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Beneficial Effects of Hypnosis and Adververse Effects of Empathic Attention.
PURPOSE: To determine how hypnosis and empathic attention during percutaneous tumor treatments affect pain, anxiety, drug use, and adverse events. MATERIALS AND METHODS: For their tumor embolization or radiofrequency ablation, 201 patients were randomized to receive standard care, empathic attention with defined behaviors displayed by an additional provider, or self-hypnotic relaxation including the defined empathic attention behaviors. All had local anesthesia and access to intravenous medication. Main outcome measures were pain and anxiety assessed every 15 minutes by patient self-report, medication use (with 50 mug fentanyl or 1 mg midazolam counted as one unit), and adverse events, defined as occurrences requiring extra medical attention, including systolic blood pressure fluctuations (>/=50 mm Hg change to >180 mm Hg or <105 mm Hg), vasovagal episodes, cardiac events, and respiratory impairment. RESULTS: Patients treated with hypnosis experienced significantly less pain and anxiety than those in the standard care and empathy groups at several time intervals and received significantly fewer median drug units (mean, 2.0; interquartile range [IQR], 1-4) than patients in the standard (mean, 3.0; IQR, 1.5-5.0; P = .0147) and empathy groups (mean, 3.50; IQR, 2.0-5.9; P = .0026). Thirty-one of 65 patients (48%) in the empathy group had adverse events, which was significantly more than in the hypnosis group (eight of 66; 12%; P = .0001) and standard care group (18 of 70; 26%; P = .0118). CONCLUSIONS: Procedural hypnosis including empathic attention reduces pain, anxiety, and medication use. Conversely, empathic approaches without hypnosis that provide an external focus of attention and do not enhance patients' self-coping can result in more adverse events. These findings should have major implications in the education of procedural personnel.
J Vasc Interv Radiol. 2008 Jun;19(6):897-905. Epub 2008 Mar 17. Lang EV, Berbaum KS, Pauker SG, Faintuch S, Salazar GM, Lutgendorf S, Laser E, Logan H, Spiegel D. Department of Radiology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts.
For each and every one of us there are times when we feel, sad, lonely, and wish that our situation was better. This is a natural, normal feeling that we all go through. In fact, it may be just a matter of our biorhythms fluctuating every 90 minutes or so or just helping us balance our life after a period of exhilaration. On the other hand, if these feelings are persistent and so severe as to prevent you from participating in normal relationships and regular activities, just possibly you may have chronic depression and need assistance.
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It seems that all sports are more in your mind than one would first think. So, it is more than just developing muscles and endurance. If you are going to golf like Tiger Woods, Lee Trevino, or Sam Sneed, you must develop your mind as well. Remaining calm at all times appears to be a critical requirement. However, it is much more than that. Your mind and body are intricately linked. This means that for every aspect of the game from your grip, your swing, negotiating hazards, and your putt, there are corresponding neural networks in your brain that must be developed. Believe it or not,...
Over the past several years too many people have had to cope with the stress of financial difficulties. Very rarely have these situations been the consequence of poor decisions on the part of the affected individuals. Yet, it is so difficult for someone undergoing such stresses and strains to convince themselves that they are not at fault.
In our society many have always placed an emphasis on finding oneself. Generally, this meant realizing a sense of self-identity. In other words, we want to find out who we are. Often this leads us to seek answers from religious or other spiritual...