Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Bicego, Aminata Yasmina; Monseur, Justine; Collinet, Alain; Donneau, Anne‐Françoise; Fontaine, R; Libbrecht, Dominique; Malaise, Nicole; Nyssen, Anne‐Sophie; Raaf, Mélissa; Rousseaux, Floriane; Salamun, Irène; Staquet, Cécile; Teuwis, Sandrine; Tomasella, Marco; Faymonville, Marie-Élisabeth; Vanhaudenhuyse, Audrey

doi:10.1371/journal.pone.0256001

Cited by 22 publications

(16 citation statements)

References 59 publications

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“…PLP occurs in more than half of the cases of amputation and often evolves into chronic pain, causing the individual a high level of physical and psychological discomfort [3]. Complementary approaches, such as hypnosis, are effective in reducing pain, emotional distress, and fatigue in patients suffering from chronic pain [24,25,28,29]. Thus, in this study, we assessed whether selfhypnosis training would decrease pain perception (i.e., sensitive and affective aspects) and intensity, sleep problems (i.e., insomnia ), and emotional distress (i.e., anxiety and depression) in seven people suffering from PLP.…”

Section: Discussionmentioning

confidence: 99%

“…The hypnosis exercises were provided by an expert on clinical hypnosis (A.V.) and have been described in other studies [24,31]. During the exercises, the patients were suggested to mobilize and move the phantom limb.…”

Section: Methodsmentioning

confidence: 99%

“…In some clinical situations, the goal of hypnotherapy is to teach self-hypnosis. Self-hypnosis occurs when a person self-induces hypnosis [24,25]. Hypnosis positively affects the management of chronic pain [26,27].…”

Section: Introductionmentioning

confidence: 99%

“…It can improve pain, anxiety, depression, dysfunctional beliefs, and the overall quality of life in patients with chronic pain [28,29]. Additionally, its benefits are maintained over the long term [24,25].…”

Section: Introductionmentioning

confidence: 99%

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Self-Hypnosis for Phantom Limb Pain: A Multiple-Case Study

Bicego¹,

Delmal²,

Ledoux³

et al. 2022

OBM ICM

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Phantom limb pain occurs in more than half of the people who have undergone an amputation. Hypnosis can alleviate pain effectively in experimental, procedural, and chronic pain. Thus, in this multiple-case study, we determined whether hypnosis might be a successful complementary approach to help patients with phantom limb pain in alleviating their pain quality (i.e., sensitive and affective), intensity, fatigue, and emotional distress (i.e., anxiety and depression). Seven patients experiencing phantom limb pain were trained to perform self-hypnosis in five sessions over two and a half months. The patients were encouraged to practice at home daily throughout the study. Measures of the intensity of pain and fatigue, the severity of insomnia, anxiety, depression, and the quality of pain (i.e., sensitive and affective) were performed before and after self-hypnosis training. Six years after the completion of the study, the patients were contacted over the telephone to follow up on their practice of self-hypnosis. All patients reported a reduction in the intensity of pain, severity of insomnia, anxiety, and quality of pain. They also reported a positive change in their behaviors and the sensation of pain after performing hypnosis. At the six-year follow-up, three patients were still practicing hypnosis and reported better control over pain and being more relaxed. The main reason for most patients to stop practicing self-hypnosis was that they failed to find the time. Self-hypnosis can effectively ameliorate pain, fatigue, and emotional distress in patients suffering from phantom limb pain. Large-sample clinical trials with a mixed design are needed to confirm these results.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Self-Hypnosis for Phantom Limb Pain: A Multiple-Case Study

Bicego¹,

Delmal²,

Ledoux³

et al. 2022

OBM ICM

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“…Very few studies investigating the effects of hypnosis on the quality of life of patients with cancer have been published since the beginning of 2020 and, to the authors' knowledge, none of them focused on CRF or sleep disturbances, except for one. This study showed the important short-and long-term (1 year after the intervention) benefits of the combination of self-care (an empowerment CBT-based intervention focusing on specific tasks, aiming to retrain the patient to be an actor rather than an observer of their life condition [45]) and self-hypnosis learning targeting CRF and sleep disturbances of a mixed cancer population [46…”

