Application of hypnosis, yoga and relaxation techniques in the treatment of Post-traumatic Stress Disorder – literature review
DOI:
https://doi.org/10.12775/QS.2024.17.53734Keywords
PTSD, hypnosis, treatment, relaxation techniques, traumaAbstract
Introduction and Purpose:Post-traumatic stress disorder (PTSD) presents a complex clinical picture, making treatment challenging. Current pharmacological approaches predominantly target the serotonin system, yet treatment efficacy remains variable. Growing interest in non-pharmacological approaches arises from challenges in identifying effective drug treatments. Dysregulation of the autonomic system and respitarory irregularities highlight the potential of relaxation methods in managing PTSD symptoms. Our study aims to assess the efficacy of unconventional methods such as hypnosis and relaxation techniques as complementary or alternative treatments for PTSD.
The State of Knowledge:Numerous studies demonstrate significant reductions in negative PTSD symptoms, particularly re-experiencing, avoidance, and excessive anxiety, through relaxation techniques, meditation, and mindfulness interventions. Promising results are seen in both adult and pediatric populations affected by trauma.. Hypnosis-assisted therapy shows potential in alleviating anxiety, dissociation, and sleep disturbances. Breathing yoga and mindfulness-based therapy also show promise in reducing PTSD symptoms, although further research is needed.
Conclusion:Our review underscores the potential of non-pharmacological interventions, like hypnosis, yoga, mindfulness, and relaxation techniques, in alleviating PTSD symptoms. Despite study limitations, these approaches offer valuable adjunctive therapies. Future research should focus on validating their efficacy through well-designed trials. Integrating these techniques into treatment plans could enhance overall well-being for individuals with PTSD, bearing in mind the importance of individualized care.
References
Marazziti D, Carmassi C, Cappellato G, Chiarantini I, Massoni L, Mucci F, Arone A, Violi M, Palermo S, De Iorio G, Dell'Osso L. Novel Pharmacological Targets of Post-Traumatic Stress Disorders. Life (Basel). 2023 Aug 11;13(8):1731. doi: 10.3390/life13081731. PMID: 37629588; PMCID: PMC10455314.
Kim SH, Schneider SM, Kravitz L, Mermier C, Burge MR. Mind-body practices for posttraumatic stress disorder. J Investig Med. 2013 Jun;61(5):827-34. doi: 10.2310/JIM.0b013e3182906862. PMID: 23609463; PMCID: PMC3668544.
American Psychological Association (APA): Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, APA, 2013
American Psychological Association (APA): Diagnostic and statistical manual of mental disorders. 3rd ed. Arlington, APA, 1980
American Psychological Association (APA): Diagnostic and statistical manual of mental disorders. 4th ed. Arlington, APA, 1994
Stein D.J., Ipser J.C., Seedat S.: Pharmacotherapy for post traumatic stress disorder (PTSD). Cochrane Database Syst. Rev., 2006: CD002 795
Stein D.J., Seedat S., van der Linden G.J., et al.: Selective serotonin reuptake inhibitors in the treatment of post-traumatic stress disorder: a meta-analysis of randomized controlled trials. Int. Clin. Psychopharmacol., 2000; 15 (suppl. 2): S31–S39
Koenen KC, Ratanatharathorn A, Ng L, et al. Posttraumatic stress disorder in the World Mental Health Surveys. Psychological Medicine. 2017;47(13):2260-2274. doi:10.1017/S0033291717000708
Sareen J, Houlahan T, Cox BJ, Asmundson GJ. Anxiety disorders associated with suicidal ideation and suicide attempts in the National Comorbidity Survey. J Nerv Ment Dis. 2005 Jul;193(7):450-4. doi: 10.1097/01.nmd.0000168263.89652.6b. PMID: 15985839.
Wilcox H.C., Storr C.L., Breslau N.Ł Posttraumatic stress disorder and suicide attempts in a community sample of urban American young adults. Arch. Gen. Psychiatry, 2009; 66: 305–311
Lee YL, Santacroce SJ. Posttraumatic stress in long-term young adult survivors of childhood cancer: a questionnaire survey. Int J Nurs Stud. 2007 Nov;44(8):1406-17. doi: 10.1016/j.ijnurstu.2006.07.002. Epub 2006 Sep 20. PMID: 16989835.
Meeske KA, Ruccione K, Globe DR, Stuber ML. Posttraumatic stress, quality of life, and psychological distress in young adult survivors of childhood cancer. Oncol Nurs Forum. 2001 Apr;28(3):481-9. PMID: 11338757.
Bruce M. A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clin Psychol Rev. 2006 May;26(3):233-56. doi: 10.1016/j.cpr.2005.10.002. Epub 2006 Jan 18. PMID: 16412542.
