Hypn ; 61(4): 409-425, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31017553

RESUMO

Psychological symptoms, particularly postpartum depression, may impair women's well-being after childbirth. Mind-body treatments such as hypnosis are available to help prepare women to maintain or improve their well-being postpartum. The aims of the present study are to determine the effectiveness of a hypnosis intervention in alleviating psychological symptoms (stress, anxiety, and depression) and the symptoms of postpartum depression. A quasi-experimental design was utilized in this study. The experimental group participants (n = 28) received a hypnosis intervention at weeks 16, 20, 28, and 36 of their pregnancies. Participants in the control group (n = 28) received routine prenatal care. The final data collection, occurring at two months postpartum, included 16 women from the experimental group and 11 women from the control group. The Depression Anxiety Stress Scale-21 (DASS-21) was used to measure psychological symptoms, and postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). The results at two months postpartum showed that the experimental group had significantly lower postpartum anxiety than the control group (M = 2.88 versus M = 38.36, p = .023). Similarly, the experimental group had significantly lower postpartum depressive symptoms than the control group (M = 1.25 versus M = 6.73, p < .002). Group differences in postpartum stress symptoms were not significant (p = .363). Finally, the results indicated that the experimental group experienced reduced postpartum depression when compared to the control group (M = 5.69 versus M = 10.64, p < .001). Thus, hypnosis conducted during pregnancy may promote improvements in psychological well-being postpartum.


Assuntos
Transtornos de Ansiedade/prevenção & controle , Hipnose/métodos , Avaliação de Resultados (Cuidados de Saúde) , Transtornos Puerperais/prevenção & controle , Estresse Psicológico/prevenção & controle , Adulto , Depressão Pós-Parto/prevenção & controle , Feminino , Humanos , Gravidez , Adulto Jovem
11.
Curr Gastroenterol Rep ; 21(4): 12, 2019 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-30868282

RESUMO

PURPOSE OF REVIEW: The purpose of this review is to discuss current knowledge of brain-gut therapies (BGT) in pediatric functional gastrointestinal disorders (FGID) and inflammatory bowel disease (IBD), including their evidence base, the common psychopathology that they address, and the integration of this knowledge into medical settings. RECENT FINDINGS: Cognitive behavioral therapy (CBT), hypnotherapy (HT), mindfulness-based therapy (MBT), and exposure-based therapy (EBT) have the most data supporting their use in children, particularly in FGID, more so than in IBD. This difference is most likely because of the increased role of psychological factors in FGID, though these same factors can be seen comorbidly in IBD. Integrative BGT treatment strategies with the collaboration of clinicians across disciplines may provide the most benefit to patients. This review details our current understanding of the evidence for BGT in pediatric FGID and IBD and how they may best be used in treatment strategies.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Gastroenteropatias/terapia , Hipnose/métodos , Doenças Inflamatórias Intestinais/terapia , Criança , Gastroenteropatias/psicologia , Humanos , Doenças Inflamatórias Intestinais/psicologia , Atenção Plena
12.
Am J Clin Hypn ; 61(3): 244-257, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30632924

RESUMO

A randomized clinical study was conducted to evaluate the effects on anxiety, depression, stress and optimism levels of an audio-recorded clinical hypnosis intervention and a music session and compare them with a control group in women scheduled for breast biopsy. We analyzed the data of 170 patients with an average age of 47 years, who were randomly assigned to each of the groups. The psychosocial variables were measured in three moments: baseline, which corresponds to the period before the intervention with hypnosis, music or waiting in the room before biopsy; a second measurement after the interventions and a third measurement after the breast biopsy procedure was finished. The results showed a statistically significant reduction in the stress (p < .001, η2p = .06); pain, (p < .01, η2p = .04); anxiety, (p < .001, ƞ2p = .07) and depression, (p < .001, ƞ2p = .05) in hypnosis and music groups compared with the control group. Before biopsy, hypnosis decrease significantly pain and depression levels compared with music, but after biopsy there were no differences between both groups. It is recommended to use audio-recorded hypnosis and music interventions to reduce physical and emotional discomfort during the biopsy procedure and to improve the quality of life of patients with suspected breast cancer.