Section: Mind-body Interventions For Fatigue and Sleep Disturbancesmentioning

confidence: 99%

Psycho-oncology interventions focusing on fatigue and sleep disturbances

Grégoire

Faymonville

Jérusalem

et al. 2022

Current Opinion in Oncology

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Purpose of reviewCancer-related fatigue (CRF) and sleep disturbances are common symptoms among patients with cancer. They are often conceptualized as a part of a larger symptom cluster, also comprising pain and emotional distress. Despite their prevalence and long-lasting effects, CRF and sleep disturbances are still poorly addressed in clinical settings. Specific interventions are needed to manage these symptoms. Recent findingsIn addition to conventional pharmacological therapies, other kinds of interventions are increasingly being developed in oncology. This review will discuss three categories of interventions for patients with cancer and their interest in alleviating CRF and sleep disturbances: physical exercises (e.g., aerobic, resistance training, running, free weights), psychological interventions (e.g., cognitive-behavioural therapy, psychoeducational interventions), and mind-body interventions (e.g., yoga, mindfulness, hypnosis). The multicomponent aspect of these interventions seems particularly important to address these symptoms.

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Virtual reality hypnosis in the management of pain: Self‐reported and neurophysiological measures in healthy subjects

Rousseaux

Panda

Toussaint³

et al. 2022

European Journal of Pain

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Background Virtual reality hypnosis (VRH) has emerged as a new and promising option for pain management. Nonetheless, neural dynamics of pain modulation during VRH have not been investigated yet. The aim of this study was to measure the effects of VRH on pain, combining neurophysiological and self‐reported measurements. Methods Eighteen healthy subjects underwent noxious electrical stimulations in both normal wakefulness and VRH conditions. Dissociation, absorption, time perception, anxiety, pain intensity and unpleasantness, heart rate variability and breathing were reported for each condition. EEG signals were analysed using event‐related potentials (ERP) and time–frequency response (TFR) time‐locked to stimuli. Neurophysiological features were correlated with self‐reported data. Results VRH condition was associated with lower pain and higher dissociation. VRH significantly decreased amplitudes of N100 and P200 ERP components, reduced EEG power between 1 and 5 Hz from 100 to 560 ms, and increased EEG power from 5 to 11 Hz from 340 to 800 ms. These findings were observed at frontal, central and posterior electrodes. Heart rate variability was significantly higher and breathing frequency reduced with VRH. Correlations were found between the self‐reported level of pain and ERP components. Conclusion VRH modulates cerebral pain processes and body physiology, leading to reduced pain levels. These findings offer a first insight on the analgesic mechanisms of VRH and suggest that VRH is an effective approach to reduce experimental pain. Significance VRH decreases experimental pain perception, increases subject level of dissociation and modulates cerebral pain processing mechanisms. Pain can be managed with analgesic medication but also through complementary interventions. Among these, hypnosis and virtual reality (VR) are known to reduce pain for patients and healthy individuals. In recent years, an innovative technique combining hypnosis and VR has been proposed to help patients in managing pain. However, to our knowledge, no study has focused on the underlying mechanisms of this VR/hypnosis combination. We showed that VR combined with hypnosis decreases experimental pain, increases dissociation and influences EEG modulation.

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Complementary treatment comparison for chronic pain management: A randomized longitudinal study

Cited by 22 publications

References 59 publications

Self-Hypnosis for Phantom Limb Pain: A Multiple-Case Study

Self-Hypnosis for Phantom Limb Pain: A Multiple-Case Study

Psycho-oncology interventions focusing on fatigue and sleep disturbances

Virtual reality hypnosis in the management of pain: Self‐reported and neurophysiological measures in healthy subjects

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