|
Eur J Pain. 2002;6(1):1-16. Related Articles,
Links
Differential effectiveness of psychological interventions for
reducing osteoarthritis pain: a comparison of Erikson [correction
of Erickson] hypnosis and Jacobson relaxation.
Gay MC, Philippot P, Luminet O.
Psychology Department, Universite de Paris X, 200 avenue de la
Republique, Nanterre, 92000, France. marieclaire.gay@free.fr
The present study investigates the effectiveness
of Erikson hypnosis and Jacobson relaxation for the reduction
of osteoarthritis pain. Participants reporting pain from hip or
knee osteoarthritis were randomly assigned to one of the following
conditions: (a) hypnosis (i.e. standardized eight-session hypnosis
treatment); (b) relaxation (i.e. standardized eight sessions of
Jacobson's relaxation treatment); (c) control (i.e. waiting list).
Overall, results show that the two experimental
groups had a lower level of subjective pain than the control group
and that the level of subjective pain decreased with time. An
interaction effect between group treatment and time measurement
was also observed in which beneficial effects of treatment appeared
more rapidly for the hypnosis group. Results also show that hypnosis
and relaxation are effective in reducing the amount of analgesic
medication taken by participants. Finally, the present
results suggest that individual differences in imagery moderate
the effect of the psychological treatment at the 6 month follow-up
but not at previous times of measurement (i.e. after 4 weeks of
treatment, after 8 weeks of treatment and at the 3 month follow-up).
The results are interpreted in terms of psychological processes
underlying hypnosis, and their implications for the psychological
treatment of pain are discussed.
|
|
Orthop Nurs. 2001 Nov-Dec;20(6):13-8; quiz
18-20.
First-line treatment for osteoarthritis. Part 2: Nonpharmacologic
interventions and evaluation.
Baird CL.
Purdue University, West Lafayette, Indiana, USA. clbaird@nursing.purdue.edu
Because of the chronic nature of osteoarthritis,
nonpharmacologic interventions provide the client with self-care
strategies that may lessen pain, improve physical functioning,
and increase independence and sense of control. Nonpharmacologic
interventions include exercise,
rest and joint protection, heat and cold, hydrotherapy, therapeutic
touch, acupuncture/acupressure, biofeedback, hypnotherapy,
cognitive-behavioral techniques, activity and home maintenance
modification, nutrition, and transportation interventions. Most
of these therapies are very useful for nurses as independent interventions.
Suggestions for evaluation of interventions are made.
|
