![]() ![]() Moreover, patients using hypnosis effectively develop a better sense of self-efficacy, which is known to enhance self-regulation and is linked to lower psychological distress and better quality of life. The addition of hypnosis to CBT helps the patient in several aspects of therapy, such as the preparation for in-vivo exposure, imagery exposure, developing coping skills, and cognitive restructuring. However, in a meta-analysis, Kirsch, Montgomery, and Sapirstein found that the addition of hypnosis to CBT substantially enhanced the treatment outcome for several problems (anxiety, obesity, pain, etc.). ![]() A recent systematic review of randomized controlled trials concludes that current evidence is not sufficient to support the use of hypnosis as a sole treatment for anxiety. Hypnosis has been used effectively in a variety of medical settings (surgery, dentistry, chronic pain management, labour etc.) and several studies report its efficacy in the treatment of anxiety disorders. Indeed, CBT and hypnosis share a number of aspects that render their combination natural for example, imagery and relaxation, which are found in both techniques. According to Kirsch, Lynn, and Rue and Schoenberger, hypnosis can be integrated easily into current cognitive and behavioural interventions in clinical practice. Moreover, the high complexity and co-morbidity that is often found with anxiety disorders sometimes requires the use of two or more treatment methods that are flexible and adjustable to one other. However, they conclude that there was considerable room for improvement. In a recent systematic review of 27 studies, Hofmann and Smits show that cognitive behavioural therapy (CBT) has proven to be an unquestionably efficacious treatment for adult anxiety disorder when compared to both pharmacological and psychological placebos. In psychotherapy outcome research, many empirical studies have shown that cognitive behavioural treatments are efficacious for many disorders. ![]()
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