Hypnosis for the Management of Anxiety and Dyspnea in COPD: A Randomized, Sham-Controlled Crossover Trial

التفاصيل البيبلوغرافية
العنوان: Hypnosis for the Management of Anxiety and Dyspnea in COPD: A Randomized, Sham-Controlled Crossover Trial
المؤلفون: Isabelle Segundo, François Larue, Agathe Delignières, Valérie Mach Alingrin, Marion Gilbert, Bertrand Herer, Hernán Anlló, Yolaine Bocahu
المصدر: International Journal of Chronic Obstructive Pulmonary Disease
بيانات النشر: Dove, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Hypnosis, Respiratory rate, International Journal of Chronic Obstructive Pulmonary Disease, 03 medical and health sciences, 0302 clinical medicine, medicine, Clinical endpoint, COPD, 030212 general & internal medicine, Exertion, Depression (differential diagnoses), business.industry, complementary care, General Medicine, dyspnea, medicine.disease, anxiety, Crossover study, 030228 respiratory system, Clinical Trial Report, Anesthesia, depression, Anxiety, hypnosis, medicine.symptom, business
الوصف: Hernán Anlló,1,2 Bertrand Herer,1,3 Agathe Delignières,1,4 Yolaine Bocahu,1,3 Isabelle Segundo,1,3 Valérie Mach Alingrin,1,5 Marion Gilbert,1,3 François Larue1,5 1Clinical Hypnosis Research Team, Bligny Hospital Center, Briis-sous-Forges, France; 2Watanabe Cognitive Science Laboratory, School of Fundamental Science and Engineering. Waseda University, Tokyo, Japan; 3Pneumology Unit, Bligny Hospital Center, Briis-sous-Forge, France; 4Counselling and Psychological Care Unit, Bligny Hospital Center, Briis-sous-Forge, France; 5Palliative Care Unit, Bligny Hospital Center, Briis-sous-Forge, FranceCorrespondence: Hernán AnllóClinical Hypnosis Research Team, Bligny Hospital Center, Rue de Bligny, Briis-sous-Forges 91640, FranceTel +33 1 69 26 30 00Fax +33 1 69 26 30 90Email hernan.anllo@cri-paris.orgBackground: Patients with chronic obstructive pulmonary disease (COPD) are prone to dyspnea, increased respiratory rate and other anxiety-inducing symptoms. Hypnosis constitutes a complementary procedure capable of improving subjective feelings of anxiety.Objective: Assessing the efficacy of a 15-minute hypnosis intervention for immediate improvement of anxiety in severe COPD patients.Methods: Twenty-one participants, COPD patients (mean FEV1 < 32.3%), were randomly assigned to two individual sessions in crossover (sham and hypnosis, 24-h washout period, arms: hypnosis-sham [n=11]/sham-hypnosis [n=10]). We tracked pre- and post-intervention anxiety (STAI-6 score) as primary endpoint.Results: Nineteen (90.5%) participants completed the study. Anxiety diminished significantly after hypnosis (STAI-6 scores − 23.8% [SD = 18.4%] hypnosis vs − 3.1% [32.8%] sham; χ2=8, P< 0.01, Bayes Factor 5.5). Respiratory rate also decreased after hypnosis. Improvements in SpO2 and Borg exertion scores were registered after both conditions.Conclusion: A 15-minute hypnosis session improved participants’ anxiety and lowered respiratory rate (as opposed to sham). Improvements in anxiety were correlated with an alleviation in respiratory strain. Results imply that hypnosis can contribute to the improvement of anxiety levels and breathing mechanics in severe COPD patients.Registration Id: ISRCTN10029862.Keywords: hypnosis, anxiety, depression, dyspnea, COPD, complementary care
وصف الملف: text/html
اللغة: English
تدمد: 1178-2005
1176-9106
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7f8aeabb922428e7c152138864ff4024Test
http://europepmc.org/articles/PMC7591014Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....7f8aeabb922428e7c152138864ff4024
قاعدة البيانات: OpenAIRE