Forging Ahead: The 2003 APA Division 30 Definition of Hypnosis

Green, Joseph P.; Barabasz, Arreed; Barrett, Deirdre; Montgomery, Guy H.

doi:10.1080/00207140590961321

Cited by 198 publications

(102 citation statements)

References 6 publications

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“…62 Results of studies in children and adolescents found significantly lower abdominal pain levels and symptom scores after HT, either through individual or group sessions with therapists or with self exercises on a CD. 25,32,44 Effects persist up to 5 years after treatment.…”

Section: Alternative Medicinementioning

confidence: 99%

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

et al. 2015

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BACKGROUND AND OBJECTIVE: Various nonpharmacologic treatments are available for pediatric abdominal pain-related functional gastrointestinal disorders (AP-FGIDs). Data on efficacy and safety are scarce. The goal of this study was to summarize the evidence regarding nonpharmacologic interventions for pediatric AP-FGIDs: lifestyle interventions, dietary interventions, behavioral interventions, prebiotics and probiotics, and alternative medicine.METHODS: Searches were conducted of the Medline and Cochrane Library databases. Systematic reviews and randomized controlled trials (RCTs) concerning nonpharmacologic therapies in children (aged 3-18 years) with AP-FGIDs were included, and data were extracted on participants, interventions, and outcomes. The quality of evidence was assessed by using the GRADE approach.RESULTS: Twenty-four RCTs were found that included 1390 children. Significant improvement of abdominal pain was reported after hypnotherapy compared with standard care/wait-list approaches and after cognitive behavioral therapy compared with a variety of control treatments/wait-list approaches. Written self-disclosure improved pain frequency at the 6-month follow-up only. Compared with placebo, Lactobacillus rhamnosus GG (LGG) and VSL#3 were associated with significantly more treatment responders (LGG relative risk: 1.31 [95% confidence interval: 1.08 to 1.59]; VSL#3: P , .05). Guar gum significantly improved irritable bowel syndrome symptom frequency; however, no effect was found for other fiber supplements (relative risk: 1.17 [95% confidence interval: 0.75 to 1.81]) or a lactose-free diet. Functional disability was not significantly decreased after yoga compared with a wait-list approach. No studies were found concerning lifestyle interventions; gluten-, histamine-, or carbonic acid-free diets; fluid intake; or prebiotics. No serious adverse effects were reported. The quality of evidence was found to be very low to moderate. CONCLUSIONS:Although high-quality studies are lacking, some evidence shows efficacy of hypnotherapy, cognitive behavioral therapy, and probiotics (LGG and VSL#3) in pediatric AP-FGIDs. Data on fiber supplements are inconclusive.

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Section: Alternative Medicinementioning

confidence: 99%

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

et al. 2015

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“…22 25-27 Hypnotherapy in the treatment of IBS Hypnosis can be defined as a procedure directed at inducing responses to suggestions for changes in subjective experience, such as alterations in perception, sensation, thought, emotion, and/or behavior. 28 In medicine, hypnotherapy was first used as an anesthetic during surgery, and hypnotic suggestion was later shown to be capable of altering several physiological mechanisms thought not to be under voluntary control, such as acid secretion and gastric motility, 29 and production of salivary immunoglobulin A. 30 Several studies have shown hypnotherapy to have beneficial effect in the treatment of IBS.…”

Section: Irritable Bowel Syndromementioning

confidence: 99%

“…Eighteen IBS patients had a maximum tolerable pressure of 40 mmHg or higher (median 45, range 40-65), and were therefore considered to be normosensitive to visceral stimuli. Fifteen IBS patients had a maximum tolerable rectal pressure of less than 40 mmHg (median 30, range [25][26][27][28][29][30][31][32][33][34][35], and were considered to be hypersensitive to visceral stimuli. The hypersensitive IBS patients had significantly lower thresholds for first sensation and urgency than the normosensitive IBS patients and the healthy controls.…”

Section: Classification Of Visceral Sensitivity and Clinical Charactementioning

confidence: 99%

Irritable Bowel Syndrome : Studies of central pathophysiological mechanisms and effects of treatment

