Tratamiento de las fobias y trastornos mentales con la ayuda de la hipnosis y la meditación
DOI:
https://doi.org/10.20453/rnp.v89i2.6432Palabras clave:
trastornos emocionales, terapia sugestiva, miedo, estados obsesivos, relajaciónResumen
Esta revisión explora el potencial terapéutico de la hipnosis y la meditación en el tratamiento de las fobias y los trastornos mentales, especialmente como complementos no farmacológicos en la práctica psicoterapéutica. La creciente incidencia de trastornos de salud mental a nivel mundial, junto con el interés creciente por enfoques terapéuticos integradores, subraya la relevancia de esta investigación. Se realizó una revisión sistemática de literatura científica revisada por pares, publicada entre 2018 y 2023, mediante bases de datos internacionales (Web of Science, Scopus, PubMed, Google Scholar, ResearchGate). Se aplicaron métodos bibliográficos, hermenéuticos y bibliosemánticos para sintetizar los hallazgos sobre aplicaciones clínicas, mecanismos de acción y resultados terapéuticos asociados con la hipnosis y la meditación. La literatura indica que la hipnosis puede alterar el procesamiento cognitivo y perceptivo, contribuyendo a la reducción del estrés, el dolor y los síntomas de ansiedad. Estudios de neuroimagen sugieren cambios en regiones cerebrales implicadas en la atención, la regulación emocional y la percepción del dolor. La meditación de atención plena se asocia con mejoras en la resiliencia psicológica y la regulación emocional, así como con cambios estructurales en el cerebro relacionados con funciones cognitivas y afectivas. Ambas prácticas muestran un potencial prometedor como herramientas complementarias dentro de marcos de terapia cognitivo-conductual, particularmente en casos de fobias, trastorno por estrés postraumático y ansiedad generalizada. Aunque aún no están estandarizadas en la atención psiquiátrica, la hipnosis y la meditación ofrecen beneficios terapéuticos prometedores como intervenciones complementarias. Su integración en protocolos basados en evidencia requiere validación adicional mediante ensayos clínicos aleatorizados, estandarización de directrices de práctica y evaluación interdisciplinaria de resultados a largo plazo en poblaciones diversas.
Descargas
Citas
Charlson F, van Ommeren M, Flaxman A, et al. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet. 2019;394(10194):240–48. doi:10.1016/s0140-6736(19)30934-1
Whiting D, Lichtenstein P, Fazel S. Violence and mental disorders: a structured review of associations by individual diagnoses, risk factors, and risk assessment. Lancet PsychiatryPsych. 2021;8(2):150–61. doi:10.1016/s2215-0366(20)30262-5
Peebles MJ. Longing and fear: the ambivalence about having a relationship in psychotherapy. Am J Clin Hypn. 2020;62(1-2):138–58. doi:10.1080/00029157.2019.1604312
Elkins G. Hypnotizability: emerging perspectives and research. Int J Clin Exp Hypn. 2021;69(1):1–6. doi:10.1080/00207144.2021.1836934
Rehm J, Shield KD. Global burden of disease and the impact of mental and addictive disorders. Curr Psychiatry Rep. 2019;21(2):10. doi:10.1007/s11920-019-0997-0
Lebedyn AM, Tymoshenko AS. [Study of the dynamics of diseases caused by stress] [Internet]. In: [Materials of the VI All-Ukrainian Scientific and Educational Internet Conference “Formation of the National Healthcare Policy in the Context of the Introduction of Health Insurance: Questions of Education, Theory and Practice”] [Internet]. Kharkiv: National University of Pharmacy; 2023. pp. 280–2. Available from: https://dspace.nuph.edu.ua/bitstream/123456789/30614/1/280-282.pdf Ukrainian.
Danilova TV, Salata H, Semenov Y. [Psychotherapeutic treatment options for phobic anxiety disorders: a brief overview]. Humanit Stud Pedagog Psychol Philos. 2021;9(3):26–31. doi:10.31548/hspedagog2021.03.026 Ukrainian.
Shkolnikova TY. [The impact of fear on the human consciousness and subconscious]. In: Pirogov MI, editor. [Materials of Reports and Speeches III All-Ukrainian Scientific and Practical Conference with International Participation “Philosophy in the Modern Scientific and Social and Political Discussions”] [Internet]. Vinnytsya: Vinnytsya National Pirogov Memorial Medical University; 2022. pp. 159–64. Available from: https://www.vnmu.edu.ua/downloads/pdf/zbirn_mater_2-vseukr_konf-2022.pdf#page=159 Ukranian.
