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

[en] Background In chronic pain, it seems that the effect of cognitive-behavioral therapy (CBT) is boosted when it is combined with hypnosis. The aim of this study was to assess the efficacy of selfhypnosis combined with self-care (i.e., a type of CBT) compared to music/self-care, selfcare and psychoeducation/CBT and to evaluate their long-term effects. Methods An open label randomized clinical trial enrolled patients with chronic pain and was carried out at the University Hospital of Liège (Belgium). Patients were randomized into four groups: Self-hypnosis/self-care, music/self-care, self-care, psychoeducation/CBT (7 monthly sessions of 2 hours). Two follow-up sessions were delivered at 6- and 12-month. Levels of pain, fatigue intensity, anxiety, depression, insomnia severity, disability, health locus of control, mental and physical quality of life and attitudes (control, disability, harm, emotion, medical cure, medication, solicitude) towards pain were assessed before and after the treatments, and at follow-up. Results 203 patients were randomized: 52 in self-hypnosis/self-care, 59 in music/self-care, 47 in self-care, and 45 in psychoeducation/CBT. No group effect was found. A significant time effect was showed. Directly after the treatment, all groups decreased in pain attitudes and physical quality of life. Perceived control increased. At 6-month, all patients kept their levels of physical quality of life and perceived control, and showed decrease in pain intensity, harm, emotion and medical cure. At 12-month, scores that had change previously remained ameliorated, a decrease in insomnia severity and an increase in internal locus of control were observed. Conclusions The present findings are encouraging as they display long-term beneficial effects of complementary biopsychosocial-based treatments in chronic pain. It seems that patients continued to apply the learnt strategies as improvements were observed one year after the treatments had ended. © 2021 Bicego et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Disciplines :

Sciences de la santé humaine: Multidisciplinaire, généralités & autres

Auteur, co-auteur :

Bicego, Aminata Yasmina ; Université de Liège - ULiège > GIGA Consciousness - Coma Science Group

Monseur, Justine ; Université de Liège - ULiège > Département des sciences de la santé publique > Biostatistique

Collinet, Alain ; Université de Liège - ULiège > Département des sciences cliniques > Médecine de la douleur : algologie et hypnose

Donneau, Anne-Françoise ; Université de Liège - ULiège > Département des sciences de la santé publique > Biostatistique

FONTAINE, Robert ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation

LIBBRECHT, Dominique ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Centre interdisciplinaire d'algologie

MALAISE, Nicole ; Centre Hospitalier Universitaire de Liège - CHU > Services opérationnels de l'Administrateur Délégué > Unité de psychologie clinique Sart Tilman

Nyssen, Anne-Sophie ; Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail

RAAF, Mélissa ; Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation

Rousseaux, Floriane ; Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail

Plus d'auteurs (6 en +)

Titre :

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

Date de publication/diffusion :

2021

Titre du périodique :

PLoS ONE

eISSN :

1932-6203

Maison d'édition :

Public Library of Science

Volume/Tome :

Fascicule/Saison :

8 August

Peer reviewed :

Peer reviewed vérifié par ORBi

Disponible sur ORBi :

depuis le 22 décembre 2021

Statistiques

Nombre de vues

141 (dont 24 ULiège)

Nombre de téléchargements

73 (dont 12 ULiège)

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citations Scopus^®
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Bibliographie

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