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Adding hypnosis to cognitive behavioural therapy may reduce some acute stress disorder symptoms

Bisson, Jonathan Ian ORCID: 2005. Adding hypnosis to cognitive behavioural therapy may reduce some acute stress disorder symptoms. Evidence-Based Mental Health 8 (4) , p. 109. 10.1136/ebmh.8.4.109

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Q: Does adding hypnotherapy to cognitive behavioural therapy (CBT) reduce the symptoms of acute stress disorder compared with CBT or supportive counselling alone? Design: Randomised controlled trial. Allocation: Not concealed. Blinding: Assessors blinded, nature of intervention precluded participant blinding. Follow up period: Six months. Setting: Hospital post-traumatic stress disorder (PTSD) unit, Sydney, Australia; time period not stated. Patients: Eighty seven civilians aged 17–60 years, with acute stress disorder (ASD; DSM-IV criteria) subsequent to a motor vehicle accident (39 people) or non-sexual assault (48 people). Main exclusion criteria: history of childhood sexual abuse, psychosis, or substance abuse; organic brain disorder; or current suicidal thoughts. Intervention: Cognitive behavioural therapy (CBT) alone: five weekly 90 minute sessions involving imaginal and in vivo exposure, cognitive restructuring, and relapse prevention techniques. Participants completed daily homework to reinforce the concepts learnt during the sessions. CBT plus hypnosis: as for CBT alone, but with the use of a hypnotic induction audiotape before imaginal exposure. Supportive counselling: provided unconditional support for participant and education about trauma and problem solving skills using the same schedule as CBT. Exposure, cognitive restructuring, and hypnosis techniques were avoided. Participants noted moods and problems experienced in a homework diary. Outcomes: Impact of event scale (IES), Beck depression scale-2 (BDI-2), Clinical administered PTSD scale-2 (CAPS-2; used for diagnosis of PTSD), Beck Anxiety Inventory (BAI). Patient follow up: 79% overall (73% in CBT alone group, 77% in CBT-hypnosis group, 92% in SC group; p = 0.19 for difference).

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > R Medicine (General)
Publisher: BMJ Publishing Group
ISSN: 1362-0347
Last Modified: 24 Oct 2022 11:33

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