Blechert J, Michael T, Grossman P, Lajtman M, Wilhelm FH. Autonomic and respiratory characteristics of posttraumatic stress disorder and panic disorder. Psychosom Med. 2007 Dec;69(9):935-43. doi: 10.1097/PSY.0b013e31815a8f6b. Epub 2007 Nov 8. PMID: 17991823.
Waelde LC, Uddo M, Marquett R, Ropelato M, Freightman S, Pardo A, Salazar J. A pilot study of meditation for mental health workers following Hurricane Katrina. J Trauma Stress. 2008 Oct;21(5):497-500. doi: 10.1002/jts.20365. PMID: 18956453.
Catani C, Kohiladevy M, Ruf M, Schauer E, Elbert T, Neuner F. Treating children traumatized by war and Tsunami: a comparison between exposure therapy and meditation-relaxation in North-East Sri Lanka. BMC Psychiatry. 2009 May 13;9:22. doi: 10.1186/1471-244X-9-22. PMID: 19439099; PMCID: PMC2685130.
Neuner F, Schauer E, Catani C, Ruf M, Elbert T. Post-tsunami stress: a study of posttraumatic stress disorder in children living in three severely affected regions in Sri Lanka. J Trauma Stress. 2006;19:339–347. doi: 10.1002/jts.20121.
Neuner F, Catani C, Ruf M, Schauer E, Schauer M, Elbert T. Narrative Exposure Therapy for the treatment of child and adolescent war victims: From neurobiology to field intervention. Child and Adolescent Psychiatric Clinics of North America. 2008;17:641–664. doi: 10.1016/j.chc.2008.03.001.
Staples, J. K., Abdel Atti, J. A., & Gordon, J. S. (2011). Mind-body skills groups for posttraumatic stress disorder and depression symptoms in Palestinian children and adolescents in Gaza. International Journal of Stress Management, 18(3), 246–262. https://doi.org/10.1037/a0024015
Lesmana CB, Suryani LK, Jensen GD, Tiliopoulos N. A spiritual-hypnosis assisted treatment of children with PTSD after the 2002 Bali terrorist attack. Am J Clin Hypn. 2009 Jul;52(1):23-34. doi: 10.1080/00029157.2009.10401689. PMID: 19678557.
Abramowitz EG, Bonne O. [Use of hypnosis in the treatment of combat post traumatic stress disorder (PTSD)]. Harefuah. 2013 Aug;152(8):490-3, 497. Hebrew. PMID: 24167937.
Lynn SJ, Cardeña E. Hypnosis and the treatment of posttraumatic conditions: an evidence-based approach. Int J Clin Exp Hypn. 2007 Apr;55(2):167-88. doi: 10.1080/00207140601177905. PMID: 17427292.
Tudor-Ștefan Rotaru & Andrei Rusu (2016) A Meta-Analysis for the Efficacy of Hypnotherapy in Alleviating PTSD Symptoms, International Journal of Clinical and Experimental Hypnosis, 64:1, 116-136, DOI: 10.1080/00207144.2015.1099406
Descilo T, Vedamurtachar A, Gerbarg PL, Nagaraja D, Gangadhar BN, Damodaran B, Adelson B, Braslow LH, Marcus S, Brown RP. Effects of a yoga breath intervention alone and in combination with an exposure therapy for post-traumatic stress disorder and depression in survivors of the 2004 South-East Asia tsunami. Acta Psychiatr Scand. 2010 Apr;121(4):289-300. doi: 10.1111/j.1600-0447.2009.01466.x. Epub 2009 Aug 19. PMID: 19694633.
Herzog P, Kaiser T. Is it worth it to personalize the treatment of PTSD? - A variance-ratio meta-analysis and estimation of treatment effect heterogeneity in RCTs of PTSD. J Anxiety Disord. 2022 Oct;91:102611. doi: 10.1016/j.janxdis.2022.102611. Epub 2022 Aug 5. PMID: 35963147.
Marchand WR, Klinger W, Block K, VerMerris S, Nazarenko E, Curtis H, Newton J, Herrmann TS, Yabko B, Lane J. Mindfulness-based Therapeutic Sailing for Veterans With Psychiatric and Substance Use Disorders. Mil Med. 2022 Mar 28;187(3-4):e445-e452. doi: 10.1093/milmed/usab030. PMID: 33564887.
Montero-Marin J, Garcia-Campayo J, López-Montoyo A, Zabaleta-Del-Olmo E, Cuijpers P. Is cognitive-behavioural therapy more effective than relaxation therapy in the treatment of anxiety disorders? A meta-analysis. Psychol Med. 2018 Jul;48(9):1427-1436. doi: 10.1017/S0033291717003099. Epub 2017 Oct 17. PMID: 29037266.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Julia Rybak, Piotr Pawłowski, Bartosz Sadłowski, Paula Bieganek, Stanisław Łukaszewicz, Jakub Kordialik, Julia Koćwin, Sandra Sarnacka, Michał Tokarski, Angelika Tokarska

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 170
Number of citations: 0