Hypnotic treatment of chronic pain
Hypnotic treatment of chronic pain
复制标题
DOI：
10.1007/s10865-005-9031-6
复制
发表时间：
2006-02-01
影响因子：
3.1
通讯作者：
Patterson, DR
中科院分区：
文献类型：
--
作者：
Jensen, M;Patterson, DR
本文从以下几个方面综述了催眠治疗慢性疼痛的对照试验：(1)比较催眠治疗与六种控制条件的效果的分析；(2)成分分析；(3)预测分析。研究结果表明，与未接受治疗和一些非催眠干预措施(如药物管理、理疗和教育/建议)相比，催眠止痛效果明显更好。然而，自我催眠训练对慢性疼痛的效果通常与渐进性肌肉放松和自生训练相似，这两种训练通常都包含催眠般的暗示。没有一项已发表的研究将催眠与同样可信的安慰剂或最低限度有效的疼痛治疗进行比较，因此，目前还不能得出结论，催眠止痛治疗是否特别有效，而不仅仅是对患者预期的影响。成分分析表明，将催眠治疗标记为催眠与不标记为催眠，或包括与不包括暖手建议，对结果的短期影响相对较小，尽管催眠标签可能有长期好处。预测分析表明，整体催眠反应性和体验生动图像的能力与催眠、渐进放松和自生训练治疗的治疗结果有关。文章最后讨论了这些发现对未来催眠研究和催眠镇痛临床应用的意义。
This article reviews controlled trials of hypnotic treatment for chronic pain in terms of: (1) analyses comparing the effects of hypnotic treatment to six types of control conditions; (2) component analyses; and (3) predictor analyses. The findings indicate that hypnotic analgesia produces significantly greater decreases in pain relative to no-treatment and to some non-hypnotic interventions such as medication management, physical therapy, and education/advice. However, the effects of self-hypnosis training on chronic pain tend to be similar, on average, to progressive muscle relaxation and autogenic training, both of which often include hypnotic-like suggestions. None of the published studies have compared hypnosis to an equally credible placebo or minimally effective pain treatment, therefore conclusions cannot yet be made about whether hypnotic analgesia treatment is specifically effective over and above its effects on patient expectancy. Component analyses indicate that labeling versus not labeling hypnosis treatment as hypnosis, or including versus not including hand-warming suggestions, have relatively little short-term impact on outcome, although the hypnosis label may have a long-term benefit. Predictor analyses suggest that global hypnotic responsivity and ability to experience vivid images are associated with treatment outcome in hypnosis, progressive relaxation, and autogenic training treatments. The paper concludes with a discussion of the implications of the findings for future hypnosis research and for the clinical applications of hypnotic analgesia.