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

Anlló, Hernán; Herer, Bertrand; Delignières, Agathe; Bocahu, Yolaine; Segundo, Isabelle; Alingrin, Valérie Mach; Gilbert, Marion; Larue, François

doi:10.2147/copd.s267019

Cited by 21 publications

(14 citation statements)

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“…Clinical hypnosis interventions have several proven therapeutic benefits that adequately fit the specific needs of COPD patients [ 10 ]. To our knowledge, HYPNOBPCO_2 is the first randomised controlled trial study aimed at assessing whether hypnosis would be beneficial for managing anxiety and dyspnoea during pulmonary rehabilitation in COPD.…”

Section: Discussionmentioning

confidence: 99%

“…First, because its costs are low: it requires no material investment other than trained caregivers applying the technique (often one or two sessions suffice [ 15 , 16 ]). Second, because its implementation is fast, and its effects are both immediate and long-lasting: patients can be inconvenienced for as little as 15 min [ 10 ], either in person or online [ 33 ], and obtain a clinically significant relief that can be revisited through self-hypnosis at later times. This could significantly contribute to delocalising PRPs, conducting online PRPs [ 34 ] and reducing general rehabilitation duration without compromising output quality [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Alpha was set to 5%. Previous literature [ 5 , 20 ] and the investigators' precedent trial [ 10 ] were used to estimate the size of the effect. It was determined that the PRP+Hypnosis intervention would yield an additional 10% decrease in anxiety scores when compared to controls.…”

Section: Methodsmentioning

confidence: 99%

“…proprioception) to achieve a therapeutic outcome [ 9 ]. During HYPNOBPCO_1 [ 10 ], the investigators hypothesised that these perceptual modulations could be used to regulate breath and reduce anxiety [ 11 ], by suggesting a feeling of “air effortlessly entering the lungs”. The investigators found that a 15-min scripted hypnotic intervention positively impacted respiratory rate, arterial oxygen saturation, Borg scores (numeric scale) and anxiety (as assessed by State-Trait Anxiety Inventory – 6 items [ 12 , 13 ]).…”

Section: Introductionmentioning

confidence: 99%

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Hypnosis for the management of COPD-related anxiety and dyspnoea in pulmonary rehabilitation: rationale and design for a cluster-randomised, active-control trial (HYPNOBPCO_2)

et al. 2022

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Complementary psychological care is recommended for COPD, as it significantly reduces anxiety, and boosts the pulmonary rehabilitation efficacy. In a precedent trial (HYPNOBPCO_1, ISRCTN10029862), administering a single hypnosis session was linked to reduced anxiety and improved breathing mechanics in intermediate and advanced COPD patients. However, whether hypnosis could improve self-management of anxiety and dyspnea in COPD during pulmonary rehabilitation is yet to be investigated.This is the protocol for HYPNOBPCO_2, a 2-arm, cluster-randomised, statistician-blinded superiority monocenter trial (NCT04868357). Its aim is to assess the efficacy of hypnosis as a tool to manage anxiety and dyspnea during a Pulmonary Rehabilitation Program (PRP). Clusters of COPD patients eligible to the conventional hospital-based PRP at the Centre Hospitalier de Bligny (CHB), will be randomised and evenly allocated into two parallel arms: “Hypnosis” (treatment) and “Relaxation” (active control). “Hypnosis” will consist of the CHB's conventional 4-week group PRP, supplemented by 2 educational sessions for teaching self-hypnosis. “Relaxation” will be identical, except standard relaxation exercises will be taught instead. Primary end-point will consist of assessing weekly changes in anxiety throughout the PRP, additional to total anxiety change after treatment completion. Anxiety will be determined by the 6-item version of the State-Trait Anxiety Inventory (STAI-6). Secondary outcomes will include change in the 6-minute walking test and the COPD assessment test (CAT). Further follow-up outcomes will include CAT and STAI-6 retests, re-hospitalization rate, action plan use, and persistence in self-hypnosis use, throughout the 12 weeks ensuing PRP completion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hypnosis for the management of COPD-related anxiety and dyspnoea in pulmonary rehabilitation: rationale and design for a cluster-randomised, active-control trial (HYPNOBPCO_2)

et al. 2022

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“…Pemberian hypnosis pada penderita PPOK mampu memperbaiki tingkat kecemasan serta menurunkan prekuensi pernapasan. Perbaikan pada level kecemasan ini berhubungan dengan pengurangan aleviasi pada ketegangan pernapasan (Anlló et al, 2020). Hasil penelitian ini didukung pula pada penelitian yang membandingkan antara penggunaan midazolam dan hypnosis untuk sedasi ekokardiografi transesofageal dan menemukan bahwa kadar SpO 2 lebih baik pada kelompok hypnosis daripada kelompok midazolam.…”

