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催眠治疗慢性下背痛。

Hypnosis treatment for chronic low back pain.

机构信息

Anesthesiology Pain Program, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, USA.

出版信息

Int J Clin Exp Hypn. 2010 Jan;58(1):53-68. doi: 10.1080/00207140903310824.

Abstract

Chronic low back pain (CLBP) is a significant healthcare problem, and many individuals with CLBP remain unresponsive to available interventions. Previous research suggests that hypnosis is effective for many chronic pain conditions; however, data to support its efficacy for CLBP are outdated and have been limited primarily to case studies. This pilot study indicated that a brief, 4-session standardized self-hypnosis protocol, combined with psycho-education, significantly and substantially reduced pain intensity and pain interference. Significant session-to-session improvements were also noted on pain ratings and mood states; however, follow-up data suggest that these benefits may not have been maintained across time in this sample. These findings need to be replicated and confirmed in a larger clinical trial, which could also assess the long-term effects of this treatment.

摘要

慢性下背痛(CLBP)是一个严重的医疗保健问题,许多患有 CLBP 的人对现有干预措施没有反应。先前的研究表明,催眠对许多慢性疼痛疾病都有效;然而,支持其对 CLBP 疗效的数据已经过时,并且主要限于病例研究。这项初步研究表明,一个简短的、4 次的标准化自我催眠方案,结合心理教育,显著且大量地降低了疼痛强度和疼痛干扰。在疼痛评分和情绪状态方面也观察到了显著的逐次改善;然而,随访数据表明,在这个样本中,这些益处可能没有随着时间的推移而保持。这些发现需要在更大的临床试验中得到复制和证实,该试验还可以评估这种治疗的长期效果。

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