Articles: pain-management.
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Randomized Controlled Trial Clinical Trial
Hypnosis or cognitive behavioral training for the reduction of pain and nausea during cancer treatment: a controlled clinical trial.
Few controlled clinical trials have tested the efficacy of psychological techniques for reducing cancer pain or post-chemotherapy nausea and emesis. In this study, 67 bone marrow transplant patients with hematological malignancies were randomly assigned to one of four groups prior to beginning transplantation conditioning: (1) hypnosis training (HYP); (2) cognitive behavioral coping skills training (CB); (3) therapist contact control (TC); or (4) treatment as usual (TAU; no treatment control). Patients completed measures of physical functioning (Sickness Impact Profile; SIP) and psychological functioning (Brief Symptom Inventory; BSI), which were used as covariates in the analyses. ⋯ Risk, SIP, and BSI pre-transplant were found to be effective predictors of inpatient physical symptoms. Nausea, emesis and opioid use did not differ significantly between the treatment groups. The cognitive behavioral intervention, as applied in this study, was not effective in reducing the symptoms measured.
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Psychiatric medicine · Jan 1992
Review Case ReportsPain as a biopsychosocial entity and its significance for treatment with hypnosis.
Pain is a subjective metaphorical experience. Effective treatment of the pain patient remains an enigma. ⋯ The need to understand and recognize the variables contributing to the biopsychosocial aspects of the pain patient and its use in creating an effective treatment strategy with hypnotic intervention is described. Case reports where several techniques as well as collaborative efforts with other specialties are presented to highlight the discussion.
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Acupuncture Electro · Jan 1992
Randomized Controlled Trial Clinical TrialAcupuncture-like stimulation with codetron for rehabilitation of patients with chronic pain syndrome and osteoarthritis.
Acupuncture is one of the oldest healing methods which is used in traditional medicine. In the modern medicine, we are witnessing a renaissance of this ancient treatment applied mainly in the management of chronic pain. A number of modern technological changes are being applied to replace, or modify, the classical needle treatment. ⋯ Indications, effectiveness and experiences with this form of treatment are presented. In addition, results obtained from a six week double-blind randomized placebo controlled pilot trial of osteoarthritis of the hip/knee with CODETRON which was conducted later. The results were highly suggestive of the beneficial effect of this nonhabituating mode of therapy and confirmed our initial uncontrolled trial results.