There is renewed attention and greater focus on anxiety and sleep- related disturbances because of the high prevalence, complexity, and their health implications. The role of complementary and alternative medicine （...There is renewed attention and greater focus on anxiety and sleep- related disturbances because of the high prevalence, complexity, and their health implications. The role of complementary and alternative medicine （CAM）, which refers to therapeutic approaches that are ＂complementary to the end goals of decreasing illness and enhancing wellness, but are alternative to conventional medical treatment＂ is also increasingly recognized. In this review, we considered CAM approach to the management of anxiety and sleep disorders and discussed a few challenges associated with the effective integration of alternative therapy with conventional orthodox medical care展开更多
Objective:A multi-modal approach to fibromyalgia syndrome is necessary as it is affected by emotional,cognitive,and behavioral factors.In this context,hypnosis is one of the treatment methods used in fibromyalgia.Howe...Objective:A multi-modal approach to fibromyalgia syndrome is necessary as it is affected by emotional,cognitive,and behavioral factors.In this context,hypnosis is one of the treatment methods used in fibromyalgia.However,studies on the use of hypnosis in fibromyalgia have mostly been conducted with short treatment durations of self-hypnosis.For this reason,we aimed to conduct this study in which the hypnosis sessions were face-to-face and the treatment duration was longer.Materials and Methods:Twenty-five patients who met the fibromyalgia diagnostic criteria published in the American College of Rheumatology(ACR)2016 and whose medical treatment was planned were included in the study.A total of 20 patients completed the study(10 hypnosis group and 10 control group).No additional treatment was applied to the control group other than medical treatment and exercise recommendations.In addition to medical treatment and exercise,patients in the hypnosis group received face-to-face hypnosis therapy once a week for 60 min,a total of 10 sessions.Evaluations of the patients before the treatment and in the 3^(rd)month after the treatment were made with the pain score and the fibromyalgia disease activity score.Results:Ages 18–65 years,with widespread pain for at least 3 months,according to ACR 2016 fibromyalgia diagnostic criteria;A total of 20 patients with fibromyalgia,10 in the hypnosis treatment group and 10 in the control treatment group completed the study.When the 3^(rd)month Visual Analog Scale(VAS)and Fibromyalgia Impact Questionnaire(FIQ)values of the group receiving hypnosis treatment were compared with the control group,a statistical difference was found(P<0.001).When the pre-treatment VAS and FIQ values of the group receiving hypnosis treatment were compared with the 3^(rd)month values,a statistically significant improvement was found(respectively;P=0.006,P=0.005).When the pretreatment and 3^(rd)month VAS and FIQ values of the control group were compared,no statistical difference was found(P=0.063).Conclusions:Hypnosis treatment is effective in reducing pain and increasing daily life activities in fibromyalgia patients,and no side effects were reported.It can be considered a complementary treatment within the multimodal approach in fibromyalgia patients.展开更多
文摘There is renewed attention and greater focus on anxiety and sleep- related disturbances because of the high prevalence, complexity, and their health implications. The role of complementary and alternative medicine （CAM）, which refers to therapeutic approaches that are ＂complementary to the end goals of decreasing illness and enhancing wellness, but are alternative to conventional medical treatment＂ is also increasingly recognized. In this review, we considered CAM approach to the management of anxiety and sleep disorders and discussed a few challenges associated with the effective integration of alternative therapy with conventional orthodox medical care
文摘Objective:A multi-modal approach to fibromyalgia syndrome is necessary as it is affected by emotional,cognitive,and behavioral factors.In this context,hypnosis is one of the treatment methods used in fibromyalgia.However,studies on the use of hypnosis in fibromyalgia have mostly been conducted with short treatment durations of self-hypnosis.For this reason,we aimed to conduct this study in which the hypnosis sessions were face-to-face and the treatment duration was longer.Materials and Methods:Twenty-five patients who met the fibromyalgia diagnostic criteria published in the American College of Rheumatology(ACR)2016 and whose medical treatment was planned were included in the study.A total of 20 patients completed the study(10 hypnosis group and 10 control group).No additional treatment was applied to the control group other than medical treatment and exercise recommendations.In addition to medical treatment and exercise,patients in the hypnosis group received face-to-face hypnosis therapy once a week for 60 min,a total of 10 sessions.Evaluations of the patients before the treatment and in the 3^(rd)month after the treatment were made with the pain score and the fibromyalgia disease activity score.Results:Ages 18–65 years,with widespread pain for at least 3 months,according to ACR 2016 fibromyalgia diagnostic criteria;A total of 20 patients with fibromyalgia,10 in the hypnosis treatment group and 10 in the control treatment group completed the study.When the 3^(rd)month Visual Analog Scale(VAS)and Fibromyalgia Impact Questionnaire(FIQ)values of the group receiving hypnosis treatment were compared with the control group,a statistical difference was found(P<0.001).When the pre-treatment VAS and FIQ values of the group receiving hypnosis treatment were compared with the 3^(rd)month values,a statistically significant improvement was found(respectively;P=0.006,P=0.005).When the pretreatment and 3^(rd)month VAS and FIQ values of the control group were compared,no statistical difference was found(P=0.063).Conclusions:Hypnosis treatment is effective in reducing pain and increasing daily life activities in fibromyalgia patients,and no side effects were reported.It can be considered a complementary treatment within the multimodal approach in fibromyalgia patients.
