| 1. |
- Csenge, Szeverenyi, et al.
(författare)
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Az ortopédiai nagymǔtétek során alkalmazott terápiás szuggesztiók hatása a beteg gyógyulására
- 2018
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Ingår i: Orvosi Hetilap. - : Akademiai Kiado Zrt.. - 0030-6002 .- 1788-6120. ; 159:48, s. 2011-2020
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Tidskriftsartikel (refereegranskat)abstract
- Introduction and aim: Hip and knee replacement surgery is very demanding for patients. Medication consumption is further increased by perioperative anxiety. Besides pain killer and anxiolytic medications, patients' recovery can be enhanced by applying therapeutic suggestions, which are easily applicable during the patient-physician communication. Method: In our prospective, randomized, controlled study we examined the effects of positive suggestions on patients undergoing hip or knee arthroplasty in spinal anaesthesia. Members of the suggestion group received the therapeutic suggestions during a pre-surgery physician visit, and by listening to an audio recording during surgery. Results: Compared to the control group (n = 50), in the suggestion group (n = 45) the need of medication (pain killer and adjuvant pain medication) during the surgery was lower (p = 0.037), the mean change from baseline in the well-being of the patients was better on the 2nd [1.31 (0.57; 2.04); p<0.001] and 4th [0.97 (0.23; 1.7); p = 0.011] postoperative day and less transfusion had to be administered (OR: 2.37; p = 0.004). However, there was no difference between the two groups in the postoperative need of medications, in the length of hospitalisation and in the frequency of complications. Conslusion: Our results indicate that the administration of therapeutic suggestions in the perioperative period may be beneficial for orthopaedic surgery patients.
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| 2. |
- Szeverenyi, Csenge, et al.
(författare)
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The use of adjunct psychosocial interventions can decrease postoperative pain and improve the quality of clinical care in orthopedic surgery. A systematic review and meta-analysis of randomized controlled trials
- 2018
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Ingår i: Journal of Pain. - : Elsevier BV. - 1526-5900. ; 19:11, s. 1231-1252
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to assess the effectiveness of psychosocial techniques to decrease postoperative pain and improve perioperative clinical care in orthopedic surgery. A systematic review and meta-analysis was performed to evaluate the effects of psychosocial methods among adults undergoing orthopedic surgeries. The systematic review included both randomized and nonrandomized trials, but only randomized controlled clinical trials (RCTs) were included in the meta-analysis. Key outcomes were postoperative pain, analgesic requirement, perioperative anxiety, quality of life, and recovery. After searching the databases from January 1980 to September 2016, a total of 62 RCTs were included with a pooled sample size of 4,908. Psychosocial interventions significantly reduced postoperative pain (Hedges’ g = 0.31 [95% confidence interval = 0.14, 0.48]), and preoperative and postoperative anxiety (g = 0.26 [0.11, 0.42] and g = 0.4 [0.21, 0.59], respectively). Furthermore, psychosocial interventions improved recovery (g = 0.38 [0.22, 0.54]). However, no significant effects were found for postoperative analgesic use (g = 0.16 [−0.01, 0.32]) and quality of life (g = 0.14 [−0.05, 0.33]). Patient education and relaxation techniques produced the most consistent positive effects, showing benefits on pain, anxiety, and recovery. Cognitive or behavioral techniques improved recovery. Furthermore, larger effects were found for studies that included acute surgeries compared to elective surgeries. The results indicate that psychosocial interventions, especially patient education and relaxation training, may reduce perioperative side effects and improve recovery in patients undergoing orthopedic procedures, but the quality of evidence is generally low. More well-powered, high-quality studies are needed to increase confidence.
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| 3. |
- Benge, Jared F., et al.
