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Master Thesis

Effet de l’hypnose dans le but d’un sevrage tabagique à trois mois d’une séance en cabinet de médecine générale

Abstract : Introduction: the hypnosis is more and more used in general practice. Is it a useful tool with regard to smoking cessation? Method: we have performed an observational quantitative study on a series of patients who had a hypnosis session with a general practitioner in order to give up smoking. The patients have answered a questionnaire three months after their hypnosis session. Results: out of an initial sample of 70 patients, 63 patients have answered this questionnaire. The average age was 46,84 years (standard deviation (SD) 10,95),30% of the patients were men. In average, the beginning of smoking was at 16,7 years old (SD 3,22), the number of smoking cessation attempts was 1,8 (SD 1,62), the number of cigarettes daily smoked was 17,5 (SD 7,43), the cumulated smoking was at 23,5 pack-year (SD 13,8), motivation to give up was at 7,32 (SD 1,78), the Fargerström score was 4,9 (SD 2,29) and a total number of hypnosis session of 1,4 (SD 0,88). 13 out of 63 patients were weaned after 3 months, that to say 20,6% with a confidence interval (CI) 95% [10,6 ; 30,6], this population of patients was composed at 23,1% by men CI95 [5,0 ; 53,8], average age was 41,7 years old (SD 10,67), the Fargerström score was 3,38 (SD 1,98), the motivation was 7,65 (SD 1,54), the number of cigarettes daily smoked was 15,5 (SD 9,11) and 76,9% CI95 [46,2 ; 95,0] of the patients have felt an improvement after having given up smoking. There is no significant difference between men and women regarding the dependency score (p=0,28), but women included in this study smoke less cigarettes in a day (p=0,026) and have a lower cumulative consumption (p=0,0044). The comparison between the weaned patients and the non-weaned patients does not highlight significant differences as regards the cumulated consumption (p=0,54), the age (p=0,65), the daily consumption of cigarettes (p=0,098) and the dependency score (p=0,14). However, regarding the non-weaned patients population, we observe a significant decrease of the number of cigarettes daily smoked from 17,84 (SD 6,55) prior to the hypnosis session to 15,61 (SD 6,11) three months after (p=0,003). We also note a significant decrease of the dependency score from 4,78 (SD 2,27) to 4,32 (SD 2,05) (p=0,01). Conclusion: we cannot assert that the hypnosis is significantly efficient in the smoking cessation but it could be an interesting tool in a future attempts.
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Master Thesis
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Tiffany Pinto. Effet de l’hypnose dans le but d’un sevrage tabagique à trois mois d’une séance en cabinet de médecine générale. Médecine humaine et pathologie. 2018. ⟨dumas-02172025⟩

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