Hypnotic Analgesia for Chronic Pain in Persons with Disabilities: A Case Series Abstract

Jensen, Mark P.; Hanley, Marisol A.; Engel, Joyce M.; Romano, Joan M.; Barber, Joseph; Cardenas, Diana D.; Kraft, George H.; Hoffman, and Amy J.; Patterson, David R.

doi:10.1080/00207140590927545

Cited by 66 publications

(93 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…40,41 Preliminary research suggests that such interventions might also benefit persons with chronic pain and physical disabilities, such as SCI. 42,43 For example, in one preliminary study, 18 individuals with disabilities (including 10 with SCI) were provided with either eight 90-min sessions of a cognitiverestructuring intervention designed to minimize negative cognitions in response to pain ('catastrophizing' responses) or eight 90-min sessions of a control intervention (education about chronic pain). 42 The participants who received cognitive-restructuring reported greater pre to post-treatment decreases in pain intensity than those in the control condition.…”

Section: Discussionmentioning

confidence: 99%

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

2005

View full text Add to dashboard Cite

Study design: Cross-sectional and longitudinal postal survey. Objectives: To (1) compare the severity of pain in persons with spinal cord injury (SCI) to national norms, (2) examine the association between pain and measures of (a) psychological functioning, (b) community integration and (c) pain interference with daily activities, and (3) examine the change in the prevalence and intensity of pain over time. Setting: Community. Methods: A total of 147 adults with SCI were surveyed twice, 2-6 years apart. Main outcome measures included presence/absence of pain in general and at specific body sites, 0-10 numerical rating scale of average pain intensity, modified Brief Pain Inventory Pain Interference scale, SF-36 Bodily Pain scale, SF-36 Mental Health scale, Community Integration Questionnaire. Results: Pain was more severe, on average, in this sample of patients with SCI than it is in normative samples. The presence of pain was associated with trends towards poorer psychological functioning and social integration, and the intensity of pain was associated with interference with a number of important basic activities of daily living. Little systematic change was found in pain over a 2-6-year-period, although there was evidence that the prevalence of shoulder pain increases over time. Conclusion: The current findings underscore the serious nature of pain in persons with SCI and provide additional support for the need to identify effective treatments for SCI-related pain.Spinal Cord (2005) 43, 704-712.

show abstract

Section: Discussionmentioning

confidence: 99%

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

2005

View full text Add to dashboard Cite

show abstract

“…Trait theories [41] state that individuals vary in their level of hypnotizability, with individuals high in hypnotic suggestibility responding better to hypnotic suggestions. While there is evidence that level of suggestibility has been significantly related to hypnotic outcomes [15,18], studies have also found that individuals low in hypnotizability can also experience improvements in pain after hypnosis [42][43][44], and some research had found no association between level of hypnotizability and outcome [45,46]. Social-cognitive theories suggest that expectancies, motivation, and environmental cues contribute to an individual's responsiveness to hypnotic suggestions and that improvements are made via cognitive changes that alter the affective components of pain [18,45,47,48].…”

Section: Neurophysiological Mechanisms Involved In Pain Perception Anmentioning

confidence: 99%

“…Trait theories argue that it is related to hypnotizability and the state of hypnosis, whereas social-cognitive models state that it is because of expectancies, motivation, and environmental cues. However, neither model has garnered overwhelming support in clinical studies [18,45,46]. Additional models may need to be developed to better answer these questions, and research will be needed to test these new models.…”

