A Review of Hypnotherapy for Overactive Bladder

Abstract

This review examines the effectiveness of hypnotherapy for the relief of overactive bladder (OAB) symptoms. Ten studies examining outcomes of hypnotherapy for OAB were located from searches of electronic databases. Most reports were case studies or observational, but there were two randomised control trials. Hypnotherapeutic treatment regimes were idiosyncratic and tailored to individual patients. All studies suggested benefits from hypnotherapy as an adjunct treatment for OAB, especially in terms of subjective reports of symptoms and increasing self-efficacy. These benefits suggest hypnotherapy increases patients' abilities to engage in relaxation, reduces condition-associated anxiety, and improves patients' perceptions of their symptom-coping abilities. Although strong objective evidence of improvement in OAB symptoms is lacking, these subjective improvements, combined with increasing use and acceptance of hypnotherapy in obstetric and gynaecological settings, suggest utility of hypnotherapy as a psychological adjunctive procedure in the treatment of OAB.

Can hypnotic suggestion induce feelings of unconditional love and supernormal performance?

“…Currently, hypnotherapy is often used only to help clients deal with difficult behaviors, experiences, and thoughts (for recent reviews, see Azizmohammadi & Azizmohammadi, 2019; Barnes, McRobbie, Dong, Walker, & Hartmann-Boyce, 2019; Osborne & Reed, 2019; Taylor & Genkov, 2019). However, as mentioned in the introduction, several groups are examining the use of hypnotherapy as a route to providing nonpharmaceutically induced transcendent experiences (Lynn & Evans, 2017; Tressoldi et al, 2015).…”

Patient and economic benefits of psychological support for noncompliant patients

“…It is unclear which psychological domains would be most effective to support to improve compliance in different conditions. For example, Truzoli et al (2017) targeted relaxation and mindfulness for treatment resistant depression and anxiety; and relaxation and hypnotherapy also have been effective with overactive bladder (OAB) patients ( Komesu et al, 2011 ; Osborne and Reed, 2019 ). In contrast, for PFD, vascular problems, and weight loss, motivation and values have been targeted to promote patient compliance with treatment ( Bean et al, 2018 ; Osborne et al, 2021 ).…”

“…A variety of broad psychological approaches offer benefits to PFD patients ( Komesu et al, 2011 ; Osborne et al, 2016 , 2021 ; Shannon et al, 2018b ; Felsted and Supiano, 2019 ). Such interventions often target relaxation and stress ( Shannon et al, 2018b ; Felsted and Supiano, 2019 ; see Osborne and Reed, 2019 , for a review), or motivation and health values ( Osborne et al, 2021 ). Such approaches have involved psychoeducation (giving information about the potential impacts of the medical and psychological conditions), mindfulness (developing conscious awareness of the present and disengagement from the past and future), counselling (including person-centred approaches), cognitive behaviour therapy (targeting and restructuring thoughts about particular situations), and relaxation/hypnosis (including progressive muscle relaxation and suggestion techniques).…”

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“…Hypnotherapy is an individualized and multifaceted approach that generally involves relaxation, focused attention, visualization, and a suggestive component (Hadley, 2000;Osborne & Reed, 2019). This component has been used to treat psychological problems related to anxiety, depression, reduced motivation, and sleep disorders (Carrico et al, 2008;Hadley, 2000;Parekh et al, 2003;Turnbull & Ritvo, 1992).…”