A Randomized Controlled Trial of Clinical Hypnosis as an Opioid-Sparing Adjunct Treatment for Pain Relief in Adults Undergoing Major Oncologic Surgery
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Le résumé fourni par la source
Abstract: Clinical hypnosis is an effective strategy for managing acute pain in the surgical setting. However, the opioid sparing effects of clinical hypnosis are not as well understood. This pre-registered (NCT03730350) randomized, controlled trial (RCT) examined the impact of clinical hypnosis, pre- and post-surgery, on opioid consumption during hospitalization as well as on measures of pain intensity, pain interference, depressed mood, anxiety, sleep, and pain catastrophizing. Participants (M = 57.6 years; SD = 10.9) awaiting oncologic surgery were randomized to treatment-as-usual (n = 47) or hypnosis (n = 45). Intent-to-treat analyses were conducted using linear mixed effects modeling. A significant Group × Time interaction, F (6, 323.34) = 3.32, p = 0.003, indicated an opioid sparing effect of clinical hypnosis during the acute postoperative period. Hypnosis also protected against increases in pain catastrophizing at one-week after surgery, F (1, 75.26) = 4.04, p = 0.048. A perioperative clinical hypnosis intervention had a sparing effect on opioid consumption in-hospital after major oncologic surgery. These findings extend the efficacy of clinical hypnosis as an adjunct tool for perioperative pain management. Keywords: clinical hypnosis, oncologic surgery, postoperative opioid use, postoperative pain, pain catastrophizing
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Randomized Controlled Trial of Clinical Hypnosis as an Opioid-Sparing Adjunct Treatment for Pain Relief in Adults Undergoing Major Oncologic Surgery
- Date Crossref
- 01/01/2024
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Health Network Department of Anesthesia and Pain Management pays non établi dans la noticeÉtablissement de santé
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York University Department of Psychology pays non établi dans la noticeUniversité ou école supérieure
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Women's College Hospital Toronto Academic Pain Medicine Institute pays non établi dans la noticeÉtablissement de santé
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Toronto General Hospital pays non établi dans la noticeÉtablissement de santé
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University of Toronto Department of Anesthesiology and Pain Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Calgary Department of Anesthesiology pays non établi dans la noticeUniversité ou école supérieure
Department of Anesthesia and Pain Management — University Health Network, Department of Psychology — York University et Toronto Academic Pain Medicine Institute — Women's College Hospital, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.