Hypnosis in the management of persistent idiopathic orofacial pain - Clinical and psychosocial findings
Hypnosis in the management of persistent idiopathic orofacial pain - Clinical and psychosocial findings
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DOI：
10.1016/j.pain.2007.06.013
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发表时间：
2008-05-01
期刊：
影响因子：
7.4
通讯作者：
Svensson, Peter
中科院分区：
文献类型：
--
作者：
Abrahamsen, Randi;Baad-Hansen, Lene;Svensson, Peter
这项对照和患者盲法研究测试了催眠对持续性特发性口面疼痛（PIOP）的临床和心理社会学结果的影响。41例PIOP被随机分为主动催眠干预组和单纯放松组，每组5例，每次1小时。主要结局是使用视觉模拟量表（VAS）在疼痛日记中每日3次对平均疼痛强度进行评分。次要结局指标是通过麦吉尔疼痛问卷（MPQ）评估的疼痛质量、通过症状检查表（SCL）评估的心理症状、通过SF 36评估的生活质量、睡眠质量和止痛药的消耗。使用ANOVA模型和配对t检验比较治疗前后组间数据。从基线到末次治疗（t4），催眠组VAS疼痛评分的变化为（33.1 ± 7.4%），对照组为（3.2 ± 5.4%）（P < 0.03）。在催眠组中，高度催眠敏感患者的VAS疼痛评分（55.0 +/- 12.3%）比不太敏感的患者（17.9 +/- 6.7%）下降更大（P < 0.02）。末次治疗后，两组患者自觉疼痛面积（MPQ）及弱镇痛药使用情况比较，差异有统计学意义（P < 0.03）。SCL或SF 36评分从基线至t4无统计学显著变化。总之，催眠似乎提供了临床相关的疼痛缓解PIOP，特别是在高度敏感的患者。然而，应对压力的技能和未解决的心理问题需要纳入一个全面的管理计划，以解决心理症状和生活质量。(c)2007年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
This controlled and patient blinded study tested the effect of hypnosis on persistent idiopathic orofacial pain (PIOP) in terms of clinical and psychosocial findings. Forty-one PIOP were randomized to active hypnotic intervention or simple relaxation as control for five individual 1-h sessions. Primary outcome was average pain intensity scored three times daily in a pain diary using visual analogue scale (VAS). Secondary outcome measures were pain quality assessed by McGill pain questionnaire (MPQ), psychological symptoms assessed by symptom check list (SCL), quality of life assessed by SF36, sleep quality, and consumption of analgesic. Data were compared between groups before and after treatment using ANOVA models and paired t-tests. The change in VAS pain scores from baseline to the last treatment (t4) was (33.1 +/- 7.4%) in the hypnosis group and (3.2 +/- 5.4%) in the control group (P < 0.03). In the hypnosis group, highly hypnotic susceptible patients had greater decreases in VAS pain scores (55.0 +/- 12.3%) when compared to less susceptible patients (17.9 +/- 6.7%) (P < 0.02). After the last treatment there were also statistically significant differences between groups in perceived pain area (MPQ) and the use of weak analgesics (P < 0.03). There were no statistically significant changes in SCL or SF36 scores from baseline to t4. In conclusion, hypnosis seems to offer clinically relevant pain relief in PIOP, particularly in highly susceptible patients. However, stress coping skills and unresolved psychological problems need to be included in a comprehensive management plan in order also to address psychological symptoms and quality of life. (c) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.