The Associations Between Pain-related Beliefs, Pain Intensity, and Patient Functioning: Hypnotizability as a Moderator.

The Associations Between Pain-related Beliefs, Pain Intensity, and Patient Functioning: Hypnotizability as a Moderator.
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疼痛相关信念、疼痛强度和患者功能之间的关联:催眠性作为调节因素。

DOI:
10.1097/ajp.0000000000000294
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发表时间:
2016
期刊:
The Clinical journal of pain
影响因子:
--
通讯作者:
Gertz,KevinJ
Gertz,KevinJ
中科院分区:
--
文献类型:
--
作者:
Jensen,MarkP;Galer,PeterD;Johnson,LineaL;George,HollyR;Mendoza,MElena;Gertz,KevinJ

文献摘要

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Objectives:Objectives:On the basis of the idea that thoughts holded about pain may represent“self-suggestions”and evidence indicating that people with higher levels of trait hypnotizability are more responsive to suggestions,the current study evaluated hypnotizability on the association between pain-related thoughts and both pain intensity and pain interference.Methods:Eighty-five individuals with chronic pain were given measures of hypnotizability,pain intensity,pain interference,and pain-related thoughts(control beliefs,catastrophizing).Results:Analysis supported a moderating role of hypnotizability on the association between control beliefs and pain interference.具体而言,疼痛控制信念和疼痛干扰之间的负相关性更强的特质hypnotizability比那些低特质hypnotizability.Discussion:研究结果,如果复制在其他样本的个人慢性疼痛,具有重要的临床和理论意义。例如,如果特质催眠被发现预测一个人的反应,以特定的认知治疗技术,如专注于和重复疼痛控制信念自我陈述,催眠措施可以用来确定个人谁可能是最敏感的这种技术。目前的研究结果表明,有必要进一步研究这种可能性。
Objectives:On the basis of the idea that thoughts held about pain may represent “self-suggestions” and evidence indicating that people with higher levels of trait hypnotizability are more responsive to suggestions, the current study evaluated hypothesized moderating effects of hypnotizability on the associations between pain-related thoughts and both pain intensity and pain interference.Methods:Eighty-five individuals with chronic pain were given measures of hypnotizability, pain intensity, pain interference, and pain-related thoughts (control beliefs, catastrophizing).Results:Analyses supported a moderating role of hypnotizability on the association between control beliefs and pain interference. Specifically, the negative association between pain control beliefs and pain interference were stronger among those with higher trait hypnotizability than between those with lower trait hypnotizability.Discussion:The study findings, if replicated in additional samples of individuals with chronic pain, have important clinical and theoretical implications. For example, if trait hypnotizability is found to predict an individual’s response to a particular technique of cognitive therapy—such as focusing on and repeating pain control belief self-statements—measures of hypnotizability could be used to identify individuals who might be most responsive to this technique. The current findings indicate that research to further examine this possibility is warranted.