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首页> 外文期刊>The journal of pain: official journal of the American Pain Society >Multicomponent cognitive-behavioral group therapy with hypnosis for the treatment of fibromyalgia: Long-Term outcome
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Multicomponent cognitive-behavioral group therapy with hypnosis for the treatment of fibromyalgia: Long-Term outcome

机译：催眠的多成分认知行为小组疗法治疗纤维肌痛：长期结果

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This study compared the efficacy of 2 psychological treatments for fibromyalgia with each other and with standard care. Ninety-three patients with fibromyalgia (FM) were randomly assigned to 1 of the 3 experimental conditions: 1) multicomponent cognitive-behavioral therapy (CBT); 2) multicomponent CBT with hypnosis; and 3) pharmacological treatment (standard care control group). The outcome measures of pain intensity, catastrophizing, psychological distress, functionality, and sleep disturbances were assessed before treatment, immediately after treatment, and at 3- and 6-month follow-up visits. CBT and CBT with hypnosis participants received the standard pharmacological management plus 14 weekly, 120-minute-long sessions of psychological treatment. All but 1 session followed a group format; the remaining session was individual. The analyses indicated that: 1) patients with FM who received multicomponent CBT alone or multicomponent CBT with hypnosis showed greater improvements than patients who received only standard care; and 2) adding hypnosis enhanced the effectiveness of multicomponent CBT. This study presents new evidence about the efficacy of multicomponent CBT for FM and about the additional effects of hypnosis as a complement to CBT. The relevance and implications of the obtained results are discussed. Perspective: This article highlights the beneficial effects of adding hypnosis in a multicomponent cognitive-behavioral group treatment of fibromyalgia patients. Also, this research showed that by adding hypnosis the length of treatment did not increase.
机译：这项研究比较了两种心理疗法对纤维肌痛的疗效，并与标准护理进行了比较。将93例纤维肌痛（FM）患者随机分配至3种实验条件中的1种：1）多成分认知行为治疗（CBT）; 2）催眠多组分CBT; 3）药物治疗（标准护理对照组）。在治疗前，治疗后以及在3个月和6个月的随访中评估了疼痛强度，灾难性，心理困扰，功能障碍和睡眠障碍的预后指标。 CBT和催眠参加者的CBT接受了标准的药理管理，并接受了14周，每周120分钟的心理治疗。除1次会议外，所有会议均采用小组形式;剩下的会议是个人的。分析表明：1）单独接受多成分CBT或具有催眠作用的多成分CBT的FM患者比仅接受标准护理的患者表现出更大的改善; 2）催眠增强了多组分CBT的有效性。这项研究提供了有关多成分CBT对FM的功效以及催眠作为CBT补充的其他作用的新证据。讨论了所得结果的相关性和含义。观点：本文重点介绍了在多成分认知行为组治疗纤维肌痛患者中增加催眠作用的有益效果。而且，这项研究表明，通过增加催眠作用，治疗时间不会增加。

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