Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Rousseaux, Floriane; Faymonville, Marie-Élisabeth; Nyssen, Anne‐Sophie; Dardenne, Nadia; Ledoux, Didier; Massion, Paul; Vanhaudenhuyse, Audrey

doi:10.1186/s13063-020-4222-6

Cited by 29 publications

(17 citation statements)

References 67 publications

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“…Five different hypnosis exercises were given. The first exercise, named "Soothing White Clouds", included suggestions about relaxation, positive body sensations and an invitation to observe a sunrise and a beautiful landscape while relaxing in a white cloud chair [22]. The second exercise was named "Heaven of Peace", in which suggestions of a safe place were delivered.…”

Section: Interventionsmentioning

confidence: 99%

Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Bicego

Monseur

Collinet³

et al. 2021

PLoS ONE

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Background In chronic pain, it seems that the effect of cognitive-behavioral therapy (CBT) is boosted when it is combined with hypnosis. The aim of this study was to assess the efficacy of self-hypnosis combined with self-care (i.e., a type of CBT) compared to music/self-care, self-care and psychoeducation/CBT and to evaluate their long-term effects. Methods An open label randomized clinical trial enrolled patients with chronic pain and was carried out at the University Hospital of Liège (Belgium). Patients were randomized into four groups: self-hypnosis/self-care, music/self-care, self-care, psychoeducation/CBT (7 monthly sessions of 2 hours). Two follow-up sessions were delivered at 6- and 12-month. Levels of pain, fatigue intensity, anxiety, depression, insomnia severity, disability, health locus of control, mental and physical quality of life and attitudes (control, disability, harm, emotion, medical cure, medication, solicitude) towards pain were assessed before and after the treatments, and at follow-up. Results 203 patients were randomized: 52 in self-hypnosis/self-care, 59 in music/self-care, 47 in self-care, and 45 in psychoeducation/CBT. No group effect was found. A significant time effect was showed. Directly after the treatment, all groups decreased in pain attitudes and physical quality of life. Perceived control increased. At 6-month, all patients kept their levels of physical quality of life and perceived control, and showed decrease in pain intensity, harm, emotion and medical cure. At 12-month, scores that had change previously remained ameliorated, a decrease in insomnia severity and an increase in internal locus of control were observed. Conclusions The present findings are encouraging as they display long-term beneficial effects of complementary biopsychosocial-based treatments in chronic pain. It seems that patients continued to apply the learnt strategies as improvements were observed one year after the treatments had ended.

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Section: Interventionsmentioning

confidence: 99%

Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Bicego

Monseur

Collinet³

et al. 2021

PLoS ONE

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“…Registration was prospective before enrolling the rst patient. The complete protocol of the study has previously been published and displayed detailed information about the study design, the recruitment procedures, and the assessment and intervention components (29). Therefore, we will only summarize these aspects in this section.…”

Section: Registrationmentioning

confidence: 99%

Virtual Reality Hypnosis for Anxiety and Pain Management in Intensive Care Units. A Prospective Randomized Trial Among Cardiac Surgery Patients.

Rousseaux

Dardenne

Massion

et al. 2020

Preprint

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Background: Although non-pharmacological tools are nowadays commonly used in medical settings, virtual reality and hypnosis are little studied in complex contexts such as intensive care, where patients need significant physical and psychological assistance. The aim of the project is to evaluate the benefits of hypnosis, virtual reality (VR) and the combination of hypnosis and virtual reality (VRH) on anxiety and pain on patients before and after a cardiac surgery.Methods: This prospective randomized and controlled clinical trial was conducted in the University Hospital of Liege (Belgium). Participants are adults undergoing cardiac surgery, French speaking. Exclusion criteria are patients with psychiatric diseases, claustrophobia, acrophobia, heavy hearing impairment, visual impairment, extreme fatigue, verbal incoherence, surgery cancelled or postponed. The day before the surgery, patients were randomly assigned to four arms (control, hypnosis, VR and VRH) and had 20 minutes of one of the technique. They received the same intervention one day after surgery, in intensive care units. Anxiety, pain, fatigue, relaxation and physiological parameters were evaluated before and after each session.Results: 100 patients (66.38 ± 11.48 years; 76 men, 24 women) were included. Results showed that anxiety decreased from baseline to postoperative day in all groups. Relaxation increased in all groups in preoperative (p = .000) and postoperative period (p = 0.03). There were no significant results for pain and fatigue (p > 0.05). There was no significant difference between control group and hypnosis, VR or VRH.Conclusion: Anxiety decreased and relaxation increased in all groups, including control group. We cannot affirm that one technique is better than another is. Nevertheless, this study helps to expand the knowledge regarding application of virtual reality, hypnosis and virtual reality hypnosis in the specific contexts of cardiac surgery and intensive care units. Additional studies are required to compare and evaluate the costs-effectiveness of these techniques for critical care patients and caregivers (see Figure 1).Trial registration: ClinicalTrials.gov: NCT03820700. https://clinicaltrials.gov/ct2/show/NCT03820700. Registered on January 29 2019. Retrospectively registered.

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“…Virtual reality hypnosis (VRH) does not depend upon the skill of hypnotist and the openness of the subject. The subjects need less imagination and absorption due to visual and auditory stimuli presented in virtual reality [50][51][52].…”

Section: Mechanismmentioning

confidence: 99%

Hypnosis and Hypnotherapy: Emerging of Science-Based Hypnosis

Mordeniz¹

2020

Hypnotherapy and Hypnosis

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Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Cited by 29 publications

References 67 publications

Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Virtual Reality Hypnosis for Anxiety and Pain Management in Intensive Care Units. A Prospective Randomized Trial Among Cardiac Surgery Patients.

Hypnosis and Hypnotherapy: Emerging of Science-Based Hypnosis

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