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Hypnotherapy helps relieve chest pain
April 20, 2006Treatment of non-cardiac chest pain: A controlled trial of hypnotherapy; Online first; Gut 2006; doi. 10.1136/gut.2005.086694
Hypnotherapy seems to relieve severe chest pain that is not caused by a heart condition, known as non-cardiac chest pain, suggests a small study published ahead of print in Gut.
Around a third of patients investigated for chest pain thought to be caused by coronary artery disease have no identifiable cause for their pain. Nevertheless they often continue to be severely incapacitated by it, despite reassurances that there is nothing to worry about. Young women seem to be particularly prone to the condition.
The cause of non-cardiac chest pain is unknown, although several factors have been implicated, including acid reflux and psychological problems. The condition is notoriously difficult to treat.
Researchers randomly divided 28 patients with the condition into two groups. One group received 12 sessions of hypnotherapy over 17 weeks; the other group were given "supportive therapy" plus dummy medicine (placebo).
Of the 15 people treated with hypnotherapy, 80% reported significant pain relief, although there was no change in frequency of bouts of pain, compared with just three of the 13 people treated with supportive therapy and placebo.
Hypnotherapy also significantly improved the sense of overall wellbeing and reduced the use of painkillers and other drugs prescribed to control the condition. By contrast, the group treated with supportive therapy increased their drug intake.
Hypnotherapy did not affect levels of anxiety or depression, however, which remained the same as before.
Brain scans of patients treated with hypnotherapy for other conditions show that it directly affects a region of the brain which processes the emotional content of a painful stimulus. And hypnotherapy can also cut levels of gastric acid produced by the stomach.
The authors acknowledge that hypnotherapy is labour intensive and therefore expensive, but so too are the many investigations and drugs given to patients with non-cardiac chest pain, they say.
And previous research carried out by the same authors on patients with irritable bowel syndrome shows that most of them remain well in the long term, requiring far less medication and far fewer visits to their doctors.
BMJ Specialty Journals
The cause of non-cardiac chest pain is unknown, although several factors have been implicated, including acid reflux and psychological problems. The condition is notoriously difficult to treat.
Researchers randomly divided 28 patients with the condition into two groups. One group received 12 sessions of hypnotherapy over 17 weeks; the other group were given "supportive therapy" plus dummy medicine (placebo).
Of the 15 people treated with hypnotherapy, 80% reported significant pain relief, although there was no change in frequency of bouts of pain, compared with just three of the 13 people treated with supportive therapy and placebo.
Hypnotherapy also significantly improved the sense of overall wellbeing and reduced the use of painkillers and other drugs prescribed to control the condition. By contrast, the group treated with supportive therapy increased their drug intake.
Hypnotherapy did not affect levels of anxiety or depression, however, which remained the same as before.
Brain scans of patients treated with hypnotherapy for other conditions show that it directly affects a region of the brain which processes the emotional content of a painful stimulus. And hypnotherapy can also cut levels of gastric acid produced by the stomach.
The authors acknowledge that hypnotherapy is labour intensive and therefore expensive, but so too are the many investigations and drugs given to patients with non-cardiac chest pain, they say.
And previous research carried out by the same authors on patients with irritable bowel syndrome shows that most of them remain well in the long term, requiring far less medication and far fewer visits to their doctors.
BMJ Specialty Journals
Hypnotherapy Current Events and Hypnotherapy News RSSNew Study Examines Brain-Gut Relationship in those Suffering with Stomach Pain or Discomfort (Functional Dyspepsia)
A new clinical study will explore the brain-gut interaction in patients with functional dyspepsia and whether certain drugs can effectively relieve symptoms of this disorder.
Clinical review -- A psychological approach to the management of irritable bowel syndrome
Antidepressants and psychological treatments such as hypnotherapy have the potential to help patients with severe irritable bowel syndrome (IBS), say researchers in this week's BMJ.
Hypnotherapy an effective treatment for IBS
Medics at The University of Manchester have discovered a way to treat Irritable Bowel Syndrome (IBS) using hypnotherapy.
Hypnotherapy for irritable bowel syndrome works for "at least five years"
Hypnotherapy seems to be an effective long term treatment for irritable bowel syndrome (IBS), lasting for "at least five years," conclude researchers in this month's edition of Gut. IBS is a very common disorder and makes up half a gastroenterologist's workload. Conventional treatment of IBS often does not work very well. The researchers base their findings on questionnaires regularly completed by over 200 patients with IBS. These patients scored their symptoms, quality of life, and levels of anxiety and depression before, immediately after, and up to six years after being given hypnotherapy. Sessions lasted one hour for up to 12 weeks. Almost three quarters of the patients responde
Yogic meditation may improve asthma symptoms, but little evidence for other relaxation therapies
A form of meditation based on yoga may help ease the symptoms of moderate to severe asthma, but there is little evidence that relaxation techniques help, overall. Research reported in Thorax shows that the evidence is not conclusive, largely because the research is flawed, but what positive effects there are seem to be short-lived.
Relaxation and hypnotherapy - successful treatments for lymphoma?
A long term study of patients diagnosed with Hodgkin's disease or non-Hodgkin's lymphoma has found that those who were given relaxation therapy and hypnotherapy as well as chemotherapy were more likely to survive than those receiving chemotherapy on its own. These are the results of a study by Professor Leslie Walker, of Hull University, and Dr Marcia Ratcliffe and Dr Audrey Dawson, of Aberdeen Royal Infirmary, reported today, Friday 30 March, to The British Psychological Society's Centenary Annual Conference, held at the Scottish Exhibition and Conference Centre, Glasgow. In the study, 63 patients were followed up for 13 years after a diagnosis of Hodgkin's disease or non-Hodgkin's lymphoma
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