Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers
Identifieur interne : 000114 ( Ncbi/Merge ); précédent : 000113; suivant : 000115Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers
Auteurs : Johann R. Kleinbub [Italie] ; Arianna Palmieri [Italie] ; Alice Broggio [Italie] ; Francesco Pagnini [Italie] ; Enrico Benelli [Italie] ; Marco Sambin [Italie] ; Gianni Sorarù [Italie]Source :
- Frontiers in Psychology [ 1664-1078 ] ; 2015.
Abstract
Url:
DOI: 10.3389/fpsyg.2015.00822
PubMed: 26136710
PubMed Central: 4469765
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers</title><author><name sortKey="Kleinbub, Johann R" sort="Kleinbub, Johann R" uniqKey="Kleinbub J" first="Johann R." last="Kleinbub">Johann R. Kleinbub</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Palmieri, Arianna" sort="Palmieri, Arianna" uniqKey="Palmieri A" first="Arianna" last="Palmieri">Arianna Palmieri</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Center for Cognitive Neuroscience, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Broggio, Alice" sort="Broggio, Alice" uniqKey="Broggio A" first="Alice" last="Broggio">Alice Broggio</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Pagnini, Francesco" sort="Pagnini, Francesco" uniqKey="Pagnini F" first="Francesco" last="Pagnini">Francesco Pagnini</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Psychology, Catholic University of Milan</institution><country>Milan, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Benelli, Enrico" sort="Benelli, Enrico" uniqKey="Benelli E" first="Enrico" last="Benelli">Enrico Benelli</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Sambin, Marco" sort="Sambin, Marco" uniqKey="Sambin M" first="Marco" last="Sambin">Marco Sambin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Soraru, Gianni" sort="Soraru, Gianni" uniqKey="Soraru G" first="Gianni" last="Sorarù">Gianni Sorarù</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Neurosciences, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26136710</idno><idno type="pmc">4469765</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469765</idno><idno type="RBID">PMC:4469765</idno><idno type="doi">10.3389/fpsyg.2015.00822</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000000</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000000</idno><idno type="wicri:Area/Pmc/Curation">000000</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000000</idno><idno type="wicri:Area/Pmc/Checkpoint">000001</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000001</idno><idno type="wicri:Area/Ncbi/Merge">000114</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers</title><author><name sortKey="Kleinbub, Johann R" sort="Kleinbub, Johann R" uniqKey="Kleinbub J" first="Johann R." last="Kleinbub">Johann R. Kleinbub</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Palmieri, Arianna" sort="Palmieri, Arianna" uniqKey="Palmieri A" first="Arianna" last="Palmieri">Arianna Palmieri</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Center for Cognitive Neuroscience, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Broggio, Alice" sort="Broggio, Alice" uniqKey="Broggio A" first="Alice" last="Broggio">Alice Broggio</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Pagnini, Francesco" sort="Pagnini, Francesco" uniqKey="Pagnini F" first="Francesco" last="Pagnini">Francesco Pagnini</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Psychology, Catholic University of Milan</institution><country>Milan, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Benelli, Enrico" sort="Benelli, Enrico" uniqKey="Benelli E" first="Enrico" last="Benelli">Enrico Benelli</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Sambin, Marco" sort="Sambin, Marco" uniqKey="Sambin M" first="Marco" last="Sambin">Marco Sambin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Soraru, Gianni" sort="Soraru, Gianni" uniqKey="Soraru G" first="Gianni" last="Sorarù">Gianni Sorarù</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Neurosciences, University of Padova</institution><country>Padova, Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea></wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Psychology</title><idno type="eISSN">1664-1078</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Background:</bold> Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.</p><p><bold>Methods:</bold> Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients' primary caregivers and 15 one-by-one matched control patients were considered in the study. Measurements of anxiety, depression and quality of life (QoL) were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients' anxiety, depression, QoL, and functional impairment (ALSFRS-r), as well as on caregivers' anxiety and depression.</p><p><bold>Results:</bold> The statistical analyses revealed an improvement in psychological variables' scores immediately after the treatment. Amelioration in patients' and caregivers' anxiety as well as caregivers' depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group's patients.</p><p><bold>Discussion:</bold> Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abrahams, S" uniqKey="Abrahams S">S. Abrahams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aguinis, H" uniqKey="Aguinis H">H. Aguinis</name></author><author><name sortKey="Gottfredson, R K" uniqKey="Gottfredson R">R. K. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Psychol</journal-id><journal-id journal-id-type="iso-abbrev">Front Psychol</journal-id><journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id><journal-title-group><journal-title>Frontiers in Psychology</journal-title></journal-title-group><issn pub-type="epub">1664-1078</issn><publisher><publisher-name>Frontiers Media S.A.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26136710</article-id><article-id pub-id-type="pmc">4469765</article-id><article-id pub-id-type="doi">10.3389/fpsyg.2015.00822</article-id><article-categories><subj-group subj-group-type="heading"><subject>Psychology</subject><subj-group><subject>Original Research</subject></subj-group></subj-group></article-categories><title-group><article-title>Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kleinbub</surname><given-names>Johann R.