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The Efficacy, Safety and Applications of Medical Hypnosis

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The Efficacy, Safety and Applications of Medical Hypnosis

Auteurs : Winfried H User [Allemagne] ; Maria Hagl [Allemagne] ; Albrecht Schmierer [Allemagne] ; Ernil Hansen

Source :

Deutsches Ärzteblatt International [ 1866-0452 ] ; 2016.

RBID : PMC:4873672

Abstract

Background

The efficacy and safety of hypnotic techniques in somatic medicine, known as medical hypnosis, have not been supported to date by adequate scientific evidence.

Methods

We systematically reviewed meta-analyses of randomized controlled trials (RCTs) of medical hypnosis. Relevant publications (January 2005 to June 2015) were sought in the Cochrane databases CDSR and DARE, and in PubMed. Meta-analyses involving at least 400 patients were included in the present analysis. Their methodological quality was assessed with AMSTAR (A Measurement Tool to Assess Systematic Reviews). An additional search was carried out in the CENTRAL and PubMed databases for RCTs of waking suggestion (therapeutic suggestion without formal trance induction) in somatic medicine.

Results

Out of the 391 publications retrieved, five were reports of meta-analyses that met our inclusion criteria. One of these meta-analyses was of high methodological quality; three were of moderate quality, and one was of poor quality. Hypnosis was superior to controls with respect to the reduction of pain and emotional stress during medical interventions (34 RCTs, 2597 patients) as well as the reduction of irritable bowel symptoms (8 RCTs, 464 patients). Two meta-analyses revealed no differences between hypnosis and control treatment with respect to the side effects and safety of treatment. The effect size of hypnosis on emotional stress during medical interventions was low in one meta-analysis, moderate in one, and high in one. The effect size on pain during medical interventions was low. Five RCTs indicated that waking suggestion is effective in medical procedures.

Conclusion

Medical hypnosis is a safe and effective complementary technique for use in medical procedures and in the treatment of irritable bowel syndrome. Waking suggestions can be a component of effective doctor–patient communication in routine clinical situations.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873672

DOI: 10.3238/arztebl.2016.0289
PubMed: 27173407
PubMed Central: 4873672

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title>
<p>The efficacy and safety of hypnotic techniques in somatic medicine, known as medical hypnosis, have not been supported to date by adequate scientific evidence.</p>
</sec>
<sec id="st2"><title>Methods</title>
<p>We systematically reviewed meta-analyses of randomized controlled trials (RCTs) of medical hypnosis. Relevant publications (January 2005 to June 2015) were sought in the Cochrane databases CDSR and DARE, and in PubMed. Meta-analyses involving at least 400 patients were included in the present analysis. Their methodological quality was assessed with AMSTAR (A Measurement Tool to Assess Systematic Reviews). An additional search was carried out in the CENTRAL and PubMed databases for RCTs of waking suggestion (therapeutic suggestion without formal trance induction) in somatic medicine.</p>
</sec>
<sec id="st3"><title>Results</title>
<p>Out of the 391 publications retrieved, five were reports of meta-analyses that met our inclusion criteria. One of these meta-analyses was of high methodological quality; three were of moderate quality, and one was of poor quality. Hypnosis was superior to controls with respect to the reduction of pain and emotional stress during medical interventions (34 RCTs, 2597 patients) as well as the reduction of irritable bowel symptoms (8 RCTs, 464 patients). Two meta-analyses revealed no differences between hypnosis and control treatment with respect to the side effects and safety of treatment. The effect size of hypnosis on emotional stress during medical interventions was low in one meta-analysis, moderate in one, and high in one. The effect size on pain during medical interventions was low. Five RCTs indicated that waking suggestion is effective in medical procedures.</p>
</sec>
<sec id="st4"><title>Conclusion</title>
<p>Medical hypnosis is a safe and effective complementary technique for use in medical procedures and in the treatment of irritable bowel syndrome. Waking suggestions can be a component of effective doctor–patient communication in routine clinical situations.</p>
</sec>
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The Efficacy, Safety and Applications of Medical Hypnosis

The Efficacy, Safety and Applications of Medical Hypnosis

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