Milling Leonard S, Valentine Keara E, McCarley Hannah S, LoStimolo Lindsey M
University of Hartford.
Am J Clin Hypn. 2019 Jan;61(3):227-243. doi: 10.1080/00029157.2018.1489777.
This meta-analysis quantifies the effectiveness of hypnosis for treating the symptoms of depression. To be included in the meta-analysis, studies were required to use a between-subjects or mixed-model design in which a hypnotic intervention for depression was compared with a control condition in reducing depression symptoms. Of 197 records screened, 10 studies incorporating 13 trials of hypnosis met the inclusion criteria. The mean weighted effect size for 13 trials of hypnosis at the end of active treatment was 0.71 ( ≤ .001), indicating the average participant receiving hypnosis showed more improvement than about 76% of control participants. The mean weighted effect size for four trials of hypnosis at the longest follow-up was 0.52 ( ≤ .01), indicating the average participant treated with hypnosis showed more improvement than about 51% of control participants. These effect sizes are comparable to those associated with well-known psychological interventions for depression (e.g., Beck's cognitive therapy, interpersonal therapy) and suggest hypnosis is a very effective way of alleviating the symptoms of depression. Clinicians may wish to give serious consideration to hypnosis as a treatment option when working with clients and patients who are depressed.
这项荟萃分析量化了催眠疗法治疗抑郁症症状的有效性。要纳入该荟萃分析，研究需采用组间设计或混合模型设计，其中将针对抑郁症的催眠干预与对照条件在减轻抑郁症状方面进行比较。在筛选的197条记录中，有10项纳入催眠疗法的13项试验符合纳入标准。在积极治疗结束时，13项催眠试验的平均加权效应量为0.71（P≤0.001），这表明接受催眠疗法的平均参与者比约76%的对照参与者有更大改善。在最长随访期，4项催眠试验的平均加权效应量为0.52（P≤0.01），这表明接受催眠疗法的平均参与者比约51%的对照参与者有更大改善。这些效应量与抑郁症的知名心理干预措施（如贝克认知疗法、人际疗法）相当，表明催眠是减轻抑郁症状的一种非常有效的方法。临床医生在治疗抑郁症患者时，可能希望认真考虑将催眠作为一种治疗选择。
