Wart Regression in Children: Comparison of Relaxation-Imagery to Topical Treatment and Equal Time Interventions

Felt, Barbara T.; Hall, Heather; Olness, Karen; Schmidt, Wendy; Kohen, Daniel P.; Berman, Brad D.; Broffman, Gregg; Coury, Daniel L.; French, Gina M.; Dattner, Alan M.; Young, Martin H.

doi:10.1080/00029157.1998.10404199

Cited by 21 publications

(15 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, in the study by Felt et al. , 29 there were 10 patients cured out of 17 patients taking SA therapy and five patients cured out of 20 patients taking placebo that completed the trial. This is equivalent to a risk ratio (RR) of 2·35 (95% CI 1·00–5·54), which is of borderline significance.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of topical treatments for cutaneous warts: a meta-analysis and pooled analysis of randomized controlled trials

Kwok

Holland

Gibbs

2011

British Journal of Dermatology

107

View full text Add to dashboard Cite

Many topical treatments for cutaneous warts exist and previous reviews of trials did not follow intention-to-treat (ITT) principles for analysis. We aimed to perform a meta-analysis and pooled analysis of randomized controlled trials (RCTs) of topical treatment for cutaneous warts using ITT principles. Systematic electronic searches (Cochrane library, Medline, Embase, Clinical trial registers) were conducted in May 2009. Included trials reported completed cure of warts and data were extracted from these trials. We performed random-effects meta-analysis and assessed heterogeneity using the I(2) statistic and conducted a pooled analysis of each treatment. We found 77 relevant studies of which the majority were of low methodological quality. Salicylic acid (SA) was superior to placebo with a risk ratio (RR) for cure of 1·60 [95% confidence interval (CI) 1·15-2·24]. Cryotherapy was not statistically better than placebo, RR 0·89 (95% CI 0·27-2·92), but aggressive cryotherapy was significantly better than gentle cryotherapy with a RR of 2·06 (95% 1·20-3·52). Combined therapy of SA and cryotherapy had a higher cure rate than either SA or cryotherapy alone. The results of the pooled analysis found a cure rate of 23% (5-73%) in placebo trials, 52% (0-87%) in SA trials, 49% (0-69%) in cryotherapy trials, 54% (45-75%) in aggressive cryotherapy trials and 58% (38-78%) in the combined cryotherapy and SA trials. Aside from the use of SA and aggressive cryotherapy there is insufficient evidence from RCTs to support the use of other therapies. Higher quality evidence is needed to evaluate other therapies.

show abstract

Section: Methodsmentioning

confidence: 99%

“…In contrast to previous reviews, we set out to extract and analyse data using ITT principles wherever possible, as this methodology is the highest quality form of analysis that can be undertaken. Our search results yielded 77 relevant studies as outlined below 9–80 …”

mentioning

confidence: 99%

Efficacy of topical treatments for cutaneous warts: a meta-analysis and pooled analysis of randomized controlled trials

Kwok

Holland

Gibbs

2011

British Journal of Dermatology

107

View full text Add to dashboard Cite

show abstract

“…Reports by Bloch (24) and Sulzberger and Wolf (25) on the efficacy of suggestion in treating verruca vulgaris have since been confirmed numerous times to a greater or lesser degree (69–72), but have failed to be confirmed in a few studies (73,74). A recent study that showed negative results was criticized for using a negative suggestion of not feeding the warts rather than a positive suggestion about having the warts resolve (75). Many reports confirm the efficacy of hypnosis in treating warts (76–91).…”

Section: Medical Hypnotherapy For Treating Specific Dermatologic Condmentioning

confidence: 94%

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

Shenefelt

2003

Dermatol Ther

109

View full text Add to dashboard Cite

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.

show abstract

“…For treatment of juvenile warts, hypnosis is at least as effective as topical treatment and associated with fewer relapses. 10 Hypnosis is valuable as an adjunctive intervention during painful procedures, [11][12][13] and many adults and children use self-hypnosis to teach themselves to be HELPING CHILDREN AND ADULTS WITH HYPNOSIS AND BIOFEEDBACK comfortable through procedures without any pharmacologic treatment. 14 Training in self-hypnosis is a valuable adjunct for both children and adults with chronic illnesses such as cancer, cardiac failure, asthma, hemophilia, sickle cell disease, and arthritis.…”

Section: ■ a Wide Range Of Therapeutic Applicationsmentioning

confidence: 99%

Helping children and adults with hypnosis and biofeedback.

Olness¹

2008

Cleveland Clinic Journal of Medicine

View full text Add to dashboard Cite

Hypnosis and biofeedback are cyberphysiologic strategies that enable subjects to develop voluntary control of certain physiologic processes for the purpose of improving health. Self-hypnosis has been used with and without biofeedback for a wide range of therapeutic applications, and both laboratory studies and clinical trials have shown it to be effective in improving symptoms and outcomes in various disorders. More formal Cochrane reviews of hypnotherapeutic interventions are currently under way. Thorough patient assessment should precede training in self-hypnosis in order to properly tailor training strategies to patient preferences and characteristics, especially for children. Workshops offered by various clinical societies are available to train health professionals in self-hypnosis. Dr. Olness reported that she has no financial relationships that pose a potential conflict of interest with this article.

show abstract

Wart Regression in Children: Comparison of Relaxation-Imagery to Topical Treatment and Equal Time Interventions

Cited by 21 publications

References 17 publications

Efficacy of topical treatments for cutaneous warts: a meta-analysis and pooled analysis of randomized controlled trials

Efficacy of topical treatments for cutaneous warts: a meta-analysis and pooled analysis of randomized controlled trials

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

Helping children and adults with hypnosis and biofeedback.

Contact Info

Product

Resources

About