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Igor Ledochowski - Do the effects of hypnotherapy last?
A randomized clinical trial of a brief hypnosis intervention to control side effects in breast surge
Breast cancer surgery is associated with side effects, including postsurgical pain, nausea, and fatigue. We carried out a randomized clinical trial to test the hypotheses that a brief presurgery hypnosis intervention would decrease intraoperative anesthesia and analgesic use and side effects associated with breast cancer surgery and that it would be cost effective. METHODS: We randomly assigned 200 patients who were scheduled to undergo excisional breast biopsy or lumpectomy (mean age 48.5 years) to a 15-minute presurgery hypnosis session conducted by a psychologist or nondirective empathic listening (attention control). Patients were not blinded to group assignment. Intraoperative anesthesia use (i.e., of the analgesics lidocaine and fentanyl and the sedatives propofol and midazolam) was assessed. Patient-reported pain and other side effects as measured on a visual analog scale (0-100) were assessed at discharge, as was use of analgesics in the recovery room. Institutional costs and time in the operating room were assessed via chart review. RESULTS: Patients in the hypnosis group required less propofol (means = 64.01 versus 96.64 microg; difference = 32.63; 95% confidence interval [CI] = 3.95 to 61.30) and lidocaine (means = 24.23 versus 31.09 mL; difference = 6.86; 95% CI = 3.05 to 10.68) than patients in the control group. Patients in the hypnosis group also reported less pain intensity (means = 22.43 versus 47.83; difference = 25.40; 95% CI = 17.56 to 33.25), pain unpleasantness (means = 21.19 versus 39.05; difference = 17.86; 95% CI = 9.92 to 25.80), nausea (means = 6.57 versus 25.49; difference = 18.92; 95% CI = 12.98 to 24.87), fatigue (means = 29.47 versus 54.20; difference = 24.73; 95% CI = 16.64 to 32.83), discomfort (means = 23.01 versus 43.20; difference = 20.19; 95% CI = 12.36 to 28.02), and emotional upset (means = 8.67 versus 33.46; difference = 24.79; 95% CI = 18.56 to 31.03). No statistically significant differences were seen in the use of fentanyl, midazolam, or recovery room analgesics. Institutional costs for surgical breast cancer procedures were $8561 per patient at Mount Sinai School of Medicine. Patients in the hypnosis group cost the institution $772.71 less per patient than those in the control group (95% CI = 75.10 to 1469.89), mainly due to reduced surgical time. CONCLUSIONS: Hypnosis was superior to attention control regarding propofol and lidocaine use; pain, nausea, fatigue, discomfort, and emotional upset at discharge; and institutional cost. Overall, the present data support the use of hypnosis with breast cancer surgery patients.
J Natl Cancer Inst. 2007 Sep 5;99(17):1304-12.
Montgomery GH, Bovbjerg DH, Schnur JB, David D, Goldfarb A, Weltz CR, Schechter C, Graff-Zivin J, Tatrow K, Price DD, Silverstein JH., Department of Oncological Sciences, Mount Sinai School of Medicine, Box 1130, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA. email@example.com
Are you caught in a downward spiral of viewing more and more perverse sexual porn?This session is designed to retrain your mind to break the pattern that would have led you to view pornography.Identify the cause that drives you to porn.
Chewing Tobacco NO MORE!the power of your collective consciousness will help Tou easily and effortlessly become a non-tobacco user. You’ll be able to eliminate your cravings, your desires, and your overwhelming need to use tobacco products.
Are you blocking the prosperity and abundance from coming into your life?Allowing prosperity into your life is a matter of you being the in the right state.This session allows you to learn to experience prosperity every moment of your life.
Many people dream of living a life in which everything just seems to click. Their golf game is always under par, they attract the friends and relationships they desire, and even their finances always seem to be just as they had imagined. Others admire them. And, they feel pretty darn good about themselves. Don’t you wish that I just described you?
Mastering excellence in your life is a matter of choice and attitude. First you must believe that you can do it. Others have. Why not you? All you have to do is understand the steps and practice skills sufficiently so that you become an...
Migraine headaches can be caused by wide variety of events and situations. Some are environmental. Others may be related to a person's lifestyle or their behavior. Their ability to get sufficient sleep, eat proper diets, and to manage their thinking patterns are all areas that may be affected by the proper application of hypnosis.
As with all health concerns migraine headaches involves patterns. As all hypnotherapists know, patterns – and especially pattern resistance to change – can be positively affected by hypnosis. By their very nature all hypnotic inductions have this feature.
When you perceive that the difficulty of a situation exceeds your capabilities, then your body goes through a reaction called stress. While in some cases stress may excite and even motivate you to do your best, it can also become a negative factor and challenge your ability to be healthy, happy, and successful in life.
In the definition that I just gave you I started off by using the word “perceive.” This means that what is causing your stress – and how you react to it – may not be the result of a reality. In fact, how your brain perceives things is often a result of how your mind was...