Virtually Augmented Self-Hypnosis in Peripheral Vascular Intervention: A Randomized Controlled Trial.

Details

Ressource 1Download: s00270-023-03394-1.pdf (281.04 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_91209BDE9CB8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Virtually Augmented Self-Hypnosis in Peripheral Vascular Intervention: A Randomized Controlled Trial.
Journal
Cardiovascular and interventional radiology
Author(s)
Gullo G., Rotzinger D.C., Colin A., Frossard P., Gudmundsson L., Jouannic A.M., Qanadli S.D.
ISSN
1432-086X (Electronic)
ISSN-L
0174-1551
Publication state
Published
Issued date
06/2023
Peer-reviewed
Oui
Volume
46
Number
6
Pages
786-793
Language
english
Notes
Publication types: Randomized Controlled Trial ; Journal Article
Publication Status: ppublish
Abstract
Hypnosis is useful for diminishing distress during medical procedures. This study investigated the efficacy of virtually augmented self-hypnosis as an adjunctive non-pharmacological method for procedural pain and anxiety relief during endovascular interventions (EVI).
We compared an immersive distraction experience (clinicaltrials.gov identifier NCT04561596) featuring virtual reality (VR) using a head-mounted display versus treatment as usual (TAU). Patients followed the "Aqua" module (Oncomfort™) consisting of a scuba dive and breathing exercises. They experienced a self-induced dissociative state similar to clinical hypnosis without direct intervention of a professional. Enrollment followed a 1:1 randomized open study (VR or TAU). Patients' feelings were evaluated just before and after the procedure, and 3 months following intervention. Anxiety was evaluated using the State Trait Anxiety Inventory (STAI) and pain (sensory, emotional, and memory) with a visual analogue scale (VAS).
This study included 100 patients. Mean anxiety (pre-post) was significantly reduced within groups and between groups (difference of 4.2 points, p = 0.016). The percentage of responders to anxiety lowering were 76 and 46% for VR and TAU, respectively (p = 0.004). The two groups did not significantly differ in mean sensory-intensity and affective emotional pain (pre-post) using VAS, in negative memories concerning remembered pain at 3 months (difference > 1 from immediate post-procedural reported pain intensity), mean procedural time, or the need for analgesic or sedative drugs.
VR self-hypnosis has the potential to improve the management of patients' distress during radiological procedures. It is safe and effective for reducing anxiety during EVI.
Keywords
Humans, Pain, Pain, Procedural/psychology, Pain, Procedural/therapy, Anxiety/prevention & control, Anxiety/psychology, Virtual Reality, Hypnosis/methods, Analgesia, Anxiety, Hypnosis, Interventional, Pain management, Radiology, Virtual reality
Pubmed
Web of science
Open Access
Yes
Create date
22/03/2023 14:00
Last modification date
08/06/2023 5:55
Usage data