Jena University Hospital, Friedrich Schiller University Jena, Institute of Psychosocial Medicine and Psychotherapy, Jena, Germany.
Clin Psychol Rev. 2013 Jul;33(5):623-36. doi: 10.1016/j.cpr.2013.03.005. Epub 2013 Mar 26.
This meta-analysis investigates the efficacy of hypnosis in adults undergoing surgical or medical procedures compared to standard care alone or an attention control. Through a comprehensive literature search N=34 eligible randomized controlled trials (RCTs) were included, comprising a total of 2597 patients. Random effects meta-analyses revealed positive treatment effects on emotional distress (g=0.53, CI 95% [0.37; 0.69]), pain (g=0.44, CI 95% [0.26; 0.61]), medication consumption (g=0.38, CI 95% [0.20; 0.56]), physiological parameters (g=0.10, CI 95% [0.02; 0.18]), recovery (g=0.25, CI 95% [0.04; 0.46]), and surgical procedure time (g=0.25, CI 95% [0.12; 0.38]). In conclusion, benefits of hypnosis on various surgically relevant outcomes were demonstrated. However, the internal validity of RCTs seems limited and further high methodological quality RCTs are needed to strengthen the promising evidence of hypnosis for adults undergoing surgery or medical procedures.
本荟萃分析调查了与单独标准护理或注意对照相比，催眠在接受手术或医疗程序的成年人中的疗效。通过全面的文献检索，共纳入了 34 项符合条件的随机对照试验（RCT），共有 2597 名患者。随机效应荟萃分析显示，催眠对情绪困扰（g=0.53，95%CI [0.37；0.69]）、疼痛（g=0.44，95%CI [0.26；0.61]）、药物消耗（g=0.38，95%CI [0.20；0.56]）、生理参数（g=0.10，95%CI [0.02；0.18]）、恢复（g=0.25，95%CI [0.04；0.46]）和手术时间（g=0.25，95%CI [0.12；0.38]）有积极的治疗效果。总之，催眠对各种与手术相关的结果有一定益处。然而，RCT 的内部有效性似乎有限，需要进一步开展高质量的 RCT，以加强催眠对接受手术或医疗程序的成年人的有前景的证据。