(författare)
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Brief Report: Knowledge of, Interest in, and Willingness to Try Behavioral Interventions in Individuals with Parkinson's Disease : Knowledge of, Interest in, and Willingness to Try Behavioral Interventions in Individuals With Parkinson's Disease
- 2018
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Ingår i: Advances in Mind-Body Medicine. - 1532-1843. ; 32:1, s. 8-12
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Tidskriftsartikel (refereegranskat)abstract
- Purpose/Objective • Behavioral interventions hold enormous promise for managing a variety of motor and nonmotor symptoms in Parkinson's disease (PD). Despite this, prior studies have suggested that the utilization of these interventions is relatively low. The current study seeks to understand factors that could relate to the utilization of PD behavioral strategies. Specifically, the study evaluates the self-described knowledge of, interest in, and willingness to participate in behavioral interventions in a community-dwelling sample of individuals with PD. Research Method/Design • Forty-five individuals with PD completed a survey that assessed knowledge, interest, and willingness to participate in 5 behavioral interventions: hypnosis, relaxation training, mindfulness/meditation, computerized "brain games," and counseling. In addition, participants self-reported their quality of life across several domains; these domain scores were correlated with overall ratings of interest and willingness to participate in behavioral interventions. Results • Self-reported knowledge of behavioral interventions was low, but interest and willingness to participate was moderate to high across modalities. Statistically significant correlations were noted between perceived knowledge of the techniques and interest (r = 0.29, P = .05) as well as willingness to participate (r = 0.32, P = .03) in these techniques. Interest and willingness were also correlated with self-reported bodily discomfort (r = 0.36, P = .02). Conclusions/Implications • The participants of the current sample were interested and willing to participate in behavioral interventions but had limited knowledge of the potential for these techniques to manage their symptoms. The reported high level of willingness to participate in behavioral interventions suggests that it is feasible to provide behavioral interventions in this population.
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| 4. |
- Elkins, Gary, et al.
(författare)
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Hypnosis Intervention for Sleep Disturbance : Determination of Optimal Dose and Method of Delivery for Postmenopausal Women
- 2021
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Ingår i: International Journal of Clinical and Experimental Hypnosis. - : Informa UK Limited. - 1744-5183 .- 0020-7144. ; 69:3, s. 323-345
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Tidskriftsartikel (refereegranskat)abstract
- Sleep disturbances are a pervasive problem among postmenopausal women, with an estimated 40 to 64% reporting poor sleep. Hypnosis is a promising intervention for sleep disturbances. This study examined optimal dose and delivery for a manualized hypnosis intervention to improve sleep. Ninety postmenopausal women with poor sleep were randomized to 1 of 4 interventions: 5 in-person, 3 in-person, 5 phone, or 3 phone contacts. All received hypnosis audio recordings, with instructions for daily practice for 5 weeks. Feasibility measures included treatment satisfaction ratings and practice adherence. Sleep outcomes were sleep quality, objective and subjective duration, and bothersomeness of poor sleep. Results showed high treatment satisfaction, adherence, and clinically meaningful (≥ 0.5 SD) sleep improvement for all groups. Sleep quality significantly improved, p < .05, η2 = .70, with no significant differences between groups, with similar results for the other sleep outcomes across all treatment arms. Comparable results between phone and in-person groups suggest that a unique "dose" and delivery strategy is highly feasible and can have clinically meaningful impact. This study provides pilot evidence that an innovative hypnosis intervention for sleep (5 phone contacts with home practice) reduces the burden on participants while achieving maximum treatment benefit.
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| 5. |
- Éva, Hadházi, et al.