Lowén¹

2015

Linköping University Medical Dissertations

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Background and aims Irritable bowel syndrome (IBS) is a common gastrointestinal disorder characterized by abdominal pain and altered bowel habits. The societal costs of the disorder are significant, as are its negative effects on quality of life. Medical treatment options are limited, but psychological treatments such as hypnotherapy have proven to be effective. Important pathophysiological mechanisms include disturbances in brain processing of visceral sensation and expectation of visceral sensation. Increased sensation of stimuli (hypersensitivity) is present in a subset of IBS patients to distensions in the lower part of the gastrointestinal tract, indicating a probable important pathophysiological mechanism in IBS. The overall aim of the thesis was to further study the central pathophysiological mechanisms involved in IBS. Specifically, we aimed to identify differences in brain response to standardized repeated rectal distensions and expectation of these stimuli between IBS patients (with or without perceptual rectal hypersensitivity), and healthy controls. Furthermore, we aimed to investigate IBS patients´ brain responses to standardized rectal distensions and expectation of these stimuli after either a successful course hypnotherapy or educational intervention. Methods Functional magnetic resonance imaging (fMRI) data were acquired and analyzed from 15 IBS patients with visceral hypersensitivity, and 18 IBS patients with normal visceral sensitivity (papers I and II). In paper III, fMRI data were analyzed from IBS patients who reported significant symptom reduction after either a course of hypnotherapy, or an educational intervention. FMRI data from IBS patients and healthy controls were also compared. Results The findings reported in papers I and II suggest, that the differences in brain response between IBS patients with and without rectal hypersensitivity, can be explained by changes in brain response during the course of the experiment. Even though the brain responses were similar between groups during the early phase of the experiment, they became substantially different during the late phase. The IBS patients with rectal hypersensitivity demonstrated increased brain response in several brain regions and networks involved in visceral sensation and processing. In contrast, IBS patients with normal rectal sensitivity exhibited reduced brain response during the late phase of the experiment. As reported in paper III, similar symptom reduction was achieved for both treatments. The symptomatic improvement was associated with a reduction of response in the anterior insula, indicating an attenuated awareness of the stimuli. The hypnotherapy group had a reduction of response in the posterior insula, indicating less input to the brain, possibly due to changed activity in endogenous pain modulatory systems. In patients who reported significant symptom reduction following treatment, the brain response to rectal distension got more similar to that observed in healthy controls. Conclusions The results from papers I a...

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“…. one person (the subject) is guided by another (the hypnotist) to respond to suggestions for changes in subjective experience, alterations in perception, sensation, emotion, thought, or behavior" [94]. Hypnosis for pain management usually begins with an induction (e.g., suggestions for focused attention or relaxation) and is followed by suggestions for altering how pain is viewed or experienced.…”

Section: Hypnosismentioning

confidence: 99%

Efficacy of selected complementary and alternative medicine interventions for chronic pain

Tan

Craine

Bair³

et al. 2007

JRRD

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Abstract-Complementary and alternative medicine (CAM)is a group of diverse medical and healthcare systems, therapies, and products that are not presently considered part of conventional medicine. This article provides an up-to-date review of the efficacy of selected CAM modalities in the management of chronic pain. Findings are presented according to the classification system developed by the National Institutes of Health National Center for Complementary and Alternative Medicine (formerly Office of Alternative Medicine) and are grouped into four domains: biologically based medicine, energy medicine, manipulative and body-based medicine, and mind-body medicine. Homeopathy and acupuncture are discussed separately as "whole or professionalized CAM practices." Based on the guidelines of the Clinical Psychology Division of the American Psychological Association, findings indicate that some CAM modalities have a solid track record of efficacy, whereas others are promising but require additional research. The article concludes with recommendations to pain practitioners.

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Forging Ahead: The 2003 APA Division 30 Definition of Hypnosis

Cited by 198 publications

References 6 publications

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

Irritable Bowel Syndrome : Studies of central pathophysiological mechanisms and effects of treatment

Efficacy of selected complementary and alternative medicine interventions for chronic pain

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