Spinal Cord Injuries
Conditions
Keywords
spinal cord injury, hypnosis, pain, pain catastrophizing, coping
Brief summary
Coping-oriented hypnotic suggestions aimed at reducing pain catastrophizing was shown to reduce pain in people with chronic tension-type headache and experimental pain in healthy volunteers during hypnosis (Kjøgx et al., 2016). However, the duration of the effect on pain post-hypnosis is unknown. The aim is to investigate the durational effect of a single session of coping-oriented hypnotic suggestions on chronic pain in patients with spinal cord injury. If effective for a longer period post-hypnosis, this form of hypnosis may provide an alternative to medicine or may be used in conjunction with lower medicine dosages. Methods: 75 patients with spinal cord injury and pain is randomized into one of three conditions; coping-oriented hypnosis plus current treatment, neutral hypnosis plus current treatment or current treatment only. Pain intensity, coping strategies, pain catastrophizing, anxiety and depression is assessed before intervention and over a period of 14 days post-intervention.
Interventions
OTHERCoping-oriented hypnosis
Hypnosis using coping-oriented suggestions based on reversal of statements from the pain catastrophizing scale plus current treatment.
OTHERNeutral hypnosis
Hypnosis using neutral suggestions plus current treatment
Sponsors
Lone Knudsen, MSc Psych, PhD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Randomized controlled study with three arms: coping-oriented hypnosis, neutral hypnosis, no hypnosis
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Spinal cord injury (tetraplegia or paraplegia) with some preservation of hand functioning * Baseline pain level of ≥ 3 on a Numeric Rating Scale (NRS; 0-10 where 10 is extremely severe pain) * Pain duration of at least 8 weeks.
Exclusion criteria
* Severe mental or psychiatric illness * Substance abuse (drugs, alcohol or medicine) * Lack of ability to cooperate during the experiment * Severe high cervical lesions * Severe autonomic dysautonomia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coping | For 14 days post-intervention | Coping strategies questionnaire |
| Pain intensity | For 14 days post-intervention | NRS (0-10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain impact on mood, sleep and daily activities | For 14 days post-intervention | NRS (0-10) |
| Anxiety | For 14 days post-intervention | Hospital Anxiety and Depression Scale |
| Global impression of change | For 14 days post-intervention | Global impression of change scale |
| Depression | For 14 days post-intervention | Hospital Anxiety and Depression Scale |
| Pain catastrophizing | For 14 days post-intervention | Pain catastrophizing scale |
Other
| Measure | Time frame | Description |
|---|---|---|
| Side effects | For 14 days post-intervention | patient report |
Countries
Denmark
Outcome results
None listed