Imagery content during nonpharmacologic analgesia in the procedure suite: Where your patients would rather be

Fick, Lauri J.; Lang, Elvira V.; Logan, Henrietta L.; Lutgendorf, Susan K.; Benotsch, Eric G.

doi:10.1016/s1076-6332(99)80164-0

Cited by 20 publications

(4 citation statements)

References 14 publications

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“…Particularly, patients with comorbidities precluding sedating drug therapy or children might benefit from hypnosis [ 33 , 34 ]. Self-relaxation techniques can be used by most patients referred for radiological procedures — complex scoring or assessment of hypnotic susceptibility is not required [ 35 ]. Hypnosis has thus been shown to reduce the cost of medical treatment during invasive radiologic procedures by Lang et al [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Napp

Diekhoff

Stoiber³

et al. 2021

Eur Radiol

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Objectives To evaluate the influence of audio-guided self-hypnosis on claustrophobia in a high-risk cohort undergoing magnetic resonance (MR) imaging. Methods In this prospective observational 2-group study, 55 patients (69% female, mean age 53.6 ± 13.9) used self-hypnosis directly before imaging. Claustrophobia included premature termination, sedation, and coping actions. The claustrophobia questionnaire (CLQ) was completed before self-hypnosis and after MR imaging. Results were compared to a control cohort of 89 patients examined on the same open MR scanner using logistic regression for multivariate analysis. Furthermore, patients were asked about their preferences for future imaging. Results There was significantly fewer claustrophobia in the self-hypnosis group (16%; 9/55), compared with the control group (43%; 38/89; odds ratio .14; p = .001). Self-hypnosis patients also needed less sedation (2% vs 16%; 1/55 vs 14/89; odds ratio .1; p = .008) and non-sedation coping actions (13% vs 28%; 7/55 vs 25/89; odds ratio .3; p = .02). Self-hypnosis did not influence the CLQ results measured before and after MR imaging (p = .79). Self-hypnosis reduced the frequency of claustrophobia in the subgroup of patients above an established CLQ cut-off of .33 from 47% (37/78) to 18% (9/49; p = .002). In the subgroup below the CLQ cut-off of 0.33, there were no significant differences (0% vs 9%, 0/6 vs 1/11; p = 1.0). Most patients (67%; 35/52) preferred self-hypnosis for future MR examinations. Conclusions Self-hypnosis reduced claustrophobia in high-risk patients undergoing imaging in an open MR scanner and might reduce the need for sedation and non-sedation coping actions. Key Points • Forty percent of the patients at high risk for claustrophobia may also experience a claustrophobic event in an open MR scanner. • Self-hypnosis while listening to an audio in the waiting room before the examination may reduce claustrophobic events in over 50% of patients with high risk for claustrophobia. • Self-hypnosis may also reduce the need for sedation and other time-consuming non-sedation coping actions and is preferred by high-risk patients for future examinations.

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Section: Discussionmentioning

confidence: 99%

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Napp

Diekhoff

Stoiber³

et al. 2021

Eur Radiol

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“…Commonly, these interventions include some combination of education, coping self-statements, hypnosis (eg, imagery, dissociation, and anesthesia), attention-diversion (eg, sensory focus or distraction), and stress inoculation training. 12,18,[48][49][50][51][52] We would be remiss if we did not comment on limitations of the present study. This study was a secondary analysis of cross-sectional clinical data not originally designed to test the plausibility of cause-effect relationships linking predictors of acute pain reporting.…”

Section: Discussionmentioning

confidence: 99%

Perceived Control and Negative Affect Predict Expected and Experienced Acute Clinical Pain: A Structural Modeling Analysis

Gedney

Logan

2007

The Clinical Journal of Pain

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A sequential pathway was revealed wherein patients' desire for control over the aversiveness of treatment and their prediction of having control over those events (whether desired or not) facilitated a negative emotional state. Negative emotional state in turn influenced expected treatment pain and subsequently the level of treatment pain actually experienced. We conclude that the perception of personal control is a clinically important and cognitively-mediated factor that influences the level of acute pain experienced during stressful clinical procedures.

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“…Hypnosis can help reduce anxiety, needle phobia, and pain during dermatologic surgery, as well as reduce postoperative discomfort. Fick et al (95) used self‐guided imaging during nonpharmacologic analgesia in the radiology procedure suite on 56 nonselected patients referred for percutaneous interventional procedures. A standardized protocol and script was used to guide patients into a state of self‐hypnotic relaxation.…”

Section: Medical Hypnotherapy For Reducing Procedures Anxietymentioning

confidence: 99%

Biofeedback, cognitive-behavioral methods, and hypnosis in dermatology: Is it all in your mind?

Shenefelt

2003

Dermatol Ther

109

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Biofeedback can improve cutaneous problems that have an autonomic nervous system component. Examples include biofeedback of galvanic skin resistance (GSR) for hyperhidrosis and biofeedback of skin temperature for Raynaud's disease. Hypnosis may enhance the effects obtained by biofeedback. Cognitive-behavioral methods may resolve dysfunctional thought patterns (cognitive) or actions (behavioral) that damage the skin or interfere with dermatologic therapy. Responsive diseases include acne excoriée, atopic dermatitis, factitious cheilitis, hyperhidrosis, lichen simplex chronicus, needle phobia, neurodermatitis, onychotillomania, prurigo nodularis, trichotillomania, and urticaria. Hypnosis can facilitate aversive therapy and enhance desensitization and other cognitive-behavioral methods. Hypnosis may improve or resolve numerous dermatoses. Examples include acne excoriée, alopecia areata, atopic dermatitis, congenital ichthyosiform erythroderma, dyshidrotic dermatitis, erythromelalgia, furuncles, glossodynia, herpes simplex, hyperhidrosis, ichthyosis vulgaris, lichen planus, neurodermatitis, nummular dermatitis, postherpetic neuralgia, pruritus, psoriasis, rosacea, trichotillomania, urticaria, verruca vulgaris, and vitiligo. Hypnosis can also reduce the anxiety and pain associated with dermatologic procedures.

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Imagery content during nonpharmacologic analgesia in the procedure suite: Where your patients would rather be

Cited by 20 publications

References 14 publications

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Perceived Control and Negative Affect Predict Expected and Experienced Acute Clinical Pain: A Structural Modeling Analysis

Biofeedback, cognitive-behavioral methods, and hypnosis in dermatology: Is it all in your mind?

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