(författare)
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Elozetes eredmények egy magyar mintán kidolgozott Intrauterin Kapcsolati Kérdoív méréses tapasztalatairól-pilot study
- 2017
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Ingår i: Mentalhigiene es Pszichoszomatika. - : Akademiai Kiado Zrt.. - 1419-8126 .- 1786-3759. ; 18:3, s. 263-300
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Tidskriftsartikel (refereegranskat)abstract
- Background: The effects of "maternal environment" on fetal development have been studied since the eighties, but the results regarding the features which influence mother-fetus relationship are inconsistent. Aim: To develop a mother-fetus relationship assessment scale on a Hungarian sample, and to reveal the factors that determine mother-fetus bonding. Method: 114 pregnant women, between 15 and 38 weeks of gestational age, filled out the Intrauterine Relationship Questionnaire, the Hungarian version of Maternal Fetal Attachment Scale, Intimate Bond Measurement and Parental Bonding Instrument. Results: our 28 items Intrauterine Relationship Questionnaire's (IURQ) factor structure indicators proved to remain below the expectations (RMSEA =. 08, χ 2/df = 1.645, NFI =. 85, CFI =. 87). The eight subscales' Cronbach's alphas are between. 56 and. 93. With exploratory factor analysis we managed to develop a shortened version model (IURQ-S), with better psychometric characteristics, which contains 12 items and 3 subscales (RMSEA =. 08, χ 2/df = 1.660, NFI =. 95, CFI =. 96). The internal consistency of IURQ-S is high, Cronbach's alphas range from. 81 to. 93. For further analyses we used the IURQ-S model. Our questionnaire correlate with MFAS-HU but their dimensions are not entirely overlapping. In accordance with international experiences we found that a mother reaches significantly higher scores on the mother-fetus relationship scale, if she can be characterized with any of the following: married, has high contribution to family income, no previous experience of miscarriage, born in natural way, without any intervention, definitely knows or definitely does not know the fetus' sex. The time of the pregnancy had no substantial effect, neither had the educational background of the mother or whether the pregnancy was planned. The method of conception, the number of children born previously and the fetal movement did not prove to be decisive either. Fetal attachment correlated with partnership intimacy: higher mother-fetus attachment scores were found with higher perceived care and lower perceived control. The mother's own parental bonding, her perceived maternal and paternal love was found to be in positive correlation with her attachment to her fetus. Conclusions: The questionnaire reliability is promising, but further validity examinations are needed in a larger, more heterogeneous sample. The results have drawn our attention to the importance of parental bonding and perceived partner care during pregnancy, and can help prevention of early attachment disfunction.
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| 6. |
- Farahzadi, Yeganeh, et al.
(författare)
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Towards a multi-brain framework for hypnosis : a review of quantitative methods
- 2021
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Ingår i: American Journal of Clinical Hypnosis. - : Informa UK Limited. - 0002-9157 .- 2160-0562. ; 63:4, s. 389-403
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Tidskriftsartikel (refereegranskat)abstract
- Most real-world applications of hypnosis involve a pair of actors: a hypnotist and a subject. Accordingly, most current models of hypnosis acknowledge the relevance of social factors in the development of the hypnotic response. Yet, psychophysiological research on hypnosis has been mostly restricted to techniques that are studying one individual, neglecting the complexity of hypnosis as a social phenomenon. In this paper, we review evidence suggesting that a multi-brain approach to studying the psychophysiology of hypnosis could lead to a breakthrough in our understanding of the neural correlates of hypnosis. In particular, we aim to highlight how this approach which relies on the information conveyed by complex verbal stimuli can be utilized to deal with the multifaceted nature of hypnosis. Furthermore, we present analytical approaches to assessing brain-to-brain coupling developed in the field of social cognitive neuroscience in the past decade, to aid the design of similar multi-brain studies in hypnosis research.
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| 7. |
- Kasos, Krisztian, et al.
(författare)
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Bilateral electrodermal activity in the active-alert hypnotic induction
- 2018
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Ingår i: International Journal of Clinical and Experimental Hypnosis. - : Informa UK Limited. - 0020-7144 .- 1744-5183. ; 66:3, s. 282-297
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Tidskriftsartikel (refereegranskat)abstract
- Shifts in hemispheric dominance were previously proposed to play a role in hypnosis. Participants (N = 32) were exposed to an active–alert hypnosis induction and a music-control condition while electrodermal activity was registered bilaterally, providing information on alterations in hemispheric dominance. The results suggest that highly hypnotizable participants show a shift to right-sided and low hypnotizable participants demonstrated a shift to left-sided electrodermal dominance in response to the induction, whereas no change in laterality is present in the control condition. Additionally, the authors found that self-reported hypnosis experiences were also associated with a shift in laterality. These results underline the importance of the shift to right hemispheric activity in hypnosis and underscore the importance of hemispheric changes in shaping subjective experience.
