Clinical Hypnosis Versus Cognitive Behavioral Training for Pain Management
A randomized controlled trial in the UK with 30 children compared the efficacy of clinical hypnosis (and imagery) versus training in cognitive behavioral coping skills for alleviating the pain and distress of undergoing bone marrow aspirations. The pediatric cancer patients (age 5 to 15 years) were randomized to one of three groups: hypnosis, a package of CB coping skills, and no intervention beyond standard care.
Patients who received either hypnosis or CB reported less pain and pain-related anxiety than did control patients and less pain and anxiety than at their own baseline. Hypnosis and CB were similarly effective in the relief of pai, but children reported more anxiety and exhibited more behavioral distress in the CB group than in the hypnosis group. The study concludes that hypnosis and CB coping skills are effective in preparing pediatric oncology patients for bone marrow aspiration.
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