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Intl. Journal of Clinical and Experimental Hypnosis, Vol. 57, No. 3, March 2009: pp. 1–48
I
A BENCHMARKED FEASIBILITY STUDY
OF A SELF-HYPNOSIS TREATMENT FOR
DEPRESSION IN PRIMARY CARE
1,2,3
Self-Hypnosis for Depression in Primary Care
Alastair D bbin et al.
A
LASTAIR
D
OBBIN
4,5
National Health Service, United Kingdom
M
ARGARET
M
AXWELL AND
R
OBERT
E
LTON
University of Edinburgh, United Kingdom
Abstract:
This investigation assessed the effectiveness of a self-help,
self-hypnosis treatment in a primary-care setting in Edinburgh, UK.
A partially randomized preference (PRP) study design was used,
with benchmarking results to trials of CBT and counseling. Patients
seeing their general practitioner for depression were offered random-
ization to, or their treatment preference of, either self-help (self-hypnosis)
or antidepressant medication. Evaluation measures were Becks
Depression Inventory, Brief Symptom Inventory, and SF-36. Of the 58
patients recruited, 50 chose self-hypnosis, 4 chose antidepressants,
and 4 were randomized. The preference groups demonstrated similar
demography, baseline measurements, and outcome effects to bench-
marked trials. This feasibility study of a self-help, self-hypnosis pro-
gram for depression showed promise for its future use in primary care.
Benchmarking improved validity and reliability. A PRP study design
Manuscript submitted June 3, 2008; final revision accepted December 6, 2008.
1
This study was approved by the Lothian Research Ethics Committee and was sup-
ported by a grant from the Chief Scientists Office in Scotland CSO Grant No. CZG/2/
121. The sponsor had no involvement in the conduct or interpretation or decision to pub-
lish. The North East Edinburgh Local Healthcare Committee (led by Mr. J. Forrest and
Dr. I. MacKay) also generously provided premises and funding for the CPN.
2
The idea for the study was from AD. The study was developed by AD, MM, & RE.
The intervention was developed by AD with assistance from Lars Eric Uneståhl and
Sheila Ross. MM and AD developed the research protocol. AD arranged the project and
supervised the CPN Beth Hale who was responsible for recruitment and delivery of the
intervention. MM collated study data and MM and RE conducted the analyses. AD com-
piled the literature review and wrote the article with help from MM and RE and Sheila
Ross. MM is guarantor.
3
The DVD and CDs used in this study were developed and produced by Positive
Rewards Ltd. This program of Positive Mental Training can be ordered or downloaded
from www.positiverewards.co.uk. AD is a director of Positive Rewards, which he devel-
oped to maintain standards of quality and consistency in the use of Positive Mental
Training. Both other authors have no competing interest.
4
Margaret Maxwell is now at the University of Stirling, Scotland, UK.
5
Address correspondence to Alastair Dobbin, Brunton Place Surgery, 9 Brunton
Place, Edinburgh, EH7 5EG, UK. E-mail: alastair.dobbin@lothian.scot.nhs.uk
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