Evidence For

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There is little information available as to the effectiveness of hypnotherapy as a whole, or for the treatment of any of a wide array of disorders.  However, there are some clinical trials and reviews which can be found on a case-by-case basis according to which particular indication for treatment you are interested in.  It is also important to note that most of the data available suggests conclusions, but the authors generally call for further study to increase the power of their conclusions.

    A systematic review of pain relief in labor and childbirth looked at three randomized control trials where the experimental subjects received hypnotherapy while the control subjects did not undergo hypnotherapy.  Their results showed that hypnotherapy reduced the number of participants requiring analgesia compared to the control group, with a relative risk of 0.51 for the hypnotherapy group.  The same review also looked at two non-randomized control studies, one of which showed with statistical significance that hypnotherapy resulted in women rating their labor pain as less severe than the control group that did not receive hypnotherapy.  The other study determined that hypnotherapy reduced the amount of analgesia required and the increased the number of subjects requiring no analgesia whatsoever, with statistical significance.  Overall, the review authors felt that the results were very positive for the use of hypnotherapy in childbirth, but cautioned that further study is warranted.

    Research has also shown that hypnotherapy can be useful in treating irritable bowel syndrome (IBS).  A 2007 review analyzed four randomized controlled trials of hypnotherapy in patients with IBS.  One study showed that hypnotherapy was significantly more effective than medical therapy, and two other studies showed that patients who received hypnotherapy had significantly better symptoms compared with waiting-list control groups.  The fourth study compared hypnotherapy to supportive psychotherapy and placebo medication, but this study showed no significant difference between the two groups.  There were no adverse effects of hypnotherapy in any of the studies.

    Another study, which was conducted to determine the long-term efficacy of hypnotherapy in treating IBS, showed cautiously optimistic results.  A questionnaire determining improvement or progression of symptoms, as well as effect on quality of life was given to IBS patients who were treated with hypnotherapy.  Of those responding, 71% showed improvement of symptoms after receiving hypnotherapy.  A course of up to 12 weekly 1 hour sessions was administered and the results showed that the benefits of hypnotherapy seem to be present for at least 5 years.  The authors' only criticism of hypnotherapy in this modality was the cost, however, the benefits provided result in a reduction in the medical costs of treatment.

    Hypnotherapy to treat functional hypothalamic amenorrhea also provided positive results in terms of resumption of menstruation in patients.  In this study women who had secondary amenorrhea (FHA) were treated with a single session of hypnotherapy after which they were observed for 12 weeks and reported whether or not they resumed menstruation, as well as the impact on their self-esteem and confidence.  75% of patients resumed menstruation while all patients reported increase self-esteem and confidence.  The authors suggest that this is an effective modality treatment, and provides an alternative to pharmacological treatments.  It is of note that the sample size of this study was 12 which makes it difficult to place much confidence in the results.  Further study with a larger sample size would be in order.

    Hypnotherapy has also been proven useful for treating chronic noncardiac chest pain.  A 2006 study analyzed patients who had experienced angina-like pain, had normal coronary angiography, and in whom GERD was non-contributory to the chest pain.  The patients were randomized to groups with the treatment group receiving hypnotherapy and the control group receiving supportive therapy and placebo medication.  The hypnotherapy group had a significant global improvement in pain, decreased pain intensity, better overall well-being, and decreased use of pain medication.  The prevalence of anxiety and depression were also analyzed, but there was no significant difference in these symptoms between the two groups.  The authors cautioned that more study was needed but concluded that hypnotherapy showed promise for treating noncardiac chest pain.

    There is a plethora of personal websites extolling the virtues of hypnotherapy in various modalities of treatment, however, these sites provide no empirical evidence to back their conclusions.  Multiple testimonials are provided but the need for well-designed randomized control trials is great in order to characterize just how useful hypnotherapy is in treating various conditions.