Cognitive‐behavioural group treatment with hypnosis: a randomized pilot trail in fibromyalgia

Abstract

This study examined the contributing effects of hypnosis on a standard cognitivebehaviour therapy (CBT) intervention for treating pain in patients with fi bromyalgia. Forty-seven patients with fi bromyalgia were randomly assigned to one of three conditions: (1) Pharmacological treatment (standard care control group); (2) CBT group therapy; or (3) CBT group therapy with hypnosis. Outcome measures assessing pain intensity, sensorial and affective quality of pain and total FIQ score were administered before and after treatment. The analyses indicated that patients who received either CBT or CBT plus hypnosis improved more than patients who received only conventional pharmacological treatment; patients who received CBT plus hypnosis showed greater improvement than those who received CBT without hypnosis. The fi ndings are consistent with previous research demonstrating the additive benefi ts of hypnosis when combined with other effective treatments.

Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta‐analysis of randomized controlled trials

“…These studies added 546 new participants. We included 22 studies from the first version of the review (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Nicassio et al, 1997;Oliver et al, 2001;King et al, 2002;Soares and Grossi, 2002;Williams et al, 2002;Thieme et al, 2003;Redondo et al, 2004;Edinger et al, 2005;Kashikar-Zuck et al, 2005;Thieme et al, 2006;Rooks et al, 2007;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011;Kashikar-Zuck et al, 2012;Woolfolk et al, 2012;Bernardy et al, 2013). In sum, 29 studies with 31 study arms were included into the qualitative and quantitative analysis (see Fig.…”

“…Eighteen studies were conducted in Europe (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Soares and Grossi, 2002;Thieme et al, 2003Thieme et al, , 2006Redondo et al, 2004;Castel et al, 2009Castel et al, , 2012Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Miro et al, 2011;Parra-Delgado and Latorre-Postigo, 2013;Wicksell et al, 2013;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015), of which 10 were conducted in Spain (Redondo et al, 2004;Castel et al, 2009Castel et al, , 2012Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Miro et al, 2011;ParraDelgado and Latorre-Postigo, 2013;Martınez et al, 2014;Garcia-Palacios et al, 2015), five in Scandinavian countries (Burckhardt et al, 1994;Wigers et al, 1996;Soares and Grossi, 2002;Wicksell et al, 2013;Karlsson et al, 2015), two studies in Germany (Thieme et al, 2003(Thieme et al, , 2006 and one study in the Netherlands (Vlaeyen et al, 1996). Ten studies were conducted in North America (USA) (Nicassio et al, 1997;Oliver et al, 2001;King et al, 2002...…”

“…All studies but one (Thieme et al, 2003) were outpatient-based. Most studies reported the setting in which CBTs were delivered: four studies in primary care settings (Rooks , 2007;Alda et al, 2011;Luciano et al, 2011;Karlsson et al, 2015), by six studies in rheumatology clinics (Burckhardt et al, 1994;Thieme et al, 2003;Redondo et al, 2004;Kashikar-Zuck et al, 2005Woolfolk et al, 2012) by two studies each in pain clinics (Castel et al, 2009(Castel et al, , 2012, psychology departments (Thieme et al, 2006;Martınez et al, 2014) and rehabilitation clinics (Vlaeyen et al, 1996;King et al, 2002) and by one study in the home of the patients (Ang et al, 2010). All studies except six (Oliver et al, 2001;Rooks et al, 2007;Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Kashikar-Zuck et al, 2012) were single-centre studies.…”

“…Twenty-three studies provided traditional CBT (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Nicassio et al, 1997;King et al, 2002;Soares and Grossi, 2002;Williams et al, 2002;Redondo et al, 2004;Edinger et al, 2005;Kashikar-Zuck et al, 2005;Thieme et al, 2006;Falcao et al, 2008;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011;Miro et al, 2011;Kashikar-Zuck et al, 2012;Woolfolk et al, 2012;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015), three studies offered acceptance/mindfulness-based therapy (Parra-Delgado and Latorre-Postigo, 2013; Wicksell et al, 2013;Luciano et al, 2014) and two studies each provided self management education (Oliver et al, 2001;Rooks et al, 2007) and operant therapy (Thieme et al, 2003(Thieme et al, , 2006. All studies were conducted by live face-toface contact except one study which was delivered by telephone (voice-to-voice) (Ang et al, 2010).…”

“…Ninety per cent of participants of the CBT group of Garcia- Palacios et al, 2015 had a history of mood or anxiety disorders. Sixteen studies included patients with depressive or anxiety disorders, or both (Burckhardt et al, 1994;Wigers et al, 1996;Nicassio et al, 1997;King et al, 2002;Williams et al, 2002;Thieme et al, 2006;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Parra-Delgado and Latorre-Postigo, 2013;Garcia-Palacios et al, 2015;Karlsson et al, 2015).…”