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催眠预测因子的作用:对催眠中特定暗示的反应性与纤维肌痛中的非自愿性有关。

Hypnotic predictors of agency: Responsiveness to specific suggestions in hypnosis is associated with involuntariness in fibromyalgia.

机构信息

Department of Psychology, Palo Alto University, USA; Psychiatry and Behavioral Sciences, Stanford University, USA.

Department of Psychology, Palo Alto University, USA; Psychiatry and Behavioral Sciences, Stanford University, USA.

出版信息

Conscious Cogn. 2021 Nov;96:103221. doi: 10.1016/j.concog.2021.103221. Epub 2021 Oct 22.

Abstract

Hypnosis is associated with alterations in the sense of agency which can play a role in its utilization as a nonpharmacological option for pain management. The goal of the current study was to examine the relationships between responsiveness to suggestions in hypnosis and alterations of the sense of agency among patients with fibromyalgia. Ninety-eight participants with fibromyalgia underwent two hypnotizability assessments followed by the Sense of Agency Rating Scale. Clinical pain measures were also collected. Involuntariness was predicted by responsiveness to control, ideomotor, and dissociation suggestions. Effortlessness was predicted by responsiveness to control and ideomotor suggestions, and age. Hypnotizability was associated with main clinical pain outcomes, but agency alterations were not. Results suggest a shared mechanism between responsiveness to specific suggestions and the sense of agency in hypnosis. We discuss theoretical and clinical implications for pain management and the need for further research.

摘要

催眠与主体感的改变有关,而主体感的改变可能在将其作为一种非药物选择用于疼痛管理方面发挥作用。本研究的目的是探讨在纤维肌痛患者中,催眠暗示的反应性与主体感改变之间的关系。98 名纤维肌痛患者接受了两次催眠易感性评估,然后接受了主体感评定量表的评估。还收集了临床疼痛测量值。非自愿性由对控制、动念和分离暗示的反应性来预测。轻松度由对控制和动念暗示的反应性以及年龄来预测。催眠易感性与主要的临床疼痛结果相关,但主体感改变不相关。结果表明,在催眠中,对特定暗示的反应性和主体感之间存在共同的机制。我们讨论了疼痛管理的理论和临床意义,以及进一步研究的必要性。

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