Effects of hypnosis, cognitive therapy, hypnotic cognitive therapy, and pain education in adults with chronic pain: a randomized clinical trial.
Effects of hypnosis, cognitive therapy, hypnotic cognitive therapy, and pain education in adults with chronic pain: a randomized clinical trial.
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DOI：
10.1097/j.pain.0000000000001943
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发表时间：
2020-10
期刊：
影响因子：
7.4
通讯作者：
Ciol MA
中科院分区：
文献类型：
--
作者：
Jensen MP;Mendoza ME;Ehde DM;Patterson DR;Molton IR;Dillworth TM;Gertz KJ;Chan J;Hakimian S;Battalio SL;Ciol MA
慢性疼痛是全球范围内的一个重大健康问题，药物治疗选择有限。这项研究评估了四种非药物治疗中每种治疗四次的相对疗效：（1）催眠认知疗法（使用催眠改变疼痛的意义）;（2）标准认知疗法;（3）催眠专注于减轻疼痛;（4）疼痛教育。173名慢性疼痛患者被随机分配接受四种治疗之一的四次治疗。在治疗前、治疗后以及3个月、6个月和12个月随访时，由不知道治疗分配的评估者进行主要（疼痛强度）和次要结局指标。根据检查的结局域，使用ANOVA、广义估计方程法或Fisher精确检验评价治疗效果。所有四种治疗均与疼痛强度的中至大效应量改善相关，并在治疗后维持长达12个月。在疼痛干扰和抑郁症状的次要结局方面，在四种治疗条件下观察到治疗前后的改善，在12个月随访时恢复到治疗前水平。在综合分析中没有出现显著的组间差异，在计划的成对分析中也没有出现统计学显著的组间差异，尽管确实出现了两个显著的效果，有利于催眠认知治疗。未来的研究需要确定出现的显著差异是否可靠。
Chronic pain is a significant health problem worldwide with limited pharmacological treatment options. This study evaluated the relative efficacy of four treatment sessions each of four non-pharmacological treatments: (1) hypnotic cognitive therapy (using hypnosis to alter the meaning of pain); (2) standard cognitive therapy; (3) hypnosis focused on pain reduction, and (4) pain education. One hundred seventy-three individuals with chronic pain were randomly assigned to receive four sessions of one of the four treatments. Primary (pain intensity) and secondary outcome measures were administered by assessors unaware of treatment allocation at pre-treatment, post-treatment, and 3-, 6- and 12-month follow-up. Treatment effects were evaluated using ANOVA, a generalized estimating equation approach, or a Fisher Exact Test, depending on the outcome domain examined. All four treatments were associated with medium to large effect size improvements in pain intensity that maintained up to 12 months post-treatment. Pre- to post-treatment improvements were observed across the four treatment conditions on the secondary outcomes of pain interference and depressive symptoms, with some return towards pre-treatment levels at 12-months follow-up. No significant between group differences emerged in omnibus analyses, and few statistically significant between-group differences emerged in the planned pairwise analyses, although the two significant effects that did emerge favored hypnotic cognitive therapy. Future research is needed to determine if the significant differences that emerged are reliable.
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影响因子：
--
作者：
Cherkin, Daniel C.;Sherman, Karen J.;Avins, Andrew L.;Erro, Janet H.;Ichikawa, Laura;Barlow, William E.;Delaney, Kristin;Hawkes, Rene;Hamilton, Luisa;Pressman, Alice;Khalsa, Partap S.;Deyo, Richard A.
通讯作者：
Deyo, Richard A.
DOI：
10.1080/00207144.2013.841471
发表时间：
2014-01-02
影响因子：
1.7
作者：
Adachi, Tomonori;Fujino, Haruo;Sasaki, Jun
通讯作者：
Sasaki, Jun
影响因子：
4.1
作者：
Ardigo, Sheila;Herrmann, Francois R.;Pautex, Sophie
通讯作者：
Pautex, Sophie
DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA
影响因子：
3.2
作者：
Bowker, Emma;Dorstyn, Diana
通讯作者：
Dorstyn, Diana