Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers.
Background: Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.Methods: Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients’ prim...
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doaj-1961e587653748fe9728605a66ab1d2a2020-11-24T21:41:36ZengFrontiers Media S.A.Frontiers in Psychology1664-10782015-06-01610.3389/fpsyg.2015.00822136434Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers.Johann Roland Kleinbub0Arianna ePalmieri1Alice eBroggio2Francesco ePagnini3Benelli eEnrico4Marco eSambin5Gianni eSorarù6University of PadovaUniversity of PadovaUniversity of PadovaCatholic University of MilanUniversity of PadovaUniversity of PadovaUniversity of PaduaBackground: Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.Methods: Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients’ primary caregivers and 15 one-by-one matched control patients were considered in the study.Measurements of anxiety, depression and quality of life were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients’ anxiety, depression, quality of life, and functional impairment (ALSFRS-r), as well as on caregivers’ anxiety and depression.Results: The statistical analyses revealed an improvement in psychological variables’ scores immediately after the treatment. Amelioration in patients’ and caregivers’ anxiety as well as caregivers’ depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group’s patients.Discussion: Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00822/fullAmyotrophic Lateral SclerosisAnxietyDepressionHypnosisQuality of LifeDefense Mechanisms |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Johann Roland Kleinbub Arianna ePalmieri Alice eBroggio Francesco ePagnini Benelli eEnrico Marco eSambin Gianni eSorarù |
spellingShingle |
Johann Roland Kleinbub Arianna ePalmieri Alice eBroggio Francesco ePagnini Benelli eEnrico Marco eSambin Gianni eSorarù Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. Frontiers in Psychology Amyotrophic Lateral Sclerosis Anxiety Depression Hypnosis Quality of Life Defense Mechanisms |
author_facet |
Johann Roland Kleinbub Arianna ePalmieri Alice eBroggio Francesco ePagnini Benelli eEnrico Marco eSambin Gianni eSorarù |
author_sort |
Johann Roland Kleinbub |
title |
Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. |
title_short |
Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. |
title_full |
Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. |
title_fullStr |
Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. |
title_full_unstemmed |
Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers. |
title_sort |
hypnosis-based psychodynamic treatment in als: a longitudinal study on patients and their caregivers. |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychology |
issn |
1664-1078 |
publishDate |
2015-06-01 |
description |
Background: Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.Methods: Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients’ primary caregivers and 15 one-by-one matched control patients were considered in the study.Measurements of anxiety, depression and quality of life were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients’ anxiety, depression, quality of life, and functional impairment (ALSFRS-r), as well as on caregivers’ anxiety and depression.Results: The statistical analyses revealed an improvement in psychological variables’ scores immediately after the treatment. Amelioration in patients’ and caregivers’ anxiety as well as caregivers’ depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group’s patients.Discussion: Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS. |
topic |
Amyotrophic Lateral Sclerosis Anxiety Depression Hypnosis Quality of Life Defense Mechanisms |
url |
http://journal.frontiersin.org/Journal/10.3389/fpsyg.2015.00822/full |
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