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| 8. |
- Kekecs, Zoltan, et al.
(författare)
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Guidelines for the Assessment of Efficacy of Clinical Hypnosis Applications
- 2022
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Ingår i: International Journal of Clinical and Experimental Hypnosis. - : Informa UK Limited. - 0020-7144 .- 1744-5183. ; 70:2, s. 104-122
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Tidskriftsartikel (refereegranskat)abstract
- Research on the efficacy of hypnosis applications continues to grow, but there remain major gaps between the science and clinical practice. One challenge has been a lack of consensus on which applications of hypnosis are efficacious based on research evidence. In 2018, 6 major hypnosis organizations collaborated to form the Task Force for Establishing Efficacy Standards for Clinical Hypnosis. This paper describes a Guideline for the Assessment of Efficacy of Clinical Hypnosis Applications developed by the Task Force, which makes 10 specific recommendations. The guideline is intended to be a tool for those who want to assess the quality of existing evidence on the efficacy of clinical hypnosis for any particular indication. The paper also discusses methodological issues in the interpretation and implementation of these guidelines. Future papers will report on the other products of the Hypnosis Efficacy Task Force, such as best practice recommendations for outcomes research in hypnosis and an international survey of researchers and clinicians on current practice and attitudes about hypnosis.
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| 9. |
- Kekecs, Zoltan, et al.
(författare)
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Raising the value of research studies in psychological science by increasing the credibility of research reports : the transparent Psi project
- 2023
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Ingår i: Royal Society Open Science. - : The Royal Society. - 2054-5703. ; 10:2
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Tidskriftsartikel (refereegranskat)abstract
- The low reproducibility rate in social sciences has produced hesitation among researchers in accepting published findings at their face value. Despite the advent of initiatives to increase transparency in research reporting, the field is still lacking tools to verify the credibility of research reports. In the present paper, we describe methodologies that let researchers craft highly credible research and allow their peers to verify this credibility. We demonstrate the application of these methods in a multi-laboratory replication of Bem's Experiment 1 (Bem 2011 J. Pers. Soc. Psychol. 100, 407-425. (doi:10.1037/a0021524)) on extrasensory perception (ESP), which was co-designed by a consensus panel including both proponents and opponents of Bem's original hypothesis. In the study we applied direct data deposition in combination with born-open data and real-time research reports to extend transparency to protocol delivery and data collection. We also used piloting, checklists, laboratory logs and video-documented trial sessions to ascertain as-intended protocol delivery, and external research auditors to monitor research integrity. We found 49.89% successful guesses, while Bem reported 53.07% success rate, with the chance level being 50%. Thus, Bem's findings were not replicated in our study. In the paper, we discuss the implementation, feasibility and perceived usefulness of the credibility-enhancing methodologies used throughout the project.
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| 10. |
- Kekecs, Zoltan, et al.
(författare)
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Test-Retest Reliability of the Stanford Hypnotic Susceptibility Scale, Form C and the Elkins Hypnotizability Scale
- 2021
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Ingår i: International Journal of Clinical and Experimental Hypnosis. - : Informa UK Limited. - 1744-5183 .- 0020-7144. ; 69:1, s. 142-161
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Tidskriftsartikel (refereegranskat)abstract
- This project aimed to assess the consistency of hypnotizability over repeated assessments when measured by the Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C), and the Elkins Hypnotizability Scale (EHS) and to contrast score distribution and pleasantness of these scales. University students were administered either the SHSS:C or the EHS twice with a one-week delay by separate experimenters. Test-retest reliability of the EHS and the SHSS:C was rs =.82 (.71-.92) and rs =.66, 95% (.47-.86), respectively (Spearman's correlation). Hypnotizability was comparable at test and retest in the EHS group, SHSS:C scores decreased by the retest. We found that the SHSS:C produced higher scores than the EHS, and the pleasantness of the 2 scales was comparable. Overall, our results supported the reliability of the EHS, while SHSS:C scores were more inconsistent between the 2 assessments. More research is warranted.
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