Hypnosis to manage musculoskeletal and neuropathic chronic pain: A systematic review and meta-analysis

Neuroscience & Biobehavioral Reviews, Journal Year: 2022, Volume and Issue: 135, P. 104591 - 104591

Published: Feb. 19, 2022

Language: Английский

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Neuroimaging Mechanism of Cognitive Behavioral Therapy in Pain Management

Pain Research and Management, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 8

Published: Feb. 2, 2022

Purpose. To review the recent neuroimaging studies on cognitive-behavioral therapy (CBT) for pain management, with aim of exploring possible mechanisms CBT. Recent Findings. Current can be divided into four categories, mixed pain, fibromyalgia, migraine, and experimental based type disease included, same or different changes brain regions after CBT intervention. According to structural functional MRI analyses, gray matter volume, activation deactivation regions, intrinsic connectivity between were observed sessions. The involved mainly included some areas related cognitive emotional regulation. After comparison, DLPFC, OFC, VLPFC, PCC amygdala found recurrent in multiple may key intervention management. In treatment chronic decrease volume reduce ICN connection OFC within DAN network, increase fALFF PCC. For FM intervention, activate bilateral while only right DLPFC more activated addition, differential action left has also been shown latest study migraine. heat-evoked PCC, DMN diminishing VLPFC. Summary. CBT, showed stronger top-down control, reassessment, altered perception stimulus signals (chronic repeated acute pain). pain.

Language: Английский

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Brain stimulation for chronic pain management: a narrative review of analgesic mechanisms and clinical evidence

Neurosurgical Review, Journal Year: 2023, Volume and Issue: 46(1)

Published: May 29, 2023

Abstract Chronic pain constitutes one of the most common chronic complaints that people experience. According to International Association for Study Pain, is defined as persists or recurs longer than 3 months. has a significant impact on individuals’ well-being and psychosocial health economy healthcare systems well. Despite availability numerous therapeutic modalities, treatment can be challenging. Only about 30% individuals with non-cancer achieve improvement from standard pharmacological treatment. Therefore, approaches were proposed potential including non-opioid agents, nerve blocks, acupuncture, cannabidiol, stem cells, exosomes, neurostimulation techniques. Although some methods such spinal cord stimulation successfully introduced into clinical practice therapy pain, current evidence brain efficacy in remains unclear. Hence, this narrative literature review aimed give an up-to-date overview methods, deep stimulation, motor cortex transcranial direct repetitive magnetic cranial electrotherapy reduced impedance non-invasive cortical electrostimulation pain.

Language: Английский

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Systematic Review of Hypnotherapy for Sleep and Sleep Disturbance

International Journal of Clinical and Experimental Hypnosis, Journal Year: 2023, Volume and Issue: 71(3), P. 176 - 215

Published: July 3, 2023

Sleep disturbance can negatively affect physical and psychological health. Hypnotherapy may be effective for improving sleep with fewer side effects than other treatments. The purpose of this systematic review is to comprehensively identify studies evidence regarding hypnotherapy disturbances. Four databases were searched examining the use in adult populations. search yielded 416 articles, which 44 included. Qualitative data analysis revealed that 47.7% showed positive results impact sleep, 22.7% mixed results, 29.5% no impact. A subset 11 set as an inclusion criterion included suggestions examined separately had more favorable such 54.5% 36.4% 9.1% results. appears a promising treatment disturbance. Future should report effect sizes, adverse events, hypnotizability include sleep-specific suggestions, standardized measures, descriptions intervention procedures.

Language: Английский

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Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review

Frontiers in Systems Neuroscience, Journal Year: 2023, Volume and Issue: 17

Published: March 20, 2023

The assessment and management of pain nociception is very challenging in patients unable to communicate functionally such as with disorders consciousness (DoC) or locked-in syndrome (LIS). In a clinical setting, the detection signs by medical staff therefore essential for wellbeing these patients. However, there still lot unknown lack clear guidelines regarding assessment, treatment populations. purpose this narrative review examine current knowledge issue covering different topics as: neurophysiology (in healthy subjects patients), source impact DoC LIS and, finally, we will also give possible research directions that could help improve specific population severely brain damaged

Language: Английский

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

European Journal of Pain, Journal Year: 2022, Volume and Issue: 27(1), P. 148 - 162

Published: Oct. 5, 2022

Virtual reality hypnosis (VRH) has emerged as a new and promising option for pain management. Nonetheless, neural dynamics of modulation during VRH have not been investigated yet. The aim this study was to measure the effects on pain, combining neurophysiological self-reported measurements.

