慢性非痉挛性疼痛的即时催眠效果和结果预测因素。

IF 1.2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
American Journal of Clinical Hypnosis Pub Date : 2024-09-01 Epub Date: 2023-09-14 DOI:10.1080/00029157.2023.2243618
Anna Dominika Kaczmarska, Krzysztof Rutkowski, Michał Mielimąka
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引用次数: 0

摘要

本研究使用了一项随机对照试验的数据,该试验研究了带有镇痛建议的催眠相对于带有非特异性建议的催眠的疗效,并从两个方面进行了探讨。首先是每个催眠疗程的直接效果及其与治疗引起的疼痛强度变化的相关性。第二是确定与催眠治疗在降低疼痛强度和疼痛质量方面的有益效果相关的变量。研究还考察了初始治疗反应、可催眠性和使用止痛药这一二分变量的预测价值。两种干预方法都能在每次治疗后显著降低疼痛强度,但没有累积效应。初始反应与完全催眠治疗引起的疼痛强度下降呈中度正相关。可催眠性与疼痛质量改善之间只有微弱的联系。只有未服用止痛药的参与者的疼痛症状得到了明显减轻。每个催眠疗程都能立即减轻慢性非痉挛性疼痛的强度,而第一个疗程的成功可能是继续治疗的积极信号。即使是催眠能力较低的患者也能获得有益的结果。疼痛药物的使用可能会成为催眠研究的一个新的预测指标,因为只有在没有药物治疗的情况下,疼痛强度和疼痛质量才会显著降低。不过,这项研究的结果还需要更长治疗时间的进一步研究来证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate hypnosis effects and outcome predictors in chronic nociplastic pain.

This study used data from a randomized controlled trial on the efficacy of hypnosis with analgesic suggestions relative to hypnosis with nonspecific suggestions to explore two areas. The first was the immediate effects of each hypnosis session and their relevance to the treatment induced change in pain intensity. The second was the identification of variables associated with the beneficial effects of hypnosis treatment in the form of reducing pain intensity and pain quality. The predictive value of the initial treatment response, hypnotizability, and the dichotomous variable of pain medication use were examined. Both interventions resulted in similar significant reductions in pain intensity after each session, but without a cumulative effect. The initial response correlated positively and moderately with pain intensity decreases induced by the complete hypnosis treatment. There was only a weak association between hypnotizability and pain quality improvement. Only participants not taking pain medications achieved a meaningful reduction in pain outcomes. Each hypnosis session results in an immediate reduction in chronic nociplastic pain intensity, and a fruitful first session may be a positive signal to continue therapy. Even patients with low hypnotizability can obtain beneficial outcomes. Pain medication use may become a new predictor in hypnosis research, as significant decreases in pain intensity and pain quality occurred only in the absence of pharmacotherapy. However, the results of this study require confirmation in further research with longer treatment periods.

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来源期刊
CiteScore
2.00
自引率
23.10%
发文量
52
期刊介绍: The American Journal of Clinical Hypnosis ( AJCH) is the official publication of the American Society of Clinical Hypnosis (ASCH). The Journal publishes original scientific articles and clinical case reports on hypnosis, as well as books reviews and abstracts of the current hypnosis literature. The purview of AJCH articles includes multiple and single case studies, empirical research studies, models of treatment, theories of hypnosis, and occasional special articles pertaining to hypnosis. The membership of ASCH and readership of AJCH includes licensed health care professionals and university faculty in the fields of medicine, psychiatry, clinical social work, clinical psychology, dentistry, counseling, and graduate students in these disciplines. AJCH is unique among other hypnosis journals because its primary emphasis on professional applications of hypnosis.
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