RESEARCH and ARTICLES

     Physician’s Mindfulness Skills Improve Care for Practitioner and Patient
     http://www.counselheal.com/articles/1722/20120426/physician-s-mindfulness-skills-improve-care-practitioner.htm
    Hypnosis Reduces Frequency and Intensity of Migraines

Compared the treatment of migraine by hypnosis and autohypnosis with the treatment of migraine by the drug prochlorperazine (Stemetil). Results show that the number of attacks and the number of people who suffered blinding attacks were significantly lower for the group receiving hypnotherapy than for the group receiving prochlorperazine. For the group on hypnotherapy, these two measures were significantly lower when on hypnotherapy than when on the previous treatment. It is concluded that further trials of hypnotherapy are justified against some other treatment not solely associated with the ingestion of tablets.

Anderson JA, Basker MA, Dalton R, Migraine and hypnotherapy, International Journal of Clinical & Experimental Hypnosis 1975; 23(1): 48-58.

Hypnosis Reduces Pain and Speeds up Recovery from Surgery

Since 1992, we have used hypnosis routinely in more than 1400 patients undergoing surgery. We found that hypnosis used with patients as an adjunct to conscious sedation and local anesthesia was associated with improved intraoperative patient comfort, and with reduced anxiety, pain, intraoperative requirements for anxiolytic and analgesic drugs, optimal surgical conditions and a faster recovery of the patient. We reported our clinical experience and our fundamental research.

[Hypnosis and its application in surgery] Faymonville ME, Defechereux T, Joris J, Adant JP, Hamoir E, Meurisse M, Service d’Anesthesie-Reanimation, Universite de Liege, Rev Med Liege. 1998 Jul;53(7):414-8.

Hypnosis Reduces Pain Intensity

Analysis of the simple-simple main effects, holding both group and condition constant, revealed that application of hypnotic analgesia reduced report of pain intensity significantly more than report of pain unpleasantness.

Dahlgren LA, Kurtz RM, Strube MJ, Malone MD, Differential effects of hypnotic suggestion on multiple dimensions of pain.Journal of Pain & Symptom Management. 1995; 10(6): 464-70.

Hypnosis Reduces Pain of Headaches and Anxiety

The improvement was confirmed by the subjective evaluation data gathered with the use of a questionnaire and by a significant reduction in anxiety scores.

Melis PM, Rooimans W, Spierings EL, Hoogduin CA, Treatment of chronic tension-type headache with hypnotherapy: a single-blind time controlled study. Headache 1991; 31(10): 686-9.

Hypnosis Lowered Post-treatment Pain in Burn Injuries

Patients in the hypnosis group reported less post treatment pain than did patients in the control group. The findings are used to replicate earlier studies of burn pain hypnoanalgesia, explain discrepancies in the literature, and highlight the potential importance of motivation with this population.

Patterson DR, Ptacek JT, Baseline pain as a moderator of hypnotic analgesia for burn injury treatment. Journal of Consulting & Clinical Psychology 1997; 65(1): 60-7.

Hypnosis Lowered Phantom Limb Pain

Hypnotic procedures appear to be a useful adjunct to established strategies for the treatment of phantom limb pain and would repay further, more systematic, investigation. Suggestions are provided as to the factors which should be considered for a more systematic research program.

Treatment of phantom limb pain using hypnotic imagery. Oakley DA, Whitman LG, Halligan PW, Department of Psychology, University College, London, UK.

Hypnosis Has a Reliable and Significant Impact on Acute and Chronic Pain

Hypnosis has been demonstrated to reduce analogue pain, and studies on the mechanisms of laboratory pain reduction have provided useful applications to clinical populations. Studies showing central nervous system activity during hypnotic procedures offer preliminary information concerning possible physiological mechanisms of hypnotic analgesia. Randomized controlled studies with clinical populations indicate that hypnosis has a reliable and significant impact on acute procedural pain and chronic pain conditions. Methodological issues of this body of research are discussed, as are methods to better integrate hypnosis into comprehensive pain treatment.

Hypnosis and clinical pain. Patterson DR, Jensen MP, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA USA 98104 Psychol Bull. 2003 Jul;129(4):495-521.

Hypnosis is a Powerful Tool in Pain Therapy and is Biological in Addiction to Psychological

Attempting to elucidate cerebral mechanisms behind hypnotic analgesia, we measured regional cerebral blood flow with positron emission tomography in patients with fibromyalgia, during hypnotically-induced analgesia and resting wakefulness. The patients experienced less pain during hypnosis than at rest. The cerebral blood-flow was bilaterally increased in the orbitofrontal and subcallosial cingulate cortices, the right thalamus, and the left inferior parietal cortex, and was decreased bilaterally in the cingulate cortex. The observed blood-flow pattern supports notions of a multifactorial nature of hypnotic analgesia, with an interplay between cortical and subcortical brain dynamics. Copyright 1999 European Federation of Chapters of the International Association for the Study of Pain.