Assuntos
Ansiedade/terapia , Neoplasias da Mama/psicologia , Depressão/terapia , Hipnose/métodos , Musicoterapia/métodos , Otimismo/psicologia , Avaliação de Resultados (Cuidados de Saúde) , Estresse Psicológico/terapia , Adulto , Biópsia , Neoplasias da Mama/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade
13.
Sao Paulo Med J ; 136(3): 251-261, 2018 May-Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29947699

RESUMO

BACKGROUND: This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS). DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). METHODS: Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy. RESULTS: We included a total of 16 SRs: 4 on apitherapy, 4 on aromatherapy, 6 on hypnotherapy and 2 on ozone therapy. No Cochrane SR was found regarding bioenergetics, family constellation, chromotherapy, clay therapy, flower therapy or hand imposition. The only high-quality evidence was in relation to the potential benefit of apitherapy, specifically regarding some benefits from honey dressings for partial healing of burn wounds, for reduction of coughing among children with acute coughs and for preventing allergic reactions to insect stings. CONCLUSION: Except for some specific uses of apitherapy (honey for burn wounds and for acute coughs and bee venom for allergic reactions to insect stings), the use of ten integrative practices that have recently been incorporated into SUS does not seem to be supported by evidence from Cochrane SRs.


Assuntos
Medicina Integrativa/métodos , Literatura de Revisão como Assunto , Apiterapia/métodos , Aromaterapia/métodos , Medicina Baseada em Evidências/normas , Humanos , Hipnose/métodos , Ozônio/uso terapêutico
14.
Am J Clin Hypn ; 61(1): 57-69, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29771217

RESUMO

Individuals suffering from generalized anxiety disorder (GAD) experience a broad range of physical, emotional, and cognitive distress. A hallmark of GAD is anxiety around making decisions. Many clinicians notice improvements in patients through specific modalities, such as mindfulness, hypnosis, and cognitive behavioral therapy (CBT); however, these individual methods sometimes fall short. Clinicians and researchers alike note that it can be more effective to combine these three methods into an integrative treatment protocol. This article demonstrates the efficacy of an integrative model through the case study of a client who suffers from GAD and acute fear of decision making. Competent use of mindfulness, hypnosis, and CBT helps the client build the skills necessary to self-soothe, diminish worry, access resources, and enhance hope for the future. Through the article, clinicians interested in integrated treatment models will gain insight into how to apply these methods.


Assuntos
Transtornos de Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Hipnose/métodos , Atenção Plena/métodos , Adulto , Humanos
15.
Am J Clin Hypn ; 61(1): 34-44, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29771216

RESUMO

Mindfulness-based cognitive hypnotherapy integrates mindfulness, cognitive-behavioral therapy, and hypnotherapy to improve physical, emotional, mental, and/or spiritual aspects of skin disorders. Meditation, including mindfulness meditation, and hypnosis both utilize trance phenomena to help produce focalization and specific improvements in skin disorders through psycho-neuro-endocrine-immunologic mechanisms. Hypnosis, cognitive hypnotherapy, focused meditation, and mindfulness meditation are discussed with respect to improving various skin disorders including acne, acne excoriée, alopecia areata, atopic dermatitis, congenital ichthyosiform erythroderma, dyshidrotic dermatitis, erythema nodosum, erythromelalgia, furuncles, glossodynia, herpes simplex, hyperhidrosis, ichthyosis vulgaris, lichen planus, neurodermatitis, nummular dermatitis, postherpetic neuralgia, prurigo nodularis, pruritus, psoriasis, rosacea, trichotillomania, urticaria, verruca vulgaris, and vitiligo. Their integration into mindfulness-based cognitive hypnotherapy is then discussed and illustrated with improvement in a patient with systemic lupus erythematosus.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Hipnose/métodos , Atenção Plena/métodos , Negociação/métodos , Dermatopatias/terapia , Humanos
16.
Am J Clin Hypn ; 61(1): 45-56, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29771220

RESUMO

The combination of mindfulness and self-hypnosis could provide a tool that is easily implemented by individuals who want to care for their well-being in times of high stress. Each discipline has been shown to be effective in relieving stress, and integration could further facilitate change while creating a tool that is highly accessible. There are many similarities between the two practices, such as focusing of attention and the emphasis on mind-body connection. However, important distinctions in psychological (e.g., self-monitoring) and neural (e.g., functional connectivity) elements are noted. A theory of how integrated mindful self-hypnosis may create change is presented. An illustrative case example of mindful self-hypnosis practice and a self-hypnosis transcript are provided.


