Hypnotherapy in the Treatment of Chronic Combat-Related PTSD Patients Suffering From Insomnia: A Randomized, Zolpidem-Controlled Clinical Trial

@article{Abramowitz2008HypnotherapyIT,
  title={Hypnotherapy in the Treatment of Chronic Combat-Related PTSD Patients Suffering From Insomnia: A Randomized, Zolpidem-Controlled Clinical Trial},
  author={Eitan G. Abramowitz and Yoram Barak and I. Ben-Avi and Haim Y. Knobler},
  journal={International Journal of Clinical and Experimental Hypnosis},
  year={2008},
  volume={56},
  pages={270 - 280}
}
Abstract This study evaluated the benefits of add-on hypnotherapy in patients with chronic PTSD. Thirty-two PTSD patients treated by SSRI antidepressants and supportive psychotherapy were randomized to 2 groups: 15 patients in the first group received Zolpidem 10 mg nightly for 14 nights, and 17 patients in the hypnotherapy group were treated by symptom-oriented hypnotherapy, twice-a-week 1.5-hour sessions for 2 weeks. All patients completed the Stanford Hypnotic Susceptibility Scale, Form C… 
Drug treatment strategies for insomnia in patients with post-traumatic stress disorder
TLDR
Clinical investigations should examine available pharmacologic agents in comparative trials or in combination with CBT or complementary therapies to assess both short-term and long-term sleep outcomes in this population of post-traumatic stress disorder patients.
A Meta-Analysis for the Efficacy of Hypnotherapy in Alleviating PTSD Symptoms
TLDR
A large effect in favor of hypnosis-based (especially manualized abreactive hypnosis) treatment was found for the studies that reported the posttest results and for the 4-week follow-up assessments.
A Meta-Analysis of Hypnotherapeutic Techniques in the Treatment of PTSD Symptoms.
TLDR
Evaluation of effect sizes related to avoidance and intrusion, in addition to overall PTSD symptoms after hypnotherapy treatment, revealed that all studies showed that hypn therapy had a positive effect on PTSD symptoms.
Management of nightmares in patients with posttraumatic stress disorder: current perspectives
  • A. El‐Solh
  • Psychology, Biology
    Nature and science of sleep
  • 2018
TLDR
Given the intricate relationship between PTSD and nightmares, future clinical trials have to adopt a more pragmatic approach focused not only on efficacy of novel interventions but also on adjunctive iteration of existing therapies tailored to individual socio-cultural background.
Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD).
TLDR
Not enough evidence is available to support or refute the effectiveness of combined psychological therapy and pharmacotherapy compared to either of these interventions alone, and further large randomised controlled trials are urgently required.
Post-traumatic Stress Disorder: Cognitive Hypnotherapy, Mindfulness, and Acceptance-Based Treatment Approaches
TLDR
How cognitive hypnotherapy can be used in conjunction with evidence-based practices for the treatment of post-traumatic stress disorder (PTSD) is described.
Medication for Sleep Problems in Posttraumatic Stress Disorder
TLDR
This chapter discusses the current state of research on medication for sleep disorders in PTSD, and the focus of this clinically based chapter is on the effect of drugs on sleep in Patients with PTSD, in patients with depressive disorders, and also in healthy persons.
Pharmacology for sleep disturbance in PTSD
TLDR
Findings suggest that sleep disruption is central to PTSD; treating sleep disruption may be an effective way to address other symptoms of the disorder and PTSD symptoms tend to cluster together in predictable ways.
...
...

References

SHOWING 1-10 OF 18 REFERENCES
New uses of hypnosis in the treatment of posttraumatic stress disorder.
TLDR
New uses of hypnosis in the psychotherapy of PTSD victims involve coupling access to the dissociated traumatic memories with positive restructuring of those memories, which can be used to help patients face and bear a traumatic experience.
Placebo-Controlled Sleep Laboratory Studies on the Acute Effects of Zolpidem on Objective and Subjective Sleep and Awakening Quality in Nonorganic Insomnia Related to Neurotic and Stress-Related Disorder
TLDR
As compared with placebo, zolpidem induced a significant improvement in objective sleep quality, mainly by increasing TSP, TST and sleep efficiency and shortening sleep latencies, thereby normalizing the disorder of initiating and maintaining sleep.
Dissociation and hypnotizability in posttraumatic stress disorder.
TLDR
Patients with PTSD had significantly higher hypnotizability scores than patients with diagnoses of schizophrenia, major depression, bipolar disorder--depressed, and dysthymic disorder, and generalized anxiety disorder and the control sample.
Clinical correlates of poor sleep quality in posttraumatic stress disorder.
TLDR
Results suggest that age, gender, and psychiatric comorbidity have minimal impact on sleep quality in this PTSD sample, and the inclusion of PTSD patients who were not specifically seeking treatment for SD reinforces the study findings.
Pharmacological Treatment of Insomnia
TLDR
Benzodiazepines remain the recommended hypnotic agents, although newer, non-benzodiazepine agents may also be utilised and use of alcohol for its sedative properties, and over-the-counter preparations, are not recommended for the treatment of insomnia.
[Pharmacological treatment of insomnia].
TLDR
This article reviews the sleep promoting drugs and substances that can be used for treatment of chronic insomnia.
Hypnotic relaxation and the reduction of sleep onset insomnia.
  • H. Stanton
  • Psychology
    International journal of psychosomatics : official publication of the International Psychosomatics Institute
  • 1989
TLDR
Data generated by the study suggested that the particular hypnotic relaxation treatment used was effective in helping Ss go to sleep more quickly, and neither stimulus control nor placebo groups recorded similar improvement.
The Validation of a Self-Report Measure of Posttraumatic Stress Disorder
TLDR
The development and validation of a self-report measure of posttraumatic stress disorder, the Posttraumatic Diagnostic Scale (PTDS), that yields both a PTSD diagnosis according to Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria and a measure of PTSD symptom severity is reported.
The Use of Hypnosis in the Treatment of Dissociative Patients
TLDR
The early developments of hypnosis are described, which describes components of the trance state which makes it a useful resource with trauma patients as well as an effective therapeutic process and technique.
The epidemiology and occurrence of insomnia.
  • M. Rosekind
  • Medicine, Psychology
    The Journal of clinical psychiatry
  • 1992
Although the definitions of insomnia have changed over the last decade to include the perceptions of patients and the effects of disturbed sleep on daytime function, no clear measure exists for
...
...