Anlló Hernán, Larue François, Herer Bertrand
Laboratory of Cognitive and Computational Neuroscience, Department of Cognitive Studies, École Normale Supérieure de Paris, PSL University, Paris, France.
Complementary Care and Behavior Research Team, Bligny Hospital Center, Briis-sous-Forges, France.
Front Psychol. 2022 May 19;13:913406. doi: 10.3389/fpsyg.2022.913406. eCollection 2022.
Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent and debilitating respiratory condition, characterized by chronic airflow limitation, breathlessness, and other persistent respiratory symptoms. Critically, patients suffering from COPD often find themselves trapped in a vicious comorbidity cycle: while breathlessness and increased respiratory rate are known inducers of anxiety, the latter have been shown in turn to exacerbate breathlessness and chest discomfort. Hypnosis holds great potential for the simultaneous complementary management of anxiety and breathlessness in COPD. It is an inexpensive psychological intervention tailored to the patient's own experience, convenient in terms of logistics and implementation. In this short qualitative review, we present hypnosis' structural, cognitive, and neural fundamentals, and assess existing instances of hypnosis use in the treatment of anxiety, depression, and respiratory disease. We then discuss its potential as a tool for improving health-related quality of life and the self-management of COPD within (and beyond) pulmonary rehabilitation.
慢性阻塞性肺疾病（COPD）是一种高度流行且使人衰弱的呼吸系统疾病，其特征为慢性气流受限、呼吸急促及其他持续的呼吸道症状。关键的是，患有COPD的患者常常陷入一种恶性循环的合并症中：虽然呼吸急促和呼吸频率增加是已知的焦虑诱发因素，但反过来，后者又会加剧呼吸急促和胸部不适。催眠对于同时辅助管理COPD患者的焦虑和呼吸急促具有巨大潜力。它是一种根据患者自身经历量身定制的低成本心理干预方法，在后勤和实施方面都很便捷。在这篇简短的定性综述中，我们阐述了催眠的结构、认知和神经学基础，并评估了催眠在治疗焦虑、抑郁和呼吸系统疾病方面的现有应用实例。然后，我们讨论了其作为一种工具在改善与健康相关的生活质量以及在肺康复（及康复之外）中对COPD进行自我管理方面的潜力。
