The Effects of Self-Hypnosis for Children with Cystic Fibrosis: A Pilot Study

Belsky, Judy; Khanna, Prabha

doi:10.1080/00029157.1994.10403088

Cited by 28 publications

(12 citation statements)

References 18 publications

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“…There is considerable evidence that hypnosis can provide anxiety and pain relief to children with medical conditions, 18-21 including cancer, [22][23][24][25] cystic fibrosis, 26 pain problems, 27,28 pulmonary symptoms, 29 and postoperative course. 30 In addition, hypnosis is a noninvasive intervention with minimal risk, which returns control of the experience to the child.…”

mentioning

confidence: 99%

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

142

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ABSTRACT. Objective. Voiding cystourethrography (VCUG) is a commonly performed radiologic procedure in children that can be both painful and frightening. Given the distress that some children experience during the VCUG and the need for children to be alert and cooperative during the procedure, finding a psychological intervention that helps children to manage anxiety, distress, and pain is clearly desirable. This study was designed to examine whether relaxation and analgesia facilitated with hypnosis could reduce distress and procedure time for children who undergo this procedure.Methods. Forty-four children who were scheduled for an upcoming VCUG were randomized to receive hypnosis (n ‫؍‬ 21) or routine care (n ‫؍‬ 23) while undergoing the procedure. The sample consisted of 29 (66%) girls and 15 (34%) boys with a mean age of 7.6 years (SD: 2.5; range: 4 -15 years). Ethnic/racial backgrounds were 72.7% white, 18.2% Asian, 4.5% Latino, 2.3% black, and 2.3% Filipino. The mean number of previous VCUGs was 2.95 (SD: 2.51; mode: 2; range: 1-15). Potential participants were identified through computerized hospital records of upcoming VCUGs. Parents were contacted by telephone and invited to participate if their child was eligible. To be eligible for the study, the child must have undergone at least 1 previous VCUG, been at least 4 years of age at that time, and experienced distress during that procedure, and both the child and the participating parent had to be English speaking. Each eligible child and parent met with the research assistant (RA) before the day of the scheduled procedure for an initial assessment. Children were queried regarding the degree of crying, fear, and pain that they had experienced during their most recent VCUG. Parents completed a series of parallel questions. Immediately after this assessment, those who were randomized to the hypnosis condition were given a 1-hour training session in self-hypnotic visual imagery by a trained therapist. Parents and children were instructed to practice using the imaginative self-hypnosis procedure several times a day in preparation for the upcoming procedure. The therapist was also present during the procedure to conduct similar exercises with the child. The majority (83%) of those who were randomized to the routine care control group chose to participate in a hospital-provided recreation therapy program (offered as part of routine care). The program includes demonstration of the procedure with dolls, relaxation and breath work training, and assistance during the procedure. On the day of the VCUG, the RA met the family at the clinic before the procedure, and both the child and the parent rated the child's present level of fearfulness. During the procedure, the RA recorded observational ratings of the child's emotional tone and behavior and timed the overall procedure and its phases. Immediately after the VCUG, the child was asked how much crying, fear, and pain he or she had experienced during the procedure; the parent rated the child's experience on the same ...

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mentioning

confidence: 99%

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

142

View full text Add to dashboard Cite

show abstract

“…Similar uses of hypnosis by patients with CF have been reported in previous studies with a small number of patients or those who had been referred as needing psychological intervention. [5][6][7][8][9] On the other hand, the present report is derived from a large general population of patients with CF, and therefore has broader applicability. Almost a third of the patients in this report chose to use self-hypnosis on their own in the long run, which suggests that they found it helpful in coping with their chronic disease.…”

Section: Discussionmentioning

confidence: 99%

“…These uses not only emphasize the potential versatility and importance of self-hypnosis in increasing patients' sense of self-mastery, 7,8,15 but also that patients appropriately learned that the use of hypnosis was under their own control. Given the freedom to explore various applications of self-hypnosis on their own, 2 patients in this report decided to use hypnosis to suppress their cough.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] However, as behavioral cognitive therapy often takes several sessions, hypnosis might be used as a first intervention, given its utility following a typical total instruction time of less than an hour per patient in this report. Further studies are needed to define whether other psychotherapeutic interventions are more effective than self-hypnosis for patients with CF.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Studies of such treatments for patients with CF include use of relaxation training, 6 a stress-management program, 7 self-hypnosis, [7][8][9] and cognitive behavioral therapy. 5 Patients with CF have demonstrated higher levels of worries, poorer self-image, and more anxiety than healthy control subjects.…”

Section: Introductionmentioning

confidence: 99%

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