Skills or Pills: Randomized Trial Comparing Hypnotherapy to Medical Treatment in Children With Functional Nausea

Browne, Pamela D.; Bruijn, Clara M. A. de; Speksnijder, Esther M.; Hollander, Bibiche den; Wering, Herbert M. van; Wessels, Margreet; Groeneweg, Michael; Goede, Joery; Frankenhuis, Carla; Tromp, Ellen; Benninga, Marc A.; Vlieger, Arine M.

doi:10.1016/j.cgh.2021.10.029

Cited by 11 publications

(13 citation statements)

References 53 publications

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“…gastrointestinal disorders (Table 1) (7)(8)(9)(10)(11)(14)(15)(16). In the largest randomized controlled trial (RCT) to date, involving 53 children with FAPDs, clinical hypnosis was significantly superior to standard medical therapy, with improvements in pain intensity and frequency, and reductions in somatization and pain-related disability (9).…”

mentioning

confidence: 99%

Clinical Hypnosis for Pediatric Gastrointestinal Disorders

Chogle

Lee

Santucci

et al. 2022

J. pediatr. gastroenterol. nutr.

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Functional abdominal pain disorders (FAPDs) are common in the pediatric population and are associated with a significant reduction in quality of life. Bidirectional communication of the brain-gut axis plays an important role in pain generation and perception in FAPDs. There is a paucity of data on the best approach to treat this group of disorders, with no Food and Drug Administration (FDA)-approved drugs and scarce research to substantiate the use of most medications. Use of hypnosis in pediatric FAPDs is supported by evidence and has long-term benefits of up to at least 5 years beyond completion of treatment, highlighting the importance of incorporating this therapy into the care of these patients. The mechanisms by which clinical hypnosis is beneficial in the treatment of FAPDs is not completely understood, but there is growing evidence that it impacts functioning of the brain-gut axis, potentially through influence on central pain processing, visceral sensitivity, and motility. The lack of side effects or potential for significant harm and low cost makes it an attractive option compared to pharmacologic therapies. This review addresses current barriers to clinical hypnosis including misconceptions among patients and families, lack of trained clinicians, and questions around insurance reimbursement. The recent use of telemedicine and delivery of hypnosis via audio-visual modalities allow more patients to benefit from this treatment. As the evidence base for hypnosis grows, acceptance and training will likely increase as well. Further research is needed to understand how hypnosis works and to develop tools that predict who is most likely to respond to hypnosis. Studies on cost-effectiveness in comparing hypnosis to other therapies for FAPDs will increase evidence for appropriate healthcare utilization. Because hypnosis has applications beyond pain and is child-friendly with minimal to no risk, hypnosis could be an important therapeutic tool in the wider pediatric gastrointestinal population.

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mentioning

confidence: 99%

Clinical Hypnosis for Pediatric Gastrointestinal Disorders

Chogle

Lee

Santucci

et al. 2022

J. pediatr. gastroenterol. nutr.

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“…There is evidence that hypnotherapy modulates gastro-physiological processes such as gastric emptying, colonic motility and visceral sensitivity [ 56 – 58 , 73 ]. Most importantly, hypnotherapy reduces gastro-intestinal symptoms in patients with DGBI [ 35 , 38 , 59 ]. In the Dutch guideline, hypnotherapy is recommended as a treatment for functional abdominal pain [ 60 ].…”

Section: Hypnotherapy: Areas Of Usementioning

confidence: 99%

“…Due to that hypnotherapy is able to influence hypersensitivity and gut motility, it has been hypothesized that hypnotherapy will alleviate symptoms associated with these DGBI [ 66 – 68 ]. In a randomized treatment trial, the effectiveness of hypnotherapy and standard medical treatment were compared [ 59 ]. The standard treatment comprised multiple steps including lifestyle interventions, proton pump inhibitors and Iberogast.…”

Section: Hypnotherapy: Areas Of Usementioning

confidence: 99%

A whole new world of healing: exploring medical hypnotherapy for pediatric patients

Bastek

Vliet

2023

Eur J Pediatr

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This narrative review aims to unravel the potential of medical hypnotherapy for the treatment of children with a variety of diseases and symptoms. Going beyond its history and assumed neurophysiology, the chances of success for hypnotherapy will be outlined per pediatric speciality, accentuated by clinical research and experiences. Future implications and recommendations are given on extracting the positive effects of medical hypnotherapy for all pediatricians. Conclusion: Medical hypnotherapy is an effective treatment for children with specified conditions such as abdominal pain or headache. Studies suggest effectiveness for other pediatric disciplines, from the first line up to third line of care. In a time in which health is defined as 'a state of complete physical, mental and social well-being’, hypnotherapy stays an underrated treatment option for children. It is a unique mind–body treatment, which true potential still needs to be unraveled. What is Known:• Mind–body health techniques become a more relevant and accepted part of treatment in pediatric patients.• Medical hypnotherapy is an effective treatment for children with specified conditions such as functional abdominal pain. What is New:• Studies suggest the effectiveness of hypnotherapy in a high variety of pediatric symptoms and disease.• Hypnotherapy is a unique mind–body treatment which potential goes far beyond its current utilization.

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“…The first randomized treatment trial of functional nausea has now been published (31). In a large study of children with functional dyspepsia or functional nausea, hypnotherapy was compared to standard medical treatment.…”

Section: Treatmentmentioning

confidence: 99%

Functional Nausea Is Real and Makes You Sick

Lorenzo

2022

Front. Pediatr.

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Functional nausea is a condition that severely impairs the quality of life of affected individuals. Only recently, it has been added to the pediatric list of disorders of gut-brain interaction. In most cases, only minimal testing is needed to diagnose functional nausea. Hypnotherapy has been shown to be a very effective treatment and there are several other medical and non-medical interventions which have the potential to benefit sub-groups of patients with chronic nausea.

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Skills or Pills: Randomized Trial Comparing Hypnotherapy to Medical Treatment in Children With Functional Nausea

Cited by 11 publications

References 53 publications

Clinical Hypnosis for Pediatric Gastrointestinal Disorders

Clinical Hypnosis for Pediatric Gastrointestinal Disorders

A whole new world of healing: exploring medical hypnotherapy for pediatric patients

Functional Nausea Is Real and Makes You Sick

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