Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers

Francesco Pagnini, Johann R. Kleinbub, Arianna Palmieri, Alice Broggio, Enrico Benelli, Marco Sambin, Gianni Sorarù

Risultato della ricerca: Contributo in rivistaArticolo in rivista

24 Citazioni (Scopus)

Abstract

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 (QoL) 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, QoL, 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. © 2015 Kleinbub, Palmieri, Broggio, Pagnini, Benelli, Sambin and Sorarù.
Lingua originaleEnglish
pagine (da-a)1-14
Numero di pagine14
RivistaFrontiers in Psychology
Volume6
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • ALSFRS-r
  • amyotrophic lateral sclerosis (ALS)
  • anxiety
  • defense mechanisms
  • depression
  • hypnosis
  • psychodynamic intervention
  • quality of life

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