Effectiveness of Medical Hypnosis to Decrease Anxiety Score, Improve the Quality of Life and Improve Skin Lesion of Vitiligo Patients at Dr. Moewardi and Sebelas Maret Hospital Surakarta

Authors

  • Nabila Nur Bilqis Islamy Sebelas Maret University
  • Aris Sudiyanto Sebelas Maret University
  • IGB Indro Nugroho Sebelas Maret University
  • Nur Rachmat Mulianto Sebelas Maret University

Keywords:

Vitiligo, Anxiety, Quality of life, Vitiligo severity, Medical hypnosis

Abstract

Background Vitiligo patients makes lack of confidence, anxiety and decreased quality of life.  Medical Hypnosis as non pharmacological treatment to gained recognition as an effective therapy by providing suggestions to reduce discomfort from anxiety.   Methods  Experimental double-blind pre and post control group design with purposive sampling approach. Anxiety examination was carried out with the Hamilton Anxiety Rating Score (HARS) instrument, quality of life examination with the Vitiligo Quality of Life Index (VitiQol) instrument and the severity of vitiligo lesions with VASI (Vitiligo Area Scoring Index), involving 32 vitiligo patients at the Dermatology outpatients of Dr. Moewardi Surakarta Hospital and UNS Hospital. The intervention group was given Medical Hypnosis for 4 sessions. Statistical analysis was carried out with Mann-Whitney and t-test.   Results There was a statistically significant decrease in the average HARS pre-posttest with a value of p=<0.001 (p<0.05) and a statistically significant decrease in the average VitiQol pre-posttest with a value of p=<0.001 (p<0.05), but in the VASI score there was a statistically insignificant decrease with a value of p=0.317 (p>0.05).   Conclusion There was a significant difference in HARS and VitiQol scores after receiving Medical Hypnosis between the treatment group and the control group in vitiligo patients, but Medical Hypnosis was not effective in decreasing the severity of vitiligo lesions assessed with VASI scores.  

References

Liu, J. et al. (2021) “Meta-Analytic Review of High Anxiety Comorbidity among Patients with Vitiligo,” BioMed Research International, 2021.https://doi.org/10.1155/2021/6663646

Osinubi, O. et al. (2018) “The Prevalence of Psychological Comorbidity in People with Vitiligo: A Systematic Review and Meta-Analysis,” British Journal of Dermatology. Blackwell Publishing Ltd, pp. 863–878. doi:10.1111/bjd.16049.

Bergqvist, C. and Ezzedine, K. (2020) “Vitiligo: A Review,” Dermatology. S. Karger AG, pp. 571–592.https://doi.org/10.1159/000506103

Nugraha W, Irwanto M (2019). "Profile of Vitiligo Patients at the Dermatology and Venereology Polyclinic at RSUD Dr. Moewardi Surakarta Period January 2017- December 2019 ". Surakarta; 2019.

Lai, YC et al. (2017) “Vitiligo and depression: a systematic review and meta-analysis of observational studies,” British Journal of Dermatology. Blackwell Publishing Ltd, pp. 708–718. doi:10.1111/bjd.15199.

Haraldstad. et al. (2019) “A Systematic Review of Quality of Life Research in Medicine and Health Sciences,” Quality of Life Research. Springer International Publishing, pp. 2641–2650. doi:10.1007/s11136-019-02214-9.

Patvekar, M. et al. (2017) “Quality of Life in Vitiligo: Relationship to Clinical Severity and Demographic Data,” Pigment International, 4(2), pp. 104. doi:10.4103/2349-5847.219684.

Heng, Y. (2022) “Research Progress on the Correlation between Psychological Factors and Vitiligo”, Pacific International Journal, 5(1), pp. 32–36. Available at: https://doi.org/10.55014/pij.v5i1.148.

Alizamar, A. et al. (2018). “The Effectiveness of Hypnotherapy in Reducing Stress Levels”. Addictive Disorders and Their Treatment, 17(4), 191–195.https://doi.org/10.1097/ADT.0000000000000140

Olendzki, N. et al. (2020) “Mindful Hypnotherapy to Reduce Stress and Increase Mindfulness: A Randomized Controlled Pilot Study”, International Journal of Clinical and Experimental Hypnosis, 68(2), pp. 151–166. Available at: https://doi.org/10.1080/00207144.2020.1722028.

Karrasch, S., Bongartz, W., Behnke, A., Matits, L., & Kolassa, IT (2022). “The Effects of a Single Relaxation Hypnosis Session on Mental Stress in Chronically Stressed Individuals: An Explorative Experiment”. Zeitschrift Fur Klinische Psychologie Und Psychotherapie, 51(3–4), 247–262.https://doi.org/10.1026/1616-3443/a000679

Matits, L., Gumpp, AM, Kolassa, I.-T., Behnke, A., & Mack, M. (2022). “Störungspezifische und transdiagnostische Veränderung der Inflammationsaktivität bei psychischen Störungen [Disorder-specific and transdiagnostic changes in inflammatory activity in mental disorders]”. Zeitschrift Für Klinische Psychologie und Psychotherapie. https://doi.org/10.1026/1616- 3443/a000666

Frankel, FH and Misch, RC (1973) “Hypnosis in a case of long-standing psoriasis in a person with character problems”, International Journal of Clinical and Experimental Hypnosis, 21(3), pp. 121–130. Available at:https://doi.org/10.1080/00207147308409117.

Andò, A., Vasilotta, ML, & Zennaro, A. (2021). “The Modulation of Emotional Awareness Using Non-Invasive Brain Stimulation Techniques: A Literature Review on TMS and tDCS”. Journal of Cognitive Psychology, 1–18.https://doi.org/10.1080/20445911. 2021.1954013

Tausk, F., & Whitmore, SE (1999). “A Pilot Study of Hypnosis in the Treatment of Patients with Psoriasis”. www.karger.comhttp://BioMedNet.com/karger

Alexander, B. et al. (2017). “Advances in Vitiligo: An Update on Medical and Surgical Treatments,”. J Clin Aesthet Dermatol. 2017;10(1):15–28. PMIDs:28210378

. Van Praag H, Schinder A, Christie B, Toni N, Palmer T, Gage F. (2002). “Functional Neurogenesis in The Adult Hippocampus”. nature. 2002;415:1030-1034.

Namazi, N., Amani, M., Haghighatkhah, HR, Noori, E., & Abdollahimajd, F. (2021). “Increased risk of subclinical atherosclerosis and metabolic syndrome in patients with vitiligo: a real association or a coincidence?” Dermatologic Therapy, 34(2). https://doi.org

Downloads

Published

2024-05-06

How to Cite

1.
Bilqis Islamy NN, Sudiyanto A, Nugroho II, Mulianto NR. Effectiveness of Medical Hypnosis to Decrease Anxiety Score, Improve the Quality of Life and Improve Skin Lesion of Vitiligo Patients at Dr. Moewardi and Sebelas Maret Hospital Surakarta. J Pak Assoc Dermatol [Internet]. 2024May6 [cited 2024May19];34(1):117-22. Available from: https://jpad.com.pk/index.php/jpad/article/view/2430

Issue

Section

Original Articles