Lysnyk KA. [Theoretical and empirical models of overcoming the high level of fear of cancer recurrence in cancer survivals]. Sci Bull Kherson State Univ Ser Psychol Sci. 2021;2:144–52. doi:10.32999/ksu2312-3206/2021-2-17 Ukranian.
Atamanchuk NM. [Fears of children and ways to overcome them]. Labour Glory. 2022;(49–50):5. Ukranian.
Radul S. [Effective methods of overcoming aerophobia: Therapy, virtual reality exposure, hypnosis, NLP, CBT, medication, personality-oriented approach]. In: Klochok LV, Geiko EV, editors. [Proceeds of the II International Scientific Practical Online Conference "A Holistic Approach in the Psychology of Personality: Features of Theory and Practice"] [Internet]. Kropyvnytskyi: Volodymyr Vynnychenko Central Ukrainian State University; 2022. pp. 128–133. Available from: https://cusu.edu.ua/images/conferences/2022/conf_tezi_25.02.pdf#page=128 Ukranian.
Foley T, Lanzillotta-Rangeley J. Stress reduction through mindfulness meditation in student registered nurse anesthetists. AANA J. 2021;89(4):284–9. PMID:34342565
Brandmeyer T, Delorme A, Wahbeh H. The neuroscience of meditation: classification, phenomenology, correlates, and mechanisms. Prog Brain Res. 2019;244:1-29. doi:10.1016/bs.pbr.2018.10.020
Wall TW. Hypnosis: a psychodynamic perspective. Am J Clin Hypn. 2018;60(3):218–38. doi:10.1080/00029157.2018.1400809
Timmermann C, Bauer PR, Gosseries O, et al. A neurophenomenological approach to non-ordinary states of consciousness: hypnosis, meditation, and psychedelics. Trends Cogn Sci. 2023;27(2):139–59. doi:10.1016/j.tics.2022.11.006
Basso JC, McHale A, Ende V, et al. Brief, daily meditation enhances attention, memory, mood, and emotional regulation in non-experienced meditators. Behav Brain Res. 2019;356:208–20. doi:10.1016/j.bbr.2018.08.023
Rezzoug D, Le Du C, Baubet T. [EMDR, eye movement therapies and hypnosis in the treatment of post-traumatic stress disorder]. Rev Prat. 2018;68(1):102–4. PMID:30840400. French.
Zollars I, Poirier TI, Pailden J. Effects of mindfulness meditation on mindfulness, mental well-being, and perceived stress. Curr Pharm Teach Learn. 2019;11(10):1022–8. doi:10.1016/j.cptl.2019.06.005
Afonso RF, Kraft I, Aratanha MA, et al. Neural correlates of meditation: a review of structural and functional MRI studies. Front Biosci (Schol Ed). 2020;12(1):92–115. doi:10.2741/s542
Portella CF, Ghelman R, Abdala V, et al. Meditation: Evidence map of systematic reviews. Front Public Health. 2021;9:742715. doi:10.3389/fpubh.2021.742715
Sharma P, Mahapatra A, Gupta R. Meditation-induced psychosis: a narrative review and individual patient data analysis. Ir J Psychol Med. 2022;39(4):391–7. doi:10.1017/ipm.2019.47
Arabzade Moghadam S, Yousefi F, Saad S. The effect of hypnosis on pain relief due to injection of dental infiltration anesthesia. Clin Exp Dent Res. 2021;7(3):399–405. doi:10.1002/cre2.356
Carmody TP, Duncan C, Simon JA, et al. Hypnosis for smoking cessation: a randomized trial. Nicotine Tob Res. 2008;10(5):811–8. doi:10.1080/14622200802023833
Phillips W, Price J, Molyneux PD, et al. Hypnosis. Pract Neurol. 2022;22(1):42–7. doi:10.1136/practneurol-2020-002839
Moss D, Willmarth E. Hypnosis, anesthesia, pain management, and preparation for medical procedures. Ann Palliat Med. 2019;8(4):498–503. doi:10.21037/apm.2019.07.01
Valentine KE, Milling LS, Clark LJ, et al. The efficacy of hypnosis as a treatment for anxiety: a meta-analysis. Int J Clin Exp Hypn. 2019;67(3):336–63. doi:10.1080/00207144.2019.1613863
