PDF(Pubmed)
Abstract：
Background: Nearly a quarter of Canada\'s population suffers from chronic pain, a long-lasting medical condition marked by physical pain and psychological suffering. Opioids are the primary treatment for pain management in this condition; yet, this approach involves several undesirable side effects. In contrast to this established approach, non-pharmacological interventions, such as medical hypnosis, represent an efficient alternative for pain management in the context of chronic pain. HYlaDO is a self-hypnosis program designed to improve pain management for people with chronic pain. Purpose: This research aimed to evaluate the HYlaDO program based on the proof-of-concept level of the ORBIT model and investigated participants\' subjective experience. Research design: Qualitative study. Study sample: Seventeen participants with chronic pain took part in this study. Data collection: We conducted individual semi-structured interviews with patients who had participated in HYlaDO to identify the three targets of desired change: pain, anxiety and autonomy in self-hypnosis practice. Results: Thematic analysis revealed that the practice of hetero-hypnosis and self-hypnosis decreased (i) pain and (ii) anxiety. Also, it (iii) indicated the development of an independent and beneficial self-hypnosis practice by having integrated the techniques taught. Conclusion: These results confirm that the established targets were reached and support further development, implementation and scaling up of this program. Consequently, we believe it is justified to move to the next step of program development.
摘要：
背景：加拿大近四分之一的人口患有慢性疼痛，以身体疼痛和心理痛苦为特征的长期医疗状况。阿片类药物是这种情况下疼痛管理的主要治疗方法；然而，这种方法涉及几个不良副作用。与这种既定的方法相反，非药物干预措施，比如医学催眠，代表慢性疼痛背景下疼痛管理的有效替代方案。HYlaDO是一种自我催眠计划，旨在改善慢性疼痛患者的疼痛管理。目的：本研究旨在根据ORBIT模型的概念验证水平评估HYlaDO计划，并调查参与者的主观经验。研究设计：定性研究。研究样本：17名慢性疼痛患者参加了这项研究。数据收集：我们对参加HYlaDO的患者进行了个人半结构化访谈，以确定所需变化的三个目标：疼痛，自我催眠实践中的焦虑和自主性。结果：主题分析显示，异型催眠和自我催眠的实践减少了（i）疼痛和（ii）焦虑。此外，它（iii）通过整合所教授的技术，表明了独立和有益的自我催眠实践的发展。结论：这些结果证实了既定目标的实现，并支持进一步的发展，该程序的实施和扩展。因此,我们认为有理由进行下一步的程序开发。
