Stress, Stress Disorders
Conditions
Keywords
stress, disorder, hypnosis
Brief summary
Medical doctor generally are exposed to several risks and pressures, it is not a case that several meta-analyses have shown high stress and anxiety level in these workers. Stress management represents a very important topic. Being a doctor means dealing with continous effort and arousal management to provide the best treatment through executive functions capacity. This is particularly true for younger medical trainees; that have also to learn how to deal with failure and the curve of learning. Hypnosis has been shown to be very effective at modulating executive functions and sympathovagal balance, with large effect in post traumatic stress disease (PTSD), anxiety and executive function modulation. Therefore, this study aim to investigate if hypnosis could be beneficial among medical trainees for managing negative thoughts related to work.
Detailed description
Stress and anxiety are very important issues in medical training. Several methods have been applied, from psychotherapy to biofeedback, but the physiological component usually have been dismissed. Training medical trainees to manage their physiological activity through hypnosis can probably transfer practical results, i.e. increased wellbeing, modulation of the working energy and the transfer from planning to properly execution. To obtain this results after a basal evaluation of physiological data (HR; Heart rate, HRV, Heart Rate Variability, EDA; Electrodermal activity, and SCr; Skin conductance responses) stress and of anxiety levels, , with PSS-10 scale, VAS stress, VAS anxiety and Tower of London test ( TOL-R), participants will recollect a negative memory for 3 minutes to monitor their response. After that a brief session of hypnosis will be performed with positive memories being recollected while all physiological data will be monitored. Then participants will be subjected again to the negative memory task end at the end of the session the same test of the basal evaluation will be carried out.
Interventions
BEHAVIORALExperimental: Hypnosis and negative memory
Arm Description: T0) basal evaluation of physiological data T1) evaluation of physiological data after recollecting a negative memory for 3 minutes T2) evaluation of physiological data after that a brief session of hypnosis (performed with positive memories) T3) evaluation of physiological data recolling, for the second time, the negative memory.
BEHAVIORALSham Comparator: Control group
Arm Description: Active control group con breath-focused attention. Allocation: Non-randomized
Sponsors
University of Padova
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* age \> 18 years old, * being medical doctor or at first year of residency in Anesthesiology * obtained written informed consent
Exclusion criteria
* Neurological issues affecting stress responses * Diabetes * Cardiovascular conditions (i.e., hypertension, orthostatic hypotension etc) * Being under psychiatric medications * Psychological or psychiatric diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the variations of the tonic and phasic component of the Electrodermal Activity (EDA,microSiemens) and Skin conductance response comparing pre and post-hypnosis (SCr/min) | T0) Within 3 minutes from electrodes application (at baseline), T1) within 3minute after a negative memory (w/o hypnosis), T2) within 3minutes after a positive memory, T3) within 3minutes after recalling the negative memory (after hypnosis application) | Evaluation of the variations of the tonic and phasic component of the Electrodermal Activity (EDA,microSiemens) and Skin conductance response comparing pre and post-hypnosis (SCr/min) |
| Evaluation of the executive performance comparing pre- and post-hypnosis through Tower of London-Revised (TOL-R) (number of correct responses) | Within 3 minutes from the first negative memory (without hypnosis) and then, within 3 minutes from the negative memory (with hypnosis) | Evaluation of the executive performance comparing pre- and post-hypnosis through Tower of London-Revised (TOL-R) (number of correct responses) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the variations of psychological stress response to a negative memory related to work between pre and post hypnosis on a scale from 0 to 10 | Within 3 minutes from the first negative memory (without hypnosis) and then, within 3 minutes from the negative memory (with hypnosis) | Evaluation of the variations of psychological stress response to a negative memory related to work between pre and post hypnosis on a scale from 0 to 10 |
| Evaluation of the Heart rate variability (HRV) comparing pre and post-hypnosis (ms) | T0) Within 3 minutes from electrodes application (at baseline), T1) within 3minute after a negative memory (w/o hypnosis), T2) within 3minutes after a positive memory, T3) within 3minutes after recalling the negative memory (after hypnosis application) | Evaluation of the Heart rate variability (HRV) comparing pre and post-hypnosis (ms) |
Countries
Italy
Outcome results
None listed