Hypnosis in pediatrics: applications at a pediatric pulmonary center

BMC Pediatrics

Ran D Anbar¹ 

[1] Associate Professor of Pediatrics and Medicine, Department of Pediatrics, Upstate Medical University, 750 E. Adams Street, Syracuse, NY 13210, USA

关键词: vocal cord dysfunction;    shortness of breath;    hypnosis;    habit cough;    asthma;    Anxiety;   

Others  :  1181739
DOI  :  10.1186/1471-2431-2-11

 received in 2002-08-12, accepted in 2002-12-03,  发布年份 2002

【 摘 要 】

Background

This report describes the utility of hypnosis for patients who presented to a Pediatric Pulmonary Center over a 30 month period.

Methods

Hypnotherapy was offered to 303 patients from May 1, 1998 – October 31, 2000. Patients offered hypnotherapy included those thought to have pulmonary symptoms due to psychological issues, discomfort due to medications, or fear of procedures. Improvement in symptoms following hypnosis was observed by the pulmonologist for most patients with habit cough and conversion reaction. Improvement of other conditions for which hypnosis was used was gauged based on patients' subjective evaluations.

Results

Hypnotherapy was associated with improvement in 80% of patients with persistent asthma, chest pain/pressure, habit cough, hyperventilation, shortness of breath, sighing, and vocal cord dysfunction. When improvement was reported, in some cases symptoms resolved immediately after hypnotherapy was first employed. For the others improvement was achieved after hypnosis was used for a few weeks. No patients' symptoms worsened and no new symptoms emerged following hypnotherapy.

Conclusions

Patients described in this report were unlikely to have achieved rapid improvement in their symptoms without the use of hypnotherapy. Therefore, hypnotherapy can be an important complementary therapy for patients in a pediatric practice.

【 授权许可】

   
2002 Anbar; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

【 参考文献 】

• [1]Olness K, Kohen DP: Hypnosis and hypnotherapy with children. 3rd edition. New York, NY: The Guilford Press; 1996.
• [2]Hammond DC, ed: Handbook of hypnotic suggestion and metaphors. New York, NY: WW Norton & Company; 1990.
• [3]Lynn SJ, Rhue JW, eds: Theories of hypnosis: current models and perspectives. New York, NY: The Guilford Press; 1991.
• [4]Udolf R: Handbook of hypnosis for professionals. Northvale, NJ: Jason Aronson; 1987.
• [5]Waxman D: Hartland's medical and dental hypnosis. 3rd edition. London, England: Bailliere Tindall; 1989.
• [6]Margolis CG: Hypnotic trance. The old and the new. Primary Care 1997, 24:809-823.
• [7]Kreskin : The secrets of the amazing kreskin. 2nd edition. Buffalo, NY: Prometheus Books; 1991.
• [8]Gardner GG: Teaching self-hypnosis to children. Int J Clin Exp Hypn 1981, 29:300-312.
• [9]Olness K, Libbey P: Unrecognized biological bases of behavioral symptoms in patients referred for hypnotherapy. Am J Clin Hypn 1987, 30:1-8.
• [10]London P: Developmental experiments in hypnosis. J Proj Tech Pers Assess 1965, 29:189-199.
• [11]Gardner GG: Parents: obstacles or allies in child hypnotherapy? Am J Clin Hypn 1974, 22:20-38.
• [12]Fritz GK, Fritsch S, Hagino O: Somatoform disorders in children and adolescents: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 1997, 36:1329-1338.
• [13]Sugarman LI: Hypnosis: teaching children self-regulation. Pediatr Rev 1996, 17:5-11.
• [14]Anbar RD: You don't like the taste of your medication? So change the taste! Clin Pediatr (Phila) 2002, 41:197-198.
• [15]Hackman RM, Stern JS, Gershwin ME: Hypnosis and asthma: a critical review. J Asthma 2000, 37:1-15.
• [16]Anbar RD: Self-hypnosis for management of chronic dyspnea in pediatric patients. [http://www.pediatrics.org/cgi/content/full/107/2/e21] webcitePediatrics 2001, 107(2):E21.
• [17]Baron C, Marcotte JE: Role of panic attacks in the intractability of asthma in children. Pediatrics 1994, 94:108-110.
• [18]Anbar RD, Hehir DA: Hypnosis as a diagnostic modality for vocal cord dysfunction. [http://www.pediatrics.org/cgi/content/full/106/6/e81] webcitePediatrics 2000, 106:E81.
• [19]Anbar RD: Self-hypnosis for patients with cystic fibrosis. Pediatr Pulmonol 2000, 30:461-465.
• [20]Anbar RD: Of mind, body, and modern technology. Clin Pediatr (Phila) 2000, 39:433-436.
• [21]LeBaron S, Zeltzer LK: The role of imagery in the treatment of dying children and adolescents. J Dev Behav Pediatr 1985, 6:252-258.
• [22]Lokshin B, Lindgren S, Weinberger M, Koviach J: Outcome of habit cough in children treated with a brief session of suggestion therapy. Ann Allergy 1991, 67:579-582.
• [23]London P, Cooper LM: Norms of hypnotic susceptibility in children. Dev Psychol 1969, 1:113-124.
• [24]Culbert TP, Kajander RL, Reaney JB: Biofeedback with children and adolescents: clinical observations and patient perspectives. J Dev Behav Pediatr 1996, 17:342-350.
• [25]Jevning R, Wallace RK, Beidebach M: The physiology of meditation: a review. A wakeful hypometabolic integrated response. Neurosci Biobehav Rev 1992, 16:415-424.
• [26]Richter NC: The efficacy of relaxation training with children. J Abnorm Child Psychol 1984, 12:319-344.
• [27]Straus JL, von Ammon Cavanaugh S: Placebo effects. Issues for clinical practice in psychiatry and medicine. Psychosomatics 1996, 37:315-326.
• [28]Anbar RD: Self-hypnosis for treatment of functional abdominal pain in childhood. Clin Pediatr (Phila) 2001, 40:447-451.
• [29]Gall JC: The art of examining a child: Use of naturalistic methods in pediatric physical examination. Eriksonian Monographs 1990, 7:69-85.