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Acceptance and Freedom: Hypnotherapy and ACT Therapy
Pain and anxiety during interventional radiologic procedures
PURPOSE: To assess how patients' underlying anxiety affects their experience of distress, use of resources, and responsiveness toward nonpharmacologic analgesia adjunct therapies during invasive procedures. MATERIALS AND METHODS: Two hundred thirty-six patients undergoing vascular and renal interventions, who had been randomized to receive during standard care treatment, structured empathic attention, or self-hypnotic relaxation, were divided into two groups: those with low state anxiety scores on the State-Trait Anxiety Inventory (STAI, scores < 43; n = 116) and those with high state anxiety scores (> or = 43; n = 120). All had access to patient-controlled analgesia with fentanyl and midazolam. Every 15 minutes during the procedure, patients rated their anxiety and pain on a scale of 0-10 (0, no pain/anxiety at all; 10, worst possible pain/anxiety). Effects were assessed by analysis of variance and repeated-measures analysis. RESULTS: Patients with high state anxiety levels required significantly greater procedure time and medication. Empathic attention as well as hypnosis treatment reduced procedure time and medication use for all patients. These nonpharmacologic analgesia adjunct treatments also provided significantly better pain control than standard care for patients with low anxiety levels. Anxiety decreased over the time of the procedure; patients with high state anxiety levels experienced the most significant decreases in anxiety with nonpharmacologic adjuncts whereas patients with low state anxiety levels coped relatively well under all conditions. CONCLUSION: Patients' state anxiety level is a predictor of trends in procedural pain and anxiety, need for medication, and procedure duration. Low and high state anxiety groups profit from the use of nonpharmacologic analgesia adjuncts but those with high state anxiety levels have the most to gain.
Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, WCC 308, Boston, Massachusetts 02215, USA.
J Vasc Interv Radiol. 2005 Dec;16(12):1585-92.Click here to read
Living With Snoring.Hypnosis can be VERY effective in reframing the sounds that your partner makes during sleep because it works at very deep inner mind level where suggestions are easily accepted.Sleep soundly through the night and wake up refreshed
This hypnosis session will easily and effortlessly allow you to eliminate your fear of the dark because it works at a deep inner mind level.You won’t have to live in fear any more in this world of light and dark&sleep at night better!
This hypnosis session will easily and effortlessly allow you to eliminate your fear of spiders.You’ll be able to deal with spiders with a calm and rational mind, appreciate the beauty of spider webs, and see a spider without any negative emotion.
For many people, cigarette smoking began at an early age. Usually this habit starts during a person’s teen years although we have seen it start even earlier. Normally, peer pressure or the influence or the example of parents was somehow involved in the decision to smoke the first cigarette. Also, depending on a person’s age, they may have been influenced by advertising, which was legal at one time in America.
Once this “social reason” for smoking initiated the act, there are two basic reasons why the act of smoking became and addiction. First is the addictive nature of nicotine. Nicotine...
Over the years I have talked to many people – including a few very close friends – who have developed an intense fear of wide open spaces (agoraphobia). This affects their ability to socialize outside and often prevents them from traveling. They know that this fear is illogical and needlessly impacting on their happiness and relationships. But, they don’t seem to be able to free themselves from this dilemma.
Agoraphobia is a fear that normally develops during early years of our lives. This is the period when the human brain has not yet fully developed coping mechanisms. So, when...
Just about everyone knows that speaking in public is the most common fear in the Western world. Even famous stage performers admit that performing or speaking before a large audience puts them into a panic. In fact, you would not believe the names of the popular musicians, politicians, and even top self-help figures that have admitted that they are absolutely petrified before stepping on stage. Yet, they always give a brilliant performance.
What if the speaking jitters never had to occur? What if your timid feelings never had to happen? What if you could train yourself to love...