The benefits of hypnosis as an adjunct treatment for bronchial asthma–a clinical trial
Palabras clave:
hypnosis, asthma, complementary therapies.Resumen
Introduction: Bronchial asthma is a prevalent chronic respiratory disease associated with significant morbidity and healthcare costs. Complementary and alternative therapies, including hypnosis, have gained interest as potential adjunct treatments for asthma. However, rigorous scientific investigations exploring the specific effects of hypnosis on asthma management are very limited.
Objective: The study's objective was to evaluate the effects of hypnosis on asthma-related symptoms and psychological well-being in patients with moderate persistent asthma.
Methods: The study was enrolled 25 participants aged 18 to 65 with moderate persistent asthma. Patients received 12 hypnosis sessions in addition to their regular pharmacological treatment. The intervention included relaxation techniques, diaphragmatic breathing exercises, and self-esteem reinforcement. Outcome measures were assessed using the Medical Cornell Index for psychological symptoms and clinical evaluations for respiratory status. Statistical analyses included the McNemar test and chi-square test.
Results: Before the intervention, patients reported various psychological symptoms, with nervousness and anxiety being the most prevalent (44 %). After 12 weeks of hypnosis, a notable improvement in psychological symptoms and somatic manifestations of asthma was observed. Notably, 60 % of patients experienced complete resolution of acute weekly asthma attacks, and respiratory distress symptoms significantly decreased (p<0.0001). Additionally, vesicular breath sounds and pulmonary hyperresonance improved (p=0.1435, p=0.0035).
Conclusion: This clinical trial provides valuable insights into the potential benefits of hypnosis as an adjunctive treatment for bronchial asthma. The results suggest that hypnosis may improve both psychological and somatic symptoms associated with asthma, leading to better disease control and reduced asthma attacks.
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2. Cao Y, Chen S, Chen X, Zou W, Liu Z, Wu Y, et al. Global trends in the incidence and mortality of asthma from 1990 to 2019: An age-period-cohort analysis using the global burden of disease study 2019. Front. Public Health. 2022 [cited 18/09/2024];10:1036674. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723391/pdf/fpubh-10-1036674.pdf
3. Czira A, Turner M, Martin A, Hinds D, Birch H, Gardiner F, et al. A systematic literature review of burden of illness in adults with uncontrolled moderate/severe asthma. Respiratory Medicine. 2022 [cited 13/05/2023];191:1-16. Available from: https://www.sciencedirect.com/science/article/pii/S0954611121003784
4. Ogbu CE, Oparanma CO, Kirby RS. Factors Associated with the Use of Complementary and Alternative Medicine/Therapy among United States Adults with Asthma. Healthcare. 2023 [cited 23/01/2024];11(983):1-13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093826/pdf/healthcare-11-00983.pdf
5. DynaMed. Massachusetts: DynaMed; ©2024 [updated 30/08/2024; cited 02/09/2024]. Complementary and Alternative Treatments for Asthma in Adults and Adolescents. Available from: https://www.dynamed.com/management/complementary-and-alternative-treatments-for-asthma-in-adults-and-adolescents#GUID-F8C3BBF0-110D-45CF-BABC-E91D71D80A2A
6. Asthma+Lung UK. London: The White Chapel Building; ©2024 [updated 30/09/2022; cited 09/01/2024]. Complementary therapies and asthma. Available from: https://www.asthmaandlung.org.uk/symptoms-tests-treatments/treatments/complementary-therapies
7. Santino TA, Chaves GSS, Freitas DA, Fregonezi GAF, Mendonça KMPP. Breathing exercises for adults with asthma. Cochrane Database of Systematic Reviews. 2020 [cited 20/02/2020];(3). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001277.pub4/full
8. Arteaga Badillo DA, Portillo Reyes J, Vargas Mendoza N, Morales González JA, Izquierdo Vega JA, Sánchez Gutiérrez M, et, al. Asthma: New Integrative Treatment Strategies for the Next Decades. Medicina (Kaunas). 2020 [cited 03/05/2020];56(9):438. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558718/pdf/medicina-56-00438.pdf
9. Chen W, FitzGerald JM, Rousseau R, Lynd LD, Tan WC, Sadatsafavi M. Complementary and alternative asthma treatments and their association with asthma control: a population-based study. BMJ Open. 2013 [cited 02/10/2020];3:e003360. Available from: https://bmjopen.bmj.com/content/bmjopen/3/9/e003360.full.pdf
10. Citron KM, Black S, Crocket JA, Davies D, Heaf PJD, Kalinowski SZ, et al. Hypnosis for Asthma-a Controlled Trial. Br Med J. 1968 [cited 12/10/2020];4:71-6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1912142/pdf/brmedj02105-0025.pdf
11. Caulfield JI. Anxiety, depression, and asthma: New perspectives and approaches for psychoneuroimmunology research. Brain Behav Immun Health. 2021 [cited 19/11/2022];18:100360. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502834/pdf/main.pdf
12. de Boer GM, Houweling L, Hendriks RW, Vercoulen JH, Tramper Stranders GA, Braunstahl GJ. Asthma patients experience increased symptoms of anxiety, depression and fear during the COVID-19 pandemic. Chron Respir Dis. 2021 [cited 2022 Sep 5];18:14799731211029658. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261840/pdf/10.1177_14799731211029658.pdf
13. Berko JK, Brown S, Elward KS, Fitzpatrick AM, Gerald LB, Holguin F, et al. 2020 Focused update to the asthma management guidelines. Bethesda: Nationa Heart, Lung and Blood Institute (NHLBI). 2020 [cited 08/03/2022]. Available from: https://www.nhlbi.nih.gov/sites/default/files/publications/AsthmaManagementGuidelinesReport-2-4-21.pdf
14. Akeroyd A. Status Asthmaticus Treated by Hypnosis. Br Med J. 1960 [cited 17/04/2022];2(5217). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2098643/pdf/brmedj03057-0067c.pdf
15. Loughnan GPM. Hypnosis for Asthma. Br Med J. 1968 [cited 17/04/2022];4(5630):583-4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1912456/pdf/brmedj02112-0083d.pdf
16. Walden RJ. Hypnosis in Asthma. Br Med J. 1968 [cited 17/04/2022];4:706. Available from: https://www.bmj.com/content/4/5632/706.2
17. Susanto YS, Kalm H, Handono K, Sudiyanto A. Effect of Hypnotherapy on immune response and standard therapy in psychogenic asthma patients. Turk J Immunol. 2021 [cited 15/06/2022];9(1):28-35. Available from: https://jag.journalagent.com/tji/pdfs/TJI_9_1_28_35.pdf
18. Mohebbi Z, Doulatabad N, Malekzadeh M, Nabavisadeh SH, Marioryad H, Momeni E, et al. Effect of Hypnosis in Pulmonary Function and Severity of the Disease in Asthmatic Patients. A Randomized Clinical Trial. Journal of Clinical Care and Skills. 2020 [cited 15/06/2022];1(2):95-101. Available from: https://www.researchgate.net/publication/353327940_Effect_of_Hypnosis_on_Pulmonary_Function_and_Severity_of_the_Disease_in_Asthmatic_Patients_A_Randomized_Clinical_Trial
19. UpToDate. Teherán: Medilib; ©2024 [updated 2023 Aug 29; cited 04/12/2023]. Martin RJ. Complementary, alternative, and integrative therapies for asthma. Available from: https://medilib.ir/uptodate/show/104252
20. Ye G, Baldwin DS, Hou R. Anxiety in asthma: a systematic review and meta-analysis. Psychological Medicine. 2021;51(1):11-20
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