Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Hypnotherapy for borderline psychic disorders in a multidisciplinary hospital

https://doi.org/10.14412/2074-2711-2020-1-33-38

Full Text:

Abstract

The increase in the number of patients with mental disorders in general hospitals with the shorter patient length of stay there requires diagnostic and therapeutic measures as soon as possible. Group hypnotic suggestive psychotherapy (HSPT) is an effective psychotherapeutic technique that is capable of covering a large number of patients in a short time.
Objective: to evaluate the efficiency of short-term group HSPT in multidisciplinary hospital patients with borderline psychic disorders accompanying the underlying disease and to determine the impact of a single session of such therapy on the patients' condition.
Patients and methods. A study group consisted of 78 patients who received HSPT; a control group included 37 patients who did not have such therapy. Treatment-induced changes in their mental state were evaluated using the Symptom Checklist-90-Revised questionnaire; the patients' current state was rated with the Mood and Feelings (health, activity, and mood) questionnaire, and the situational anxiety subtest of the integrative anxiety test (IAT-st).
Results and discussion. The study group showed a more pronounced reduction in mental disorders, especially the symptoms of anxiety and depression, than that in the control group. A single HSPT session was shown to have a positive impact on the current state of patients, considerably improving their well-being and reducing the  manifestations of anxiety. Improving both the somatic and mental state of patients immediately before their discharge from a hospital seems to be an important therapeutic and social factor also for successful outpatient treatment.
Conclusion. It is necessary to conduct a follow-up study to clarify how long the impact of short-term intervention using HSPT can persist. The latter can be effective in multidisciplinary hospital patients.

About the Authors

V. I. Krylov
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
6–8, Lev Tolstoy St., Saint Petersburg 197022



N. V. Obukhov
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
6–8, Lev Tolstoy St., Saint Petersburg 197022



V. I. Trofimov
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
6–8, Lev Tolstoy St., Saint Petersburg 197022



I. E. Solnyshkina
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
6–8, Lev Tolstoy St., Saint Petersburg 197022



References

1. Sinenchenko AG. Prevalence of mental disorders in patients admitted to a multidisciplinary hospital ambulance. Zdorov'e – osnova chelovecheskogo potentsiala: problemy i puti ikh resheniya. 2016;11(2):620. (In Russ.).

2. Fedotov DD, Sheshenin VS, Polischuk YuI, et al. Mental disorders in elderly people receiving medical treatment at a multidisciplinary hospital. Meditsina ekstremal'nykh situatsii. 2016;(2):37-44. (In Russ.).

3. Jafarizadeh H, Lotfi M, Ajoudani F, et al. Hypnosis for reduction of background pain and pain anxiety in men with burns: A blinded, randomised, placebo-controlled study. Burns. 2018 Feb;44(1):108-117. doi: 10.1016/j.burns.2017.06.001. Epub 2017 Aug 8.

4. Lam TH, Chung KF, Lee CT, et al. Hypnotherapy for Insomnia: A Randomized Controlled Trial Comparing Generic and Disease-Specific Suggestions. Complement Ther Med. 2018 Dec;41:231-239. doi: 10.1016/j.ctim.2018.10.008. Epub 2018 Oct 9.

5. Elkins G, Marcus J, Stearns V, et al. Randomized Trial of a Hypnosis Intervention for Treatment of Hot Flashes Among Breast Cancer Survivors. J Clin Oncol. 2008 Nov 1; 26(31):5022-6. doi: 10.1200/JCO.2008.16.6389. Epub 2008 Sep 22.

6. Roberts L, Wilson S, Singh S, et al. Gutdirected hypnotherapy for irritable bowel syndrome: piloting a primary care-based randomised controlled trial. Br J Gen Pract. 2006 Feb;56(523):115-21.

7. Flik C, Rood Y, Laan W, et al. Efficacy of individual and group hypnotherapy in irritable bowel syndrome: А multicentre randomised controlled trial. The Lancet Gastroenterology and Hepatology. 2019; 4(1):20-31. doi: Lancet Gastroenterol Hepatol. 2019 Jan;4(1):20-31. doi: 10.1016/S2468-1253(18)30310-8. Epub 2018 Nov 23.

8. Gonzalez-Ramirez E, Carrillo-Montoya T, Garcia-Vega ML, et al. Effectiveness of hypnosis therapy and Gestalt therapy as depression treatments. Clinica y Salud. 2017;28(1):33-7. doi: 10.1016/j.clysa.2016.11.001

9. Kendrick C, Sliwinski J, Yu Y, et al. Hypnosis for acute procedural pain: A Critical Review. Int J Clin Exp Hypn. 2016;64(1):75-115. doi: 10.1080/00207144.2015.1099405.

10. Halsband U, Wolf TG. Functional changes in brain activity after hypnosis in patients with dental phobia. J Physiol Paris. 2015 Dec; 109(4-6):131-142. doi: 10.1016/j.jphysparis.2016.10.001. Epub 2016 Oct 6.

11. Barabasz A, Barabasz M. Hypnosis for PTSD: Evidence based placebo-controlled studies. https://www.omicsonline.org/openaccess/hypnosis-for-ptsd-evidence-basedplacebocontrolled-studies-2167-1222.1000S4-006.php?aid=21055

12. Akgul A, Guner B, Вхrak M, et al. The Beneficial Effect of Hypnosis in Elective Cardiac Surgery: A Preliminary Study. Thorac Cardiovasc Surg. 2016 Oct;64(7):581-588. Epub 2016 Apr 4.

13. Calipel S, Lucas-Polomeni MM, Wodey E, et al. Premedication in children: hypnosis versus midazolam. Paediatr Anaesth. 2005 Apr; 15(4):275-81.

14. Saadat H, Drummond-Lewis J, Maranets I, et al. Hypnosis reduces preoperative anxiety in adult patients. Anesth Analg. 2006 May;102(5): 1394-6.

15. Kerby DS. The simple difference formula: an approach to teaching nonparametric correlation. Comprehensive Psychology. 72014; 3(1): 1-9. doi: 10.2466/11.it.3.1


For citation:


Krylov V.I., Obukhov N.V., Trofimov V.I., Solnyshkina I.E. Hypnotherapy for borderline psychic disorders in a multidisciplinary hospital. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(1):33-38. (In Russ.) https://doi.org/10.14412/2074-2711-2020-1-33-38

Views: 67


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)