Rousseaux F, Faymonville ME, Nyssen AS, et al. Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial. Trials. 2020;21(1):330. doi:10.1186/s13063-020-4222-6
Edwards M. What about hypnosis, Doctor? Pract Neurol. 2022;22(1):2–3. doi:10.1136/practneurol-2021-003143
Kittle J, Spiegel D. Hypnosis: The most effective treatment you have yet to prescribe. Am J Med. 2021;134(3):304–5. doi:10.1016/j.amjmed.2020.10.010
Levine RA, Levine CS, Seidman MD. Guided meditation (hypnosis) and whole person health. Otolaryngol Clin North Am. 2022;55(5):1077–86. doi:10.1016/j.otc.2022.07.001
Elkins G. Clinical hypnosis in health care and treatment. Int J Clin Exp Hypn. 2022;70(1):1–3. doi:10.1080/00207144.2022.2011112
Varga K. Hypnosis: New generation articles. Int J Clin Exp Hypn. 2020;68(4):409–11. doi:10.1080/00207144.2020.1803639
Elkins G. Evidence-based practice and clinical hypnosis. Int J Clin Exp Hypn. 2022;70(2):101–3. doi:10.1080/00207144.2022.2047006
Eaton WW, Bienvenu OJ, Miloyan B. Specific phobias. Lancet Psychiatry. 2018;5(8):678–86. doi:10.1016/S2215-0366(18)30169-X
Cuvelier C, Hars M, Zamorani-Bianchi MP, et al. Hypnosis to reduce fear of falling in hospitalized older adults: A feasibility randomized controlled trial. Pilot Feasibility Stud. 2023;9(1):139. doi:10.1186/s40814-023-01366-3
Babbar S, Oyarzabal AJ. The application of hypnosis in obstetrics. Clin Obstet Gynecol. 2021;64(3):635–47. doi:10.1097/grf.0000000000000635
De Benedittis G. Neurophysiology and neuropsychology of hypnosis. Am J Clin Hypn. 2021;63(4):291–3. doi:10.1080/00029157.2021.1892411
Freedman S, Wickramasekera IE II. Review of the international hypnosis literature. Am J Clin Hypn. 2020;62(1-2):159–65. doi:10.1080/00029157.2019.1609843
McCann BS. Prevalence of different approaches to clinical hypnosis: bridging research and practice. Int J Clin Exp Hypn. 2023;71(2):139–52. doi:10.1080/00207144.2023.2194934
Wu YC. Hypnosis, psychoanalysis, and Morita therapy: the evolution of Kokyō Nakamura’s psychotherapeutic theories and practices. Hist Psychiatry. 2022;33(3):279–92. doi:10.1177/0957154x221087411
Moujaes F, Rieser NM, Phillips C, et al. Comparing neural correlates of consciousness: from psychedelics to hypnosis and meditation. Biol Psychiatry Cogn Neurosci Neuroimaging. 2024;9(5):533–43. doi:10.1016/j.bpsc.2023.07.003
Palsson OS, Kekecs Z, De Benedittis G, et al. Current practices, experiences, and views in clinical hypnosis: findings of an international survey. Int J Clin Exp Hypn. 2023;71(2):92–114. doi:10.1080/00207144.2023.2183862
Hammer CM, Scholz M, Bischofsberger L, et al. Feasibility of clinical hypnosis for test anxiety in first-year medical students. Int J Clin Exp Hypn. 2020;68(4):511–20. doi:10.1080/00207144.2020.1799379
Méry R, Flaudias V, Guillaume S, et al. [Interest of hypnosis with a paradigm’s use in anorexia nervosa: a case report]. Encephale. 2022;48(2):226–8. doi:10.1016/j.encep.2021.04.010 French.
De Benedittis G. Neural mechanisms of hypnosis and meditation-induced analgesia: a narrative review. Int J Clin Exp Hypn. 2021;69(3):363–82. doi:10.1080/00207144.2021.1917294
Araujo RV, Fernandes AF, Nery IS, et al. Meditation effect on psychological stress level in women with breast cancer: a systematic review. Rev Esc Enferm USP. 2019;53:e03529. doi:10.1590/s1980-220x2018031303529
Ahlskog G. Clinical hypnosis today. Psychoanal Rev. 2018;105(4):425–37. doi:10.1521/prev.2018.105.4.425
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Liana Spytska

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.