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="author-notes" rid="fn003"><sup>†</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/135153"></uri></contrib><contrib contrib-type="author"><name><surname>Palmieri</surname><given-names>Arianna</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="author-notes" rid="fn001"><sup>*</sup></xref><xref ref-type="author-notes" rid="fn003"><sup>†</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/67263"></uri></contrib><contrib contrib-type="author"><name><surname>Broggio</surname><given-names>Alice</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/136879"></uri></contrib><contrib contrib-type="author"><name><surname>Pagnini</surname><given-names>Francesco</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/10494"></uri></contrib><contrib contrib-type="author"><name><surname>Benelli</surname><given-names>Enrico</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/43925"></uri></contrib><contrib contrib-type="author"><name><surname>Sambin</surname><given-names>Marco</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/218240"></uri></contrib><contrib contrib-type="author"><name><surname>Sorarù</surname><given-names>Gianni</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref><uri xlink:type="simple" xlink:href="http://community.frontiersin.org/people/u/71050"></uri></contrib></contrib-group><aff id="aff1"><sup>1</sup><institution>Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova</institution><country>Padova, Italy</country></aff><aff id="aff2"><sup>2</sup><institution>Center for Cognitive Neuroscience, University of Padova</institution><country>Padova, Italy</country></aff><aff id="aff3"><sup>3</sup><institution>Department of Psychology, Catholic University of Milan</institution><country>Milan, Italy</country></aff><aff id="aff4"><sup>4</sup><institution>Department of Neurosciences, University of Padova</institution><country>Padova, Italy</country></aff><author-notes><fn fn-type="edited-by"><p>Edited by: Sayyed Mohsen Fatemi, Harvard University, USA</p></fn><fn fn-type="edited-by"><p>Reviewed by: Michelle Dow Keawphalouk, Harvard-MIT Health Sciences and Technology, USA; Andrea Carta, L.U.de.S. University, Switzerland</p></fn><corresp id="fn001">*Correspondence: Arianna Palmieri, Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padova, Via Venezia, 8, 35131 Padova, Italy <email xlink:type="simple">arianna.palmieri@unipd.it</email></corresp><fn fn-type="other" id="fn002"><p>This article was submitted to Psychology for Clinical Settings, a section of the journal Frontiers in Psychology</p></fn><fn fn-type="present-address" id="fn003"><p>†These authors contributed equally to the manuscript.</p></fn></author-notes><pub-date pub-type="epub"><day>16</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>6</volume><elocation-id>822</elocation-id><history><date date-type="received"><day>31</day><month>1</month><year>2015</year></date><date date-type="accepted"><day>30</day><month>5</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Kleinbub, Palmieri, Broggio, Pagnini, Benelli, Sambin and Sorarù.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Kleinbub, Palmieri, Broggio, Pagnini, Benelli, Sambin and Sorarù</copyright-holder><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p></license></permissions><abstract><p><bold>Background:</bold> Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.</p><p><bold>Methods:</bold> Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients' primary caregivers and 15 one-by-one matched control patients were considered in the study. Measurements of anxiety, depression and quality of life (QoL) were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients' anxiety, depression, QoL, and functional impairment (ALSFRS-r), as well as on caregivers' anxiety and depression.</p><p><bold>Results:</bold> The statistical analyses revealed an improvement in psychological variables' scores immediately after the treatment. Amelioration in patients' and caregivers' anxiety as well as caregivers' depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group's patients.</p><p><bold>Discussion:</bold> Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS.</p></abstract><kwd-group><kwd>amyotrophic lateral sclerosis (ALS)</kwd><kwd>hypnosis</kwd><kwd>anxiety</kwd><kwd>depression</kwd><kwd>quality of life</kwd><kwd>defense mechanisms</kwd><kwd>ALSFRS-r</kwd><kwd>psychodynamic intervention</kwd></kwd-group><counts><fig-count count="9"></fig-count><table-count count="6"></table-count><equation-count count="0"></equation-count><ref-count count="104"></ref-count><page-count count="14"></page-count><word-count count="11709"></word-count></counts></article-meta></front></pmc><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Kleinbub, Johann R" sort="Kleinbub, Johann R" uniqKey="Kleinbub J" first="Johann R." last="Kleinbub">Johann R. Kleinbub</name></noRegion><name sortKey="Benelli, Enrico" sort="Benelli, Enrico" uniqKey="Benelli E" first="Enrico" last="Benelli">Enrico Benelli</name><name sortKey="Broggio, Alice" sort="Broggio, Alice" uniqKey="Broggio A" first="Alice" last="Broggio">Alice Broggio</name><name sortKey="Pagnini, Francesco" sort="Pagnini, Francesco" uniqKey="Pagnini F" first="Francesco" last="Pagnini">Francesco Pagnini</name><name sortKey="Palmieri, Arianna" sort="Palmieri, Arianna" uniqKey="Palmieri A" first="Arianna" last="Palmieri">Arianna Palmieri</name><name sortKey="Palmieri, Arianna" sort="Palmieri, Arianna" uniqKey="Palmieri A" first="Arianna" last="Palmieri">Arianna Palmieri</name><name sortKey="Sambin, Marco" sort="Sambin, Marco" uniqKey="Sambin M" first="Marco" last="Sambin">Marco Sambin</name><name sortKey="Soraru, Gianni" sort="Soraru, Gianni" uniqKey="Soraru G" first="Gianni" last="Sorarù">Gianni Sorarù</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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