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Master Thesis

Training in medical hypnosis and prolonged use of benzodiazepines: The French National Health Insurance Data

Abstract : Background : In France, benzodiazepines are widely prescribed and 15% of their introduction will be extended beyond the time limit. The HAS (French National Authority for Health, Haute Autorité de Santé) recommends the use of non-medicinal alternatives. Hypnosis could be one of these alternatives.
Objective : To evaluate the data of the Compensation on Public Health Objectives (ROSP in French) concerning prescriptions of benzodiazepines past the statutory deadline by the general practitioners (GP) trained in hypnotherapy.
Methods : A cohort descriptive study was conducted from June to December 2019. The ROSP data for the prescriptions in 2019 of GP trained in hypnotherapy were collected. The two primary outcome measures were the rate of out of time limit prescriptions relative to the total number of hypnotic and anxiolytic benzodiazepines prescriptions (ROSP data).
Results : 189 GPs were contacted, representing 30% of the national population of GPs trained in hypnosis. Among the 189 GPs, only 81 were practicing in private practice with a convention. 24 could not be contacted and five refused to answer. A total of 52 French private GP out of a sample of 81 (64%) were interviewed by phone or email. The total number of patients surveyed was 52,000. 38.3% of hypnotic prescriptions and 14,8% of anxiolytic prescriptions were extended out of time limit for a national rate of respectively 42.8% and 14.8%, with statistically no significant difference.
Conclusions : The high participation rate and the sample size suggest that these results are representative. Training in hypnosis is not significantly correlated with better prescriptions of hypnotics or anxiolytics. A qualitative study is underway to better understand these results.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02962714
Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Friday, October 9, 2020 - 2:11:59 PM
Last modification on : Tuesday, April 27, 2021 - 3:13:57 AM

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  • HAL Id : dumas-02962714, version 1

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Léa Légereau. Training in medical hypnosis and prolonged use of benzodiazepines: The French National Health Insurance Data. Human health and pathology. 2020. ⟨dumas-02962714⟩

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