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Tuesday, May 24, 2011

Hypnosis and Neurology


Hypnosis has been used successfully for treatment of headaches. Patients with chronic (≥6 months) tension headaches were assigned randomly to hypnosis or a control group. The hypnosis group had a significant reduction in the number, duration, and intensity of headaches. Instruction in self-hypnosis produced significant benefit for tension headaches in other studies including a group of less hypnotizable patients.

Hypnosis was compared with propranolol use for children with migraine headaches in a prospective, randomized, controlled, crossover trial. Patients taught self-hypnosis had a decreased frequency of headaches. In another trial, university students with chronic headaches were studied. Hypnosis using imagery for relaxation and serenity was compared with an active placebo that consisted of watching slides falsely claimed to contain potent subliminal messages for pain relief.

Both groups achieved significant (P<.05) and equal decreases in headache pain compared with controls. Hypnosis did not outperform the placebo; however, the hypnosis group received no specific suggestions for pain relief, whereas the placebo group was given suggestions to expect such benefit (waking hypnosis).

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