Assuntos
Hipnose/métodos , Atenção Plena/métodos , Modelos Psicológicos , Autocuidado/métodos , Adulto , Humanos
17.
Complement Ther Med ; 37: 178-184, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29609931

RESUMO

BACKGROUND: Several studies in pediatric oncology have shown the successful effects of using hypnotic communication techniques (HCTech) during painful medical procedures. Since no studies assessed the precise use of these techniques with a validated tool, it is unsure that the observed relationships involve the use of HCTech. OBJECTIVES: To develop a scale evaluating healthcare professionals' behaviours when using HCTech and to evaluate its inter-rater reliability. METHODS: This study involved the preliminary steps of the Sainte-Justine Hypnotic Communication Assessment Scale (SJ-HCAS) development process. As part of a larger intervention study, the SJ-HCAS was developed in three steps by five experts and four lay raters using an iterative process applied to subsets of video-recorded nurse-patient interactions. The development aimed to maximize clarity and precision of items as well as minimize redundancy amongst items. Inter-rater reliability was assessed in a randomly selected sample of 1/3 of collected video-recorded interactions (n=42). RESULTS: The final version of the scale is composed of 11 items categorized in two domains pertaining to Relationship and Technique. We found excellent inter-rater reliability for both subscores and total score in two independent inter-rater comparisons (median ICC=0.879), with most items showing very good to perfect inter-rater reliability (median Kappa=0.847). CONCLUSIONS: The results support further work with the SJ-HCAS. The scale has the potential to help ensure the integrity of hypnotic communication training in children which could ultimately promote the dissemination of the practice of HCTech.


Assuntos
Hipnose/métodos , Terapias Mente-Corpo/normas , Neoplasias/enfermagem , Neoplasias/terapia , Relações Enfermeiro-Paciente , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Pediátricas , Enfermagem Pediátrica/métodos , Adulto Jovem
18.
Medisan ; 22(3)mar. 2018. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-894697

RESUMO

Se realizó un estudio cuasiexperimental de 21 estudiantes que cursaban la carrera de medicina, los cuales se encontraban en estado de hipnosis, atendidos en el Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, desde septiembre del 2014 hasta junio del 2015, con vistas a identificar las medidas espectrales de banda ancha sensibles en la determinación de la dominancia cerebral durante dicho estado. Entre las variables analizadas figuraron: nivel de profundidad hipnótica, medidas espectrales de banda ancha y derivación. Se utilizó el estadígrafo false discovery rate como prueba de hipótesis para validar la información estadística y el análisis de varianza multivariado Manova. Los resultados revelaron que el poder relativo theta resultó ser la medida espectral con modificaciones más significativas y mostró un predominio discreto de la energía en el hemisferio izquierdo. Se concluyó que este hallazgo tuvo lugar como consecuencia de las tareas indicadas durante la hipnosis


A quasi-experiment of 21 students that were studying the medicine career, who were in hypnosis state, assisted in Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, was carried out from September, 2014 to June, 2015, aimed at identifying the wide band spectral measures sensitive in the determination of cerebral dominance during this state. Among the analyzed variables we can mention: level of hypnotic depth and spectral measures of wide band and derivation. The false discovery rate stadigraph was used as hypothesis test to validate the statistical information and the Manova multivaried analysis of variance. The results revealed that theta relative power was the spectral measure with more significant modifications and showed a discreet prevalence of energy in the left hemisphere. It was concluded that this finding took place as a consequence of the given tasks during hypnosis


Assuntos
Dominância Cerebral/fisiologia , Eletroencefalografia/psicologia , Hipnose , Hipnose/métodos , Atenção Secundária à Saúde , Modelos Estatísticos
20.
Am J Clin Hypn ; 60(4): 303-304, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29485372
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