Self-hypnosis and post-operative pain and anxiety

Townsend Letter for Doctors and Patients, Oct, 2006 by Robert A. Anderson

Thirty-two patients scheduled for coronary artery bypass graft surgery were closely followed from one day prior to surgery until the time of discharge from the hospital. Those randomized to the study group were taught self-hypnosis relaxation techniques preoperatively, contrasted to controls who had only routine care. Patients who were taught self-hypnosis relaxation techniques were significantly more relaxed postoperatively compared to the control group (p=.032). Pain medication requirements were also significantly less in patients practicing the self-hypnosis relaxation techniques vs. those who were noncompliant (p=.046). No differences were noted in intraoperative parameters, morbidity, or mortality.

Ashton C Jr., et al. Self-hypnosis reduces anxiety following coronary artery bypass surgery. A prospective, randomized trial. J Cardiovasc Surg (Torino). 1997 Feb; 38(11:69-75.

Comment: This study demonstrated the beneficial effects of self-hypnosis relaxation techniques on patients undergoing CABG surgery, a framework that can apply to many other situations. As I have emphasized many times in this column, we are only beginning to harness the power of the mind in its ability to modify what is happening in the body. If we must recognize the Cartesian split between mind and body, let us at least offer the opportunity for the mind and body to cooperate, even if they are not recognized as one.