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      Hypnosis for the Management of Anxiety and Dyspnea in COPD: A Randomized, Sham-Controlled Crossover Trial

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          Abstract

          Background

          Patients with chronic obstructive pulmonary disease (COPD) are prone to dyspnea, increased respiratory rate and other anxiety-inducing symptoms. Hypnosis constitutes a complementary procedure capable of improving subjective feelings of anxiety.

          Objective

          Assessing the efficacy of a 15-minute hypnosis intervention for immediate improvement of anxiety in severe COPD patients.

          Methods

          Twenty-one participants, COPD patients (mean FEV1 < 32.3%), were randomly assigned to two individual sessions in crossover (sham and hypnosis, 24-h washout period, arms: hypnosis-sham [n=11]/sham-hypnosis [n=10]). We tracked pre- and post-intervention anxiety (STAI-6 score) as primary endpoint.

          Results

          Nineteen (90.5%) participants completed the study. Anxiety diminished significantly after hypnosis (STAI-6 scores −23.8% [SD = 18.4%] hypnosis vs −3.1% [32.8%] sham; χ 2=8, P<0.01, Bayes Factor 5.5). Respiratory rate also decreased after hypnosis. Improvements in SpO2 and Borg exertion scores were registered after both conditions.

          Conclusion

          A 15-minute hypnosis session improved participants’ anxiety and lowered respiratory rate (as opposed to sham). Improvements in anxiety were correlated with an alleviation in respiratory strain. Results imply that hypnosis can contribute to the improvement of anxiety levels and breathing mechanics in severe COPD patients.

          Registration Id

          ISRCTN10029862.

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          Most cited references 52

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              Dyspnea. Mechanisms, assessment, and management: a consensus statement. American Thoracic Society.

               P Meek,  G. Adams (1998)
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                Author and article information

                Journal
                Int J Chron Obstruct Pulmon Dis
                Int J Chron Obstruct Pulmon Dis
                copd
                copd
                International Journal of Chronic Obstructive Pulmonary Disease
                Dove
                1176-9106
                1178-2005
                22 October 2020
                2020
                : 15
                : 2609-2620
                Affiliations
                [1 ]Clinical Hypnosis Research Team, Bligny Hospital Center , Briis-sous-Forges, France
                [2 ]Watanabe Cognitive Science Laboratory, School of Fundamental Science and Engineering. Waseda University , Tokyo, Japan
                [3 ]Pneumology Unit, Bligny Hospital Center , Briis-sous-Forge, France
                [4 ]Counselling and Psychological Care Unit, Bligny Hospital Center , Briis-sous-Forge, France
                [5 ]Palliative Care Unit, Bligny Hospital Center , Briis-sous-Forge, France
                Author notes
                Correspondence: Hernán Anlló Clinical Hypnosis Research Team, Bligny Hospital Center , Rue de Bligny, Briis-sous-Forges91640, FranceTel +33 1 69 26 30 00Fax +33 1 69 26 30 90 Email hernan.anllo@cri-paris.org
                Article
                267019
                10.2147/COPD.S267019
                7591014
                © 2020 Anlló et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                Page count
                Figures: 2, Tables: 7, References: 61, Pages: 12
                Funding
                Funded by: Bligny Hospital Center (CHB) and the Fondation pour les Soins Palliatifs (FSP);
                Award ID: JSPS
                Award ID: GRANT NUMBER: 18F18307
                This study was funded by the Bligny Hospital Center (CHB) and the Fondation pour les Soins Palliatifs (FSP). HA’s contribution to this work was supported in part by the Japanese Society for the Promotion of Science (JSPS, GRANT NUMBER: 18F18307).
                Categories
                Clinical Trial Report

                Respiratory medicine

                hypnosis, anxiety, depression, dyspnea, copd, complementary care

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