Language: Английский

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Activating waitlists: Identifying barriers and facilitators to pain self-management while waiting

British Journal of Pain, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 6, 2025

Objectives Waitlists for pain management services are often extensive, risking psychological and physical decline patient non-engagement in treatment once accessed. Currently, outpatient management, no standardised waiting list interventions exist, resulting passive waiting. To arrest prospective wait-related decline(s), this study aimed to identify the barriers facilitators self-management while waiting, forming foundation a waitlist intervention development. Design An inductive qualitative approach was utilised explore drivers of chronic management. Method Semi-structured interviews, underpinned by Theoretical Domains Framework COM-B model, were conducted with people ( N = 38). Interviews audio-recorded, transcribed verbatim, analysed via reflexive thematic analysis. Results The analysis demonstrated four thematised one facilitator: (1) Shunted Around System (barrier); (2) Information Gap (3) Resisting Adaptation barrier); (4) Losing Hope (5) Help Yourself or Lose (facilitator). Conclusion This demonstrates severe emotional motivational impact increasing disengagement. represents prime opportunity prehabilitation protect wellbeing optimise engagement. Infrastructural interpersonal poor communication healthcare professional invalidation must be addressed improve motivation engage planned treatment. Enhancing self-efficacy, acceptance, self-compassion, internal HLOC fundamental self-management. These can all met within framework. is foundational development

Language: Английский

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Alternative Therapies in Chronic Non-Cancer Pain Management: A Scoping Review of Randomized Controlled Trials

Complementary Therapies in Medicine, Journal Year: 2025, Volume and Issue: 90, P. 103154 - 103154

Published: March 11, 2025

Chronic pain is one of the most challenging health problems in modern society, placing significant burdens on individuals and healthcare systems. While pharmacological treatments remain primary approach to management, their limitations often restrict choices for both clinicians patients. In contrast, complementary therapies are gaining recognition potential effectiveness safety. However, current literature lacks a comprehensive summary role chronic management. This review aims summarize used non-cancer assess practical applications, identify research gaps limitations, provide perspective development management personalized strategies. scoping followed PRISMA-ScR guidelines. Randomized controlled trials (RCTs) published last decade were retrieved from PubMed Web Science using keywords "chronic pain" "complementary therapy." Non-English studies excluded. A total 848 RCTs identified, which 128 met inclusion criteria. The included addressed musculoskeletal (102 studies), visceral (5 neuropathic (7 13 that did not specify type. investigated acupuncture, manual therapy, exercise psychological interventions, mind-body therapies, physical modalities. provides preliminary evidence supporting efficacy safety pain. methodological quality-related identified studies. Future high-quality needed validate long-term these explore mechanisms action, stronger clinical application. registered Open Framework (OSF) under following DOI: https://doi.org/10.17605/OSF.IO/67K32.

Language: Английский

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Adjunctive use of hypnosis for clinical pain: a systematic review and meta-analysis

PAIN Reports, Journal Year: 2024, Volume and Issue: 9(5), P. e1185 - e1185

Published: Sept. 10, 2024

Abstract Systematic reviews suggest that stand-alone hypnotic suggestions may improve pain outcomes compared with no treatment, waitlist, or usual care. However, in clinical practice, hypnosis is often provided adjunctively other interventions, which might have different effects than those reported previous reviews. This systematic review aimed to summarize the analgesic of adjunctive adults pain. Seven databases (MEDLINE, Embase, PsycINFO, Emcare, SCOPUS, CENTRAL, Cochrane) were searched up January 2024. Randomised controlled trials comparing (hypnosis + primary intervention) intervention alone included. Meta-analyses (random-effects model) calculated mean differences (MD, [95% confidence intervals]) for intensity (0–100). Seventy studies pooled meta-analyses (n = 6078). Hypnosis care had a small additional effect (chronic pain: −8.2 [−11.8, −1.9]; medical procedures/surgical −6.9 [−10.4, −3.3]; burn wound care: −8.8 [−13.8, −3.9]). education medium chronic (−11.5 [−19.7, 3.3]) but not postsurgery (−2.0 [−7.8, 3.7]). When paired psychological slightly increased analgesia only at three-month follow-up (−2 [−3.7, −0.3]). medicines (−13.2, [−22.5, −3.8]). The overall evidence certainty very low; therefore, there still uncertainty about hypnosis. adjunct reduce Clarification proposed therapeutic targets evaluate underlying mechanisms warranted.

Language: Английский

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Therapeutic Use of Auto-Induced Cognitive Trance in a Chronic Pain Setting: A Case Study Using Mixed Methodology

OBM Integrative and Complementary Medicine, Journal Year: 2025, Volume and Issue: 010(01), P. 1 - 20

Published: March 5, 2025

Auto-induced cognitive trance (AICT) is a method for voluntarily entering modified state of consciousness. The therapeutic implications AICT are still unknown. Since complementary approaches based on states consciousness recognized to be beneficial patients suffering from chronic pain (e.g., hypnosis, meditation), we here present the first case report 68-year-old man with long history linked an open Spina Bifida L4-L5, who used improve his health condition. Standardized questionnaires were collected before and after four days training. In addition, testimonies practice recorded in diary 2 months post-training. Data analyzed through mixed methodology using textual statistical analyses, thematic content analysis, narrative approach clinical psychology. results showed that, training, intensity, anxiety, depression slightly decreased; most attitudes beliefs evolved positively; mental component quality life was improved, while physical decreased, patient considered that global condition had worsened. Narratives allowed deeper comprehension patient’s experience its effect health. Qualitative analysis revealed classes related 1. corporality characteristics; 2. location pain, action, vocalization, daily life; 3. questioning, difficulties AICT, characteristics tension felt expressed during AICT; 4. medical somatic elements. Finally, five themes identified i.e., history; falls, motor difficulties; professional activity private 5. thoughts reflections. Altogether, these qualitative reports allow characterization subjective regarding way dealing pain.

Language: Английский

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