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Adding hypnosis to cognitive behavioural therapy may reduce some acute stress disorder symptoms

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Q Does adding hypnotherapy to cognitive behavioural therapy (CBT) reduce the symptoms of acute stress disorder compared with CBT or supportive counselling alone?


Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Not concealed.

Embedded ImageBlinding:

Assessors blinded, nature of intervention precluded participant blinding.

Embedded ImageFollow up period:

Six months.

Embedded ImageSetting:

Hospital post-traumatic stress disorder (PTSD) unit, Sydney, Australia; time period not stated.

Embedded ImagePatients:

Eighty seven civilians aged 17–60 years, with acute stress disorder (ASD; DSM-IV criteria) subsequent to a motor vehicle accident (39 people) or non-sexual assault (48 people). Main exclusion criteria: history of childhood sexual abuse, psychosis, or substance abuse; organic brain disorder; or current suicidal thoughts.

Embedded ImageIntervention:

Cognitive behavioural therapy (CBT) alone: five weekly 90 minute sessions involving imaginal and in vivo exposure, cognitive restructuring, and relapse prevention techniques. Participants completed daily homework to reinforce the concepts learnt during the sessions. …

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