Section: Research Implicationsmentioning

confidence: 99%

Neurophysiology of pain and hypnosis for chronic pain

Dillworth

Mendoza

Jensen

2011

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

In the past decade there has been a dramatic increase in (1) understanding the neurophysiological components of the pain experiences, (2) randomized clinical trials testing the efficacy of hypnotic treatments on chronic pain, and (3) laboratory research examining the effects of hypnosis on the neurophysiological processes implicated in pain. Work done in these areas has not only demonstrated the efficacy of hypnosis for treating chronic pain but is beginning to shed light on neurophysiological processes that may play a role in its effectiveness. This paper reviews a selection of published studies from these areas of research, focusing on recent findings that have the most potential to inform both clinical work and research in this area. The paper concludes with research and clinical recommendations for maximizing treatment efficacy based on the research findings that are available. KEYWORDSHypnosis, Hypnotic analgesia, Chronic pain, Neurophysiology, Hypnotic suggestions Chronic pain, defined as pain lasting longer than 6 months [1], is a complex experience that requires multifaceted approaches for both evaluation and treatment [1,2]. Chronic pain is considered to have an underlying biological basis, for which medications and physical treatments are commonly prescribed. Medical approaches for pain relief and management include pharmacological and surgical interventions as well as physical therapy. While nonsteroidal antiinflammatory drugs are commonly used to treat mild pain from inflammation, opioid analgesics are the mainstay of pharmacologic treatment of moderate to severe pain [2][3][4][5][6]. However, prolonged use of opioids may result in opioid tolerance and opioid-induced hyperalgesia, which is an increased sensitivity to pain. These problems, coupled with unpleasant medication side effects, may lead to discontinuation of treatment [7]. Depending on the patient's condition and cause of pain, surgery is typically considered for the treatment of chronic pain when it is deemed medically necessary or after other treatments have failed. These include intrathecal drug delivery [8], spinal cord stimulation [9], radiofrequency ablation [10], and chemical sympathectomy [11]. One concern is that even though surgical procedures can provide pain relief, they also may permanently damage the person's ability to perceive other sensations, such as light touch and temperature changes, and can cause different pain problems to occur.Medical approaches for pain reduction are only one element of an interdisciplinary approach, since gains in physical and social functioning are important goals as well [12]. Psychosocial and neuropsychological models of chronic pain show that pain treatment cannot focus solely on the sensation of pain itself (e.g., pain intensity) but must also consider the affective (e.g., emotional suffering), cognitive (e.g., beliefs about pain) and behavioral (e.g., inactivity) responses which also impact the overall experience of pain [13][14][15]. This idea has been further supported by research ev...

show abstract

“…Jensen et al [43] examined the effects of 10 sessions of standardized script-driven hypnotic analgesia treatment on pain intensity, pain unpleasantness, depression and perceived pain control in 33 patients with chronic pain secondary to a disability. Analyses indicated significant pre-to post treatment improvement in pain intensity, unpleasantness and perceived control over pain lasting 3 months.…”

Section: Journal Of Physiotherapy and Physical Rehabilitationmentioning

confidence: 99%

“…It is possible to be aware of a painful sensation and not be bothered by it. Sometimes it is even possible to experience significant pain and still not seem bothered by it" [43]. c) Post-hypnotic suggestion for extending session benefits to daily life.…”

Section: Individual Sessions Involvedmentioning

confidence: 99%

Hypnosis for Chronic Pain Management

Mazzola¹,

Calcagno²,

Obdrzalek³

et al. 2017

Physiother Rehabil

View full text Add to dashboard Cite

Recent psychophysiological data supports the concept that hypnotic interventions for pain management are beneficial. The aim of this study was to evaluate pain relief induced through hypnosis in two chronic pain conditions: fibromyalgia (FM) and chronic migraine (CM). Participants were treated during 5 weekly hypnosis sessions, each lasting 60 minutes. A battery of self-reported questionnaires assessing quality of life, pain intensity, and depression levels were administered at the beginning and at the end of treatment. We observed important group differences in outcomes, in particular for CM patients.

show abstract

Hypnotic Analgesia for Chronic Pain in Persons with Disabilities: A Case Series Abstract

Cited by 66 publications

References 36 publications

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

Neurophysiology of pain and hypnosis for chronic pain

Hypnosis for Chronic Pain Management

Contact Info

Product

Resources

About