Hypnotherapy to Reduce Hot Flashes: Examination of Response Expectancies as a Mediator of Outcomes.
Hypnotherapy to Reduce Hot Flashes: Examination of Response Expectancies as a Mediator of Outcomes.
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DOI：
10.1177/2156587217708523
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Elkins GR
中科院分区：
文献类型：
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作者：
Sliwinski JR;Elkins GR
催眠疗法减少潮热的作用机制尚不清楚。本研究的目的是探讨反应预期作为一个潜在的调解人的作用。催眠也被测试为效果调节剂。数据收集自172名绝经后妇女的样本，她们被随机分配接受为期5周的催眠干预或结构化注意力咨询。对反应预期的测量进行分析，以确定组分配和潮热频率之间的关系是否由治疗疗效的预期介导。一系列简单的中介和条件过程分析不支持通过反应预期来中介治疗条件和潮热频率之间的关系。催眠疗法在减少潮热方面的作用似乎不是由于安慰剂效应，这是由反应预期确定的。对临床实践和未来研究的意义进行了讨论。
The mechanism of action responsible for hypnotherapy’s effect in reducing hot flashes is not yet known. The purpose of this study was to examine the role of response expectancies as a potential mediator. Hypnotizability was also tested as an effect moderator. Data were collected from a sample of 172 postmenopausal women, who had been randomized to receive either a 5-week hypnosis intervention or structured attention counseling. Measures of response expectancies were analyzed to determine if the relationship between group assignment and hot flashes frequency was mediated by expectancies for treatment efficacy. A series of simple mediation and conditional process analyses did not support mediation of the relationship between treatment condition and hot flash frequency through response expectancy. The effect of hypnotherapy in reducing hot flashes does not appear to be due to placebo effects as determined by response expectancies. Implications for clinical practice and future research are discussed.