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Hypnosis and Cognitive Behavioral Therapy for Men with Refractory Chronic Prostatitis and Chronic Pelvic Pain Syndrome
Rodney Anderson, MD; Thomas Nagy, PhD; Elaine Orenberg, PhD
The purpose of this pilot study was to determine the effectiveness of combined hypnosis and cognitive behavioral therapy for the relief of pain, improvement of psychological status, and quality of life in men with chronic prostatitis/chronic pelvic pain syndrome. Sixteen men with refractory chronic pelvic pain, symptomatic for at least 3 months, were assessed for hypnotic susceptibility after medical, mental health, and social history were obtained. In seven weekly sessions the combination of CBT, in-office hypnosis, and daily self-hypnosis was employed to challenge and balance negative cognitions associated with symptoms. Changes in symptom indices, psychometrics and compliance with home exercises using hypnosis recordings and CBT worksheets were assessed after 3 and 6 months.
At 6 months after training, median NIH-CPSI total score decreased 10.5 points in 57% of patients (clinical significance at >6 point decrease) and McGill pain scores decreased by 6.5 points. Both NIH-CPSI pain and quality of life domain scores significantly improved. Most (88%) patients reported continued self-hypnosis effective for symptomatic relief and improved coping. CBT and self-hypnosis training for these patients was effective, resulted in decreased symptoms, and provided self-directed methods to improve sense of control and reduce suffering.
At the conclusion of this session, participants should be able to…
- Collaborate with urologists in treating chronic pelvic pain patients with CBT and
- Use ideomotor questioning in treating patients with pelvic pain.