Kletersteeg, R. van de (Romy) (2018) The positive effect of hypnotherapy on asthma control in asthmatic children with exerciseinduced bronchoconstriction: a randomized controlled trial. thesis, Medicine.
Full text available on request.Abstract
BACKGROUND: Exercise-induced bronchoconstriction (EIB) is defined as short-term, reversible bronchoconstriction triggered by exercise, mostly seen in asthmatic children and is a sign of poorly controlled asthma. EIB is influenced by dysfunctional breathing patterns and subsequent dynamic hyperinflation, which reinforce anxiety- and stress inducing breathlessness. This ongoing vicious cycle can be treated with hypnotherapy. Hypnotherapy promotes efficient breathing, induces relaxation and reduces stress and anxiety. In general, it enhances autonomy, self-efficacy and self-control over specific symptoms and situations, thereby enabling improvement of asthma control and EIB. OBJECTIVE: To assess the effect of hypnotherapy on asthma control and EIB by means of the Childhood Asthma Control Test (C-ACT) in asthmatic children with exercise-induced bronchoconstriction. METHOD: A total of 10 asthmatic children with diagnosed EIB participated. Extended over 4 weeks, hypnotherapy was given in two sessions to 5 participants, where the other 5 continued their standard medical care. At baseline and follow-up (after 4 weeks) the C-ACT, a validated self-administered tool to reflect the degree of asthma control, was carried out. Furthermore, it appears to correctly reflect the level of EIB. RESULTS: At follow-up, the control group improved with Δ1 (IQR 0.5-1.5) and the hypnotherapy group with Δ5 (IQR 3.0-8.0), being a significantly bigger improvement (p = 0.01) in C-ACT score. CONCLUSION: This study shows that hypnotherapy, as an add-on therapy, is effective in improving asthma control and EIB.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Thio, Dr. B.J. and Paediatrician and Department of paediatrics and Medisch Spectrum Twente Enschede and Driessen, Dr. J.M.M. and Sports physician and Center of Excellence, OCON-sport and Tjongerschans |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:53 |
| Last Modified: | 25 Jun 2020 10:53 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1427 |
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