Functional anatomy of hypnotic analgesia: a PET study of patients with fibromyalgia. Wik G, Fischer H, Bragee B, Finer B, Fredrikson M, Department of Clinical Neurosciences, Karolinska Institute and Hospital, Stockholm, Sweden Eur J Pain. 1999 Mar;3(1):7-12.

Hypnosis Useful in Hospital Emergency Rooms

Hypnosis can be a useful adjunct in the emergency department setting. Its efficacy in various clinical applications has been replicated in controlled studies. Application to burns, pain, pediatric procedures, surgery, psychiatric presentations (e.g., coma, somatoform disorder, anxiety, and post traumatic stress), and obstetric situations (e.g., hyperemesis, labor, and delivery) are described.

Emerg Med Clin North Am. 2000 May;18(2):327-38, x. The use of hypnosis in emergency medicine. Peebles-Kleiger MJ, Menninger School of Psychiatry and Mental Health Sciences, Menninger Clinic, Topeka, KS, USA. peeblemj@menninger.edu


 

Hypnosis is effective in relieving chronic pain: JAMA. 1996(Jul);276:313-318.

Hypnotherapy relieves cancer related pain: JAMA. 2000(Jan);283:118-119.

Hypnotherapy relieves IBS related pain. Amer J Gastroenterol. 2002;97:954-961.

Mind-Body Medicine. J Am Board Fam Pract. 2003;16:131-147.

David Drum. The Chronic Pain Management Sourcebook. 1999;Lowell House, Lincolnwood, IL

Gatchel R and Kisimo N, Clinical Effectiveness of Early Intervention for Musculoskeletal Pain Disorders, IAIABC Journal, 2010; 7(1).

Hoogendoorn, W. E., van Poppel, M. N. M., Bongers, P. M., Koes, B. W., & Bouter, L. M. (2000). Systematic review of psychosocial factors at work and in the personal situation as risk factors for back pain. Spine, 25, 2114-2125


Turner J, Franklin G, Fulton-Kehoe D, Sheppard L, Sotver B, Wu R, Gluck JV, Kickizer TM. Early Predictors of Chronic Work Disability, A Prospective, Population-Based Study of Workers With Back Injuries. Spine. 2008; 33(25):2809-2818


Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations. Psychosomatic Medicine September/October 2002 vol.

The U.S. Department of Health and Human Services publication Clinical Practice Guidelines for Cancer Pain Management has rated psychosocial pain relief methods based on the strength and consistency of scientific evidence. Hypnosis, relaxation, visual imagery and patient education by providing sensory or procedural information all rated “A” for best scientific evidence.” - Tan G, Alvarez J and Jensen M. Complementary and Alternative Medicine Approaches to Pain Management. J Clin Psych Session. 2006;62(11).

Guiding Low Back Claimants to Work: A Randomized Controlled Trial. Spine August 2012-Volume 37-Issue 17- p 1425-1431

Emerg Med Clin North Am. 2000 May;18(2):327-38, x. The use of hypnosis in emergency medicine. Peebles-Kleiger MJ, Menninger School of Psychiatry and Mental Health Sciences, Menninger Clinic, Topeka, KS, USA. peeblemj@menninger.edu

Among steps to improving care, healthcare providers should increasingly aim at tailoring pain care to each person’s experience and self-management of pain should be promoted. Also, primary care physicians, who handle most front-line pain care, should collaborate with pain specialists in cases where pain persists.”- Institute of Medicine of the National Academies - Report Brief June 2011.

"The erroneous equating of suggestibility with the phenomena of therapeutic hypnosis is an unfortunate artifact of our need to develop experimental measures of hypnosis by the use of scales of hypnotic suggestibility.  We tend to forget that this artificial use of suggestion to measure hypnotic susceptibility is not necessarily a measure of the phenomena of therapeutic hypnosis.  This distinction between the artificial but experimentally useful measure of hypnotic susceptibility and the natural clinical phenomena of hypnosis is of central significance for understanding therapeutic hypnosis.  For if we believe that hypnotic phenomena are purely the product of artificial verbal suggestion, then we tend to discount the clinical conception of hypnosis as a natural psychobiological response to stress and trauma.  This little understood distinction has had the unfortunate effect of dividing many of the academic and research-oriented investigators from the clinical hypnotherapists so that they have become divided into two communities....This division is also at the source of the state verses nonstate theories of hypnosis.  Those researchers who focus on suggestibility, imagination, and social influence as the essence of hypnosis...tend to favor the nonstate theories, while clinicians who deal daily with the natural amnesias and disassociations that are characteristic of therapeutic hypnosis...tend to favor the state theories." - Mind-Body Therapy: Methods of Ideodynamic Healing in Hypnosis, 1st ed, by Ernest Rossi and David Cheek, W.W. Norton & Company, 1994.