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Terapi komplementer non invasif pada peningkatan status kesehatan sistem pernapasan penderita PPOK: Sebuah literature review

2021

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Non-invasive complementary therapies in improving the health status of the respiratory system in patients with COPD: A literature review Background: Patients with COPD need an individual treatment plan that aims to cope with symptoms and requires a different and individualized treatment plan. The medication and surgery cause several complications, accompanied by negative side effects, the “one size fits all as a universal approach" is inappropriate in the treatment of COPD. Therefore, non-pharmacological therapy needed to complement and must be part of comprehensive COPD management as rehabilitation in patients with COPD.Purpose: A literature study was explore non-invasive complementary therapies in improving the health status of the respiratory system in patients with COPDMethod: Analysis based on articles from online databases Proquest, EBSCO, Cochrane, PubMed, and Google scholar. The criteria for the articles used are Randomized Controlled Trial (RCT), published in 2015-2020, in English, full text, accessible. The initial search found 875 articles, after going through the screening process, nine articles were found that were suitable and analyzed.Results: Five types of interventions were found in nine publications, namely physical exercise, breathing exercises, chest physiotherapy, hypnosis, and transcutaneous electrical nerve stimulation providing various benefits on status. Globally there are three million deaths every year. The prevalence of COPD is expected to increase over the next 40 years and by 2060 it is estimated that there will be more than 5.4 million deaths each year due to COPD.Keywords: Non-invasive; Complementary therapies; Health status; Respiratory system; COPDPendahuluan: Penderita PPOK membutuhkan rencana pengobatan individual yang bertujuan untuk menanggulangi gejala dan membutuhkan rencana penanganan yang berbeda dan bersifat individual. Mengingat penggunaan obat-obatan dan pembedahan menimbulkan banyak komplikasi dan disertai efek samping negative maka pendekatan “one size fits all” tidak cukup dalam pengobatan PPOK. Oleh karena itu, diperlukan terapi nonfarmakologis untuk melengkapi dan harus menjadi bagian dari manajemen PPOK yang komprehensif sebagai rehabilitasi pada penderita PPOK.Tujuan: Sebuah studi literatur untuk mengeksplorasi terapi komplementer non-invasif dalam meningkatkan status kesehatan sistem pernapasan pada pasien PPOKMetode: Analisa berdasarkan artikel yang berasal dari database online Proquest, EBSCO, Cochrane, PubMed, dan Google scholar. Kriteria artikel yang digunakan ialah Randomized Controlled Trial (RCT), diterbitkan pada tahun 2015-2020, berbahasa Inggris, teks lengkap, dapat diakses. Perncarian awal didapatkan 875 artikel setelah melalui proses penyaringan didapatkan sembilan artikel yang sesuai dan diananlisis.Hasil: Didapatkan lima macam intervensi dalam sembilan publikasi yang ditemukan yaitu physical exercise, latihan pernapasan, fisioterapi dada, hipnosis, dan trancutaneus electrical nerve stimulation memberikan manfaat yang beragam pada status. Secara global terdapat tiga juta kematian setiap tahunnya. Prevalensi PPOK diperkirakan akan meningkat selama 40 tahun ke depan dan pada tahun 2060 diperkirakan akan ada lebih dari 5,4 juta kematian setiap tahun disebabkan oleh PPOK.

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Hypnosis

Maldonado,

Spiegel

2023

Tasman’s Psychiatry

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

Cited by 21 publications

References 47 publications

Hypnosis for the management of COPD-related anxiety and dyspnoea in pulmonary rehabilitation: rationale and design for a cluster-randomised, active-control trial (HYPNOBPCO_2)

Hypnosis for the management of COPD-related anxiety and dyspnoea in pulmonary rehabilitation: rationale and design for a cluster-randomised, active-control trial (HYPNOBPCO_2)

Terapi komplementer non invasif pada peningkatan status kesehatan sistem pernapasan penderita PPOK: Sebuah literature review

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