The Challenge of Fibromyalgia Efficacy of Hypnosis in Alleviating the Invisible Pain: A Narrative Review.

IF 2 4区 心理学 Q3 PSYCHIATRY
Giuseppe De Benedittis
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引用次数: 1

Abstract

Fibromyalgia syndrome (FMS) is a multifaceted and incapacitating functional pain syndrome characterized by continuous, severe, widespread musculoskeletal pain. FMS is associated with other symptoms such as fatigue, nonrestorative sleep, cognitive/emotional dysfunction, and diminished health-related quality of life. The pathogenesis of FMS is still not fully understood, but an increasing amount of evidence supports the link between childhood/adulthood emotional, physical, sexual abuse or neglect and the development of FMS. Managing and treating FMS patients can be challenging because the syndrome is refractory to most treatments. However, psychological interventions, particularly hypnotherapy, have been shown to be effective in the cognitive modulation of fibromyalgic pain. FMS patients may benefit from hypnotherapy alone or in combination with standard medical therapy. Symptom-oriented hypnosis aims to reduce pain, fatigue, sleep problems, anxiety, and depression, while hypnotherapy focuses on resolving emotional conflicts and unresolved traumas associated with FMS. In conclusion, hypnosis may be a useful and safe adjunct tool for managing chronic pain and dysfunctional symptoms in challenging fibromyalgic patients.

纤维肌痛的挑战催眠在减轻看不见的疼痛方面的疗效:叙述性综述。
纤维肌痛综合征(FMS)是一种多方面的、丧失能力的功能性疼痛综合征,其特征是持续、严重、广泛的肌肉骨骼疼痛。FMS与其他症状有关,如疲劳、无反应性睡眠、认知/情绪功能障碍和健康相关生活质量下降。FMS的发病机制尚不完全清楚,但越来越多的证据支持儿童/成年期情感、身体、性虐待或忽视与FMS的发展之间的联系。管理和治疗FMS患者可能具有挑战性,因为该综合征对大多数治疗都是难治性的。然而,心理干预,特别是催眠疗法,已被证明对纤维肌痛的认知调节有效。FMS患者可能受益于单独的催眠疗法或与标准药物治疗相结合。以症状为导向的催眠旨在减轻疼痛、疲劳、睡眠问题、焦虑和抑郁,而催眠疗法则专注于解决与FMS相关的情绪冲突和未解决的创伤。总之,催眠可能是一种有用且安全的辅助工具,用于治疗纤维肌痛患者的慢性疼痛和功能障碍症状。
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来源期刊
CiteScore
3.70
自引率
29.40%
发文量
27
期刊介绍: The IJCEH will keep you up to date on the latest clinical and research findings in the field, thanks to leading scholars from around the world examining such topics as: •Hypnotherapeutic Techniques •Pain and Anxiety Relief •Disociative Identity Disorder (Multiple Personality Disorder) •Altered States of Consciousness •Delayed Recall •Dissociation •Forensic Uses of Hypnosis •Hypnosis in Eyewitness Memory •Hypnotic Induction in Dentistry •Hypnotizability •Post-Traumatic Stress Disorder •Self-Hypnosis •Control of Smoking •Weight Management •Ego State Hypnotherapy •Theories of Hypnosis •Physiological & Psychological Bases of Hypnosis
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