TY - JOUR
T1 - Effect of hypnosis versus mindfulness on self-defined treatment goals and sleep following acquired brain injury
T2 - a randomized actively controlled trial
AU - Kvamme, Timo L.
AU - Lindeløv, Jonas Kristoffer
AU - Thomsen, Kristine Rømer
AU - Overgaard, Rikke
AU - Overgaard, Morten
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/12
Y1 - 2024/12
N2 - Introduction: Cognitive rehabilitation for brain injury using hypnosis has received little attention. Methods: Here, we report on self-defined treatment goals and sleep-related outcomes from a randomized actively controlled trial of 49 patients with chronic cognitive sequelae following acquired brain injury. Patients were randomized to two groups, who initially received hypnotic suggestions either from a classical hypnosis tradition (“targeted”) or from a mindfulness tradition (“non-targeted”). Patients set self-defined goals for their everyday lives. Results: After eight sessions, patients reported outcomes (PROs) indicated large improvements with “same” (13%), “better” (44%), “much better” (18%), or “not a problem anymore” (25%). The reported “not a problem anymore” was exclusively reported following hypnosis, not mindfulness. After a 7-week follow-up period both groups experienced a decrease in their need for sleep (~ 55 min/day). Exploratory factor analysis showed that only improvement on objective but not subjective measures (e.g. Working Memory Index, Trail Making Test, and the European Brain Injury Questionnaire scored by a relative) reflected a latent improvement factor. This indicates that subjective reports following hypnotic suggestions should be interpreted cautiously. Conclusion: Based on our findings and converging evidence, we conclude that hypnosis is a promising method in cognitive neurorehabilitation following acquired brain injury, although further high-quality randomized controlled trials are required.
AB - Introduction: Cognitive rehabilitation for brain injury using hypnosis has received little attention. Methods: Here, we report on self-defined treatment goals and sleep-related outcomes from a randomized actively controlled trial of 49 patients with chronic cognitive sequelae following acquired brain injury. Patients were randomized to two groups, who initially received hypnotic suggestions either from a classical hypnosis tradition (“targeted”) or from a mindfulness tradition (“non-targeted”). Patients set self-defined goals for their everyday lives. Results: After eight sessions, patients reported outcomes (PROs) indicated large improvements with “same” (13%), “better” (44%), “much better” (18%), or “not a problem anymore” (25%). The reported “not a problem anymore” was exclusively reported following hypnosis, not mindfulness. After a 7-week follow-up period both groups experienced a decrease in their need for sleep (~ 55 min/day). Exploratory factor analysis showed that only improvement on objective but not subjective measures (e.g. Working Memory Index, Trail Making Test, and the European Brain Injury Questionnaire scored by a relative) reflected a latent improvement factor. This indicates that subjective reports following hypnotic suggestions should be interpreted cautiously. Conclusion: Based on our findings and converging evidence, we conclude that hypnosis is a promising method in cognitive neurorehabilitation following acquired brain injury, although further high-quality randomized controlled trials are required.
KW - Cognitive rehabilitation
KW - Hypnosis
KW - Mindfulness
KW - Sleep quality
KW - Stroke
KW - Traumatic brain injury
UR - http://www.scopus.com/inward/record.url?scp=85203697187&partnerID=8YFLogxK
U2 - 10.1007/s44202-024-00162-1
DO - 10.1007/s44202-024-00162-1
M3 - Journal article
AN - SCOPUS:85203697187
SN - 2731-4537
VL - 4
JO - Discover Psychology
JF - Discover Psychology
IS - 1
M1 - 80
ER -