HYPNOTHERAPY FOR INCONTINENCE CAUSED BY THE UNSTABLE DETRUSOR

HYPNOTHERAPY FOR INCONTINENCE CAUSED BY THE UNSTABLE DETRUSOR
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DOI:
10.1136/bmj.284.6332.1831
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发表时间:
1982-01-01
影响因子:
105.7
通讯作者:
BAXBY, K
BAXBY, K
中科院分区:
医学1区
文献类型:
--
作者:
FREEMAN, RM;BAXBY, K

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Incontinent women (50) with proved detrusor instability completed 12 sessions of hypnosis (symptom removal by direct suggestion and ego strengthening) over 1 mo. This was continued at home with a prerecorded cassette and all patients were followed up for at least 6 mo. At the end of the 12 sessions, 29 patients were entirely symptom-free, 14 improved and 7 unchanged. Three months later, cystometry in 44 of the patients showed conversion of the cystometrogram to stability in 22 and a significant improvement in a further 16; only 6 showed no objective improvement. Seven patients relapsed (3 after bereavement). Further treatment was given and 5 out of 6 patients were rendered symptom-free again. Patients with detrusor instability did not have a noticeably increased susceptibility to hypnosis. Psychological factors are very important in idiopathic detrusor instability and hypnotherapy is effective for incontinence due to this disorder.