Guided Imagery for Musculoskeletal Pain.

Posadzki, Paul; Ernst, Edzard

doi:10.1097/ajp.0b013e31821124a5

Cited by 38 publications

(26 citation statements)

References 41 publications

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“…Also, anxiety reduction has been considered as a possible psychological working mechanism. 21,53,66,79 However, our meta-analysis could not demonstrate an effect of the expectation inductions on anxiety in clinical samples, with the exception of 1 study in which large effects of imagery on anxiety were observed. Preliminary evidence from another study 83 suggests possible effects on pain specific anxiety.…”

Section: Discussioncontrasting

confidence: 73%

“…Thus, interventions that can induce analgesic expectations, particularly verbal suggestions for acute procedural pain, were found to relieve patients' pain and can thus possibