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Tecniche di rilassamento e ipnosi nella riabilitazione cardiaca

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È ormai riconosciuto come il funzionamento del sistema cardiovascolare sia ampiamente determinato da atteggiamenti personali, emozioni, ansia e disagio psicologico [1] Questo determina, nella pratica clinica, la necessità di interventi per la modificazione di comportamenti a rischio e per la gestione di problematiche di tipo psicologico. Tra i vari possibili approcci hanno trovato ampio spazio le tecniche che consentono il raggiungimento di uno stato di rilassamento, vale a dire una distensione fisiologica che riporta l’organismo in una condizione di equilibrio dopo il verificarsi di episodi disturbanti. Le tecniche di rilassamento e l’ipnosi sono divenute particolarmente rilevanti nei programmi di trattamento volti alla gestione dello stress ed alla ricostituzione dell’equilibrio omeostatico, dal momento che un continuo stato di arousal può determinare, a lungo andare, danni o malfunzionamenti a carico del sistema cardiovascolare. Molto spesso, nel campo della riabilitazione cardiaca, gli interventi di tipo psicologico sono stati basati sul modello cognitivo-comportamentale, centrato sulla #x201C;ristrutturazione” di credenze negative, relative a sé e all’ambiente, che emergono in presenza di eventi stressanti [2, 3]. A confronto con queste tecniche, le procedure di rilassamento e l’ipnosi hanno una caratteristica distintiva: invece di cercare di promuovere un’analisi critica delle reazioni allo stress e al disagio psicologico, l’obiettivo è quello di “aggirare” i processi mentali razionali.

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Bibliografia

  1. Rozanski A (2005) Integrating psychologic approaches into the behavioral management of cardiac patients. Psychosom Med 67:S67–S73

    Article  PubMed  Google Scholar 

  2. Meichenbaum D, Henshaw D, Himel N (1982) Coping with stress as a problem-solving process. Series in Clinical & Community Psychology: Achievement, Stress & Anxiety 127–142

    Google Scholar 

  3. Goldwurm GF, Rovetto FM, Sardo A (1986) Criteria for behavioral intervention and assessment in cases of cardiac neuroses. Activitas Nervosa Superior 28:131–132

    Google Scholar 

  4. Barr BP, Benson H (1984) The relaxation response and cardiovascular disorders. Behav Med Update 6:28–30

    Google Scholar 

  5. Benson H (1977) Systemic hypertension and the relaxation response. N Eng J Med 296:1152–1156

    Article  Google Scholar 

  6. Friedman R, Myers P, Krass S, Benson H (1996) The relaxation response: use with cardiac patients. In: Allan R, Scheidt S (eds) Heart & mind: the practice of cardiac psychology. American Psychological Association, Washington

    Google Scholar 

  7. Esler M, Kaye D (2000) Sympathetic nervous system activation in essential hypertension, cardiac failure, and psychosomatic heart disease. J Cardiovasc Pharmacol 35(Suppl 4):S1–S7

    Article  PubMed  CAS  Google Scholar 

  8. Hoffman JW, Benson H, Arns PA et al (1982) Reduced sympathetic nervous system responsivity associated with the relaxation response. Science 215:190–192

    Article  PubMed  CAS  Google Scholar 

  9. Benson H, Arns PA, Hoffman JW (1981) The relaxation response and hypnosis. Int J Clin Exp Hypn 29:259–270

    Google Scholar 

  10. Hess WR (1957) Functional organization of the diencephalon. Stratton, New York

    Google Scholar 

  11. Cannon WB (1915) Alternative satisfactions for the fighting emotions. In: Cannon WB (ed) Bodily changes in pain, hunger, fear and rage: an account of recent researches into the function of emotional excitement. D Appleton & Company, pp 285–301

    Google Scholar 

  12. Selye H (1973) The evolution of the stress concept. American Scientist 61:692–699

    PubMed  CAS  Google Scholar 

  13. Farrace S, Ferrara M, De Angelis C et al (2003) Reduced sympathetic outflow and adrenal secretory activity during a 40-day stay in the Antarctic. Int J Psychophysiol 49:17–27

    Article  PubMed  CAS  Google Scholar 

  14. Walrath LC, Hamilton DH (1975) Autonomic correlates of meditation and hypnosis. Am J Clin Hypn 17:190–197

    PubMed  CAS  Google Scholar 

  15. Vaitl D, Birbaumer N, Gruzelier J et al (2005) Psychobiology of altered states of consciousness. Psychol Bull 131:98–127

    Article  PubMed  Google Scholar 

  16. Akselrod S, Gordon D, Madwed JB et al (1985) Hemodynamic regulation: investigation by spectral analysis. Am J Physiol 241:H887–H875

    Google Scholar 

  17. Steptoe A, Johnston D (1991) Clinical applications of cardiovascular assessment. Psychol Assess 3:337–349

    Article  Google Scholar 

  18. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Eur Heart J 17:354–381

    Google Scholar 

  19. Cigada M, Lucini D, Bernardi L et al (1998) Valutazione della bilancia simpato-vagale durante suggestioni ipnotiche di diverso tipo in soggetti volontari sani. Quaranta anni di Ipnosi in Italia: Presente e Futuro. Atti del XI Congresso Nazionale dell’Associazione Medica Italiana per lo Studio dell’Ipnosi. Edizione AMISI, Milano

    Google Scholar 

  20. De Benedittis G, Cigada M, Bianchi A et al (1994). Autonomic changes during hypnosis: a heart rate variability power spectrum analysis as a marker of sympatho-vagal balance. Int J Clin Exper Hypn 42:140–152

    Google Scholar 

  21. Lucini D, Covacci G, Miliani R et al (1997). A controlled study of the effects of mental relaxation on autonomic excitatory responses in healthy subjects. Psychosom Med 59:541–552

    PubMed  CAS  Google Scholar 

  22. Terathongkum S, Pickler R (2004) Relationship among heart rate variability, hypertension, and relaxation techniques. J Vasc Nurs 22:78–82

    Article  PubMed  Google Scholar 

  23. Weitzenhoffer AM (1962) Estimation of hypnotic susceptibility in a group situation. Am J Clin Hypn 5:115–126

    PubMed  CAS  Google Scholar 

  24. Benson H, Greenwood MM, Klemchuk H (1975) The relaxation response: psychobiological aspects and clinical applications. Int J Psychiatry Med 6:87–98

    Article  PubMed  CAS  Google Scholar 

  25. Luebbert K, Dahme B, Hasenbring M (2001) The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: a meta-analytical review. Psychooncology 10:490–502

    Article  PubMed  CAS  Google Scholar 

  26. Greenleaf M (1992) Clinical implications of hypnotizability: enhancing the care of medical and surgical patients. Psychiat Med 10:77–85

    CAS  Google Scholar 

  27. Petry JJ (2000) Surgery and complementary therapies: a review. Altern Ther Med 6:64–74

    CAS  Google Scholar 

  28. Kiecolt-Glaser JK, Glaser R, Strain EC et al (1986) Modulation of cellular immunity in medical students. J Behav Med 9:311–320

    Article  Google Scholar 

  29. Van Dixhoorn J (2000) Implementation of relaxation therapy within a cardiac rehabilitation setting. In: Kenny DT, Carlson JG, McGuigan FJ, Sheppard JL (eds) Stress and health: research and clinical applications. Harwood Academic Publishers, Amsterdam, Netherlands, pp 355–373

    Google Scholar 

  30. Cooper MJ, Aygen MM (1979) A relaxation technique in the management of hypercolesterolemia. J Hum Stress 5:24–27

    CAS  Google Scholar 

  31. Task force for activities in cardiac rehabilitation (2003) Guidelines for psychological activities in preventive and rehabilitative cardiology. Monaldi Archives Chest Disease 60:184–234

    Google Scholar 

  32. Fred HL, Hariharan R (2002) To be B or not to be B-is that the question? Tex Heart Inst J 29:1–2

    PubMed  Google Scholar 

  33. Friedman M, Rosenman RH (1959) Association of specific overt behavior pattern with blood and cardiovascular findings; blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. JAMA 169:1286–1296

    CAS  Google Scholar 

  34. Dimsdale JE (1988) A perspective on type A behavior and coronary disease. N Engl J Med 318:110–112

    Article  PubMed  CAS  Google Scholar 

  35. Lachar BL (1993) Coronary-prone behavior. Type A behavior revisited. Tex Heart Inst J 20:143–151.

    PubMed  CAS  Google Scholar 

  36. Lyness SA (1993) Predictors of differences between Type A and B individuals in heart rate and blood pressure reactivity. Psychol Bull 114:266–295

    Article  PubMed  CAS  Google Scholar 

  37. Schultz JH, Luthe W (1959) Autogenic training: a psychophysiologic approach to psychotherapy. Grune & Stratton, Oxford

    Google Scholar 

  38. Wallnöfer H (1993) Anima senza ansia: training autogeno, ipnosi, le vie del rilassamento. Edizioni Universitarie Romane, Roma

    Google Scholar 

  39. Stetter F, Kupper S (2002) Autogenic training: a meta-analysis of clinical outcome studies. Appl Psychophysiol Biofeedback 27:45–98

    Article  PubMed  Google Scholar 

  40. Linden W (1994) Autogenic training: a narrative and quantitative review of clinical outcome. Biofeedback & Self Regulation 19:227–264

    Article  CAS  Google Scholar 

  41. Sakakibara M, Takeuchi S, Hayano J (1994) Effect of relaxation training on cardiac parasympathetic tone. Psychophysiol 31:223–228

    Article  CAS  Google Scholar 

  42. Sakakibara M, Hayano J (1996) Effect of slowed respiration on cardiac parasympathetic response to threat. Psychosom Med 58:32–37

    PubMed  CAS  Google Scholar 

  43. De Chirico G (1984). Training autogeno. Red Edizioni, Como

    Google Scholar 

  44. Krampen G (1999) Long term evaluation of additional autogenic training in the psychotherapy of depressive disorders. European Psychologist 4:11–18

    Article  Google Scholar 

  45. Basmajian JV (1985) Il biofeedback: aspetti teorici ed applicazioni pratiche. Piccin Nuova Libraria, Padova

    Google Scholar 

  46. Nakao M, Nomura S, Shimosawa T et al (2000) Blood pressure biofeedback treatment of white-coat hypertension. J Psychosom Res 48:161–169

    Article  PubMed  CAS  Google Scholar 

  47. Craig A, Lal S (2002) Optimising blood pressure reduction in mild un-medicated hypertensives. In: Shohov SP (ed) Advances in psychology research,Vol. 12. Nova Science Publishers, Hauppauge, NY, pp 199–216

    Google Scholar 

  48. Rau H, Buhrer M, Weitkunat R (2003) Biofeedback of R-wave-to-pulse interval normalizes blood pressure. Appl Psychophysiol Biofeedback 28:37–46

    Article  PubMed  Google Scholar 

  49. Vaschillo E, Lehrer P, Rishe N, Konstantinov M (2002) Heart rate variability biofeedback as a method for assessing baroreflex function: a preliminary study of resonance in the cardiovascular system. Appl Psychophysiol Biofeedback 27:1–27

    Article  PubMed  Google Scholar 

  50. Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:191–215

    Article  PubMed  CAS  Google Scholar 

  51. Bandura A (1997) Self-efficacy: the exercise of control. Freeman, New York

    Google Scholar 

  52. Bandura A (2004) Health promotion by social cognitive means. Health Educ Behav 31:143–164

    Article  PubMed  Google Scholar 

  53. McGrady AV, Kern-Buell C, Bush E et al (2003) Biofeedback-assisted relaxation therapy in neurocardiogenic syncope: a pilot study. Appl Psychophysiol Biofeedback 28:183–192

    Article  PubMed  Google Scholar 

  54. Yucha CB (2002) Problems inherent in assessing biofeedback efficacy studies. Appl Psychophysiol Biofeedback 27:99–106

    Article  PubMed  Google Scholar 

  55. Stoyva JM (1985) Principi del rilassamento generale: associazione del biofeedback e del Training Autogeno. In: Basmajian JV (ed) Il Biofeedback: aspetti teorici ed applicazioni pratiche. Piccin Nuova Libraria, Padova

    Google Scholar 

  56. Engel BT, Baile WF (1985) Tecniche comportamentali nel trattamento di pazienti con disturbi cardiovascolari. In: Basmajian JV (ed) Il Biofeedback: aspetti teorici ed applicazioni pratiche. Piccin Nuova Libraria, Padova

    Google Scholar 

  57. Jacobson E (1938) Progressive relaxation. University of Chicago Press, Chicago

    Google Scholar 

  58. Jacobson E (1978) You must relax (5th ed) McGraw-Hill, New York

    Google Scholar 

  59. Scogin F, Rickard SK, Wilson J, McElreath L (1992) Progressive and imaginal relaxation training for elderly persons with subjective anxiety. Psychol Aging 7:419–424

    Article  PubMed  CAS  Google Scholar 

  60. Bernstein DA, Borkovec TD (1973) Progressive relaxation training: a manual for the helping profession. Research Press, Champaign, IL

    Google Scholar 

  61. McReady KF, Berry FM, Kenkel MB (1985) Supervised relaxation training: a model for greater accessibility of behavioral interventions. Professional Psychology: Research and Practice 16:595–604

    Article  Google Scholar 

  62. Carlson CR, Hoyle RH (1993) Efficacy of abbreviated Progressive Muscle Relaxation training: a quantitative review of behavioral medicine research. J Consult Clin Psychol 61:1059–1067

    Article  PubMed  CAS  Google Scholar 

  63. Dunn PA, Rogers DK (2000) Feldenkrais sensory imagery and forward reach. Percept Mot Skills 91:755–757

    PubMed  CAS  Google Scholar 

  64. Lowe B, Breining K, Wilke S et al (2002) Quantitative and qualitative effects of Feldenkrais, progressive muscle relaxation, and standard medical treatment in patients after acute myocardial infarction. Psychother Res 12:179–191

    Article  Google Scholar 

  65. Bauer KE, McCanne TR (1980) Autonomic and central nervous system responding: during hypnosis and simulation of hypnosis. Int J Clini Exp Hypn 28:148–163

    Article  CAS  Google Scholar 

  66. Case DB, Fogel DH, Pollack AA (1980) Intrahypnotic and long term effects of selfhypnosis on blood pressure in mild hypertension. Int J Clini Exp Hypn 28:27–38

    CAS  Google Scholar 

  67. Everly GS, Benson H (1989) Disorders of arousal and the relaxation response: speculations on the nature and treatment of stress-related diseases. Int J Psychosomatics 36:15–21

    Google Scholar 

  68. Stainbrook G, Hoffman JW, Benson H (1983) Behavioral therapies of hypertension: psychotherapy, biofeedback, and relaxation/meditation. Int Rev Appl Psychol 32:119–135

    Google Scholar 

  69. Erickson MH (1948) Hypnotic psychotherapy. Medical Clinics of North America 32:571–583

    PubMed  CAS  Google Scholar 

  70. Rosen H, Erickson MH (1954) The hypnotic and hypnotherapeutic investigation and determination of symptom-function. J Clin Exp Hypn 2:201–219

    Google Scholar 

  71. Cooper LF, Erickson MH (1950) Time distortion in hypnosis II. Bulletin Georgetown University Medical Center 4:50–68

    Google Scholar 

  72. Erickson MH (1954) Special techniques of brief hynotherapy. J Clin Exp Hypn 2:109–129

    Article  Google Scholar 

  73. Erickson MH (1954) The development of an acute limited obsessional hysterical state in a normal hypnotic subject. J Clin Exp Hypn 2:27–41

    Google Scholar 

  74. Rossi EL (1987) The psychobiology of mind-body healing: new concepts of therapeutic hypnosis (rev ed). W W Norton & Co, New York, NY

    Google Scholar 

  75. Bandler R, Grinder J (1975) Patterns of hypnotic therapy of Milton H. Erickson. Meta Publications, Capitola, CA

    Google Scholar 

  76. Purdue V (2000) The use of hypnosis and imagery methods in the treatment of cardiac disorders in women. In: Hornyak LM, Green JP (eds) Healing from within: the use of hypnosis in women’s health care. Dissociation, trauma, memory, and hypnosis book series. American Psychological Association, Washington, DC, pp 65–89

    Chapter  Google Scholar 

  77. Mosconi GP (2001) Ipnosi del 2000: il pensiero di Milton Erickson e dei neo-ericksoniani. Atti del XII Congresso Nazionale dell’Associazione Medica Italiana per lo Studio dell’Ipnosi. Edizione AMISI, Milano

    Google Scholar 

  78. Denollet J, Van Heck GL (2001) Psychological risk factors in heart disease: what type D personality is (not) about. J Psychosom Res 51:465–468

    Article  PubMed  CAS  Google Scholar 

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Bellardita, L., Cigada, M., Molinari, E. (2007). Tecniche di rilassamento e ipnosi nella riabilitazione cardiaca. In: Mente e cuore. Springer, Milano. https://doi.org/10.1007/978-88-470-0524-2_17

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  • DOI: https://doi.org/10.1007/978-88-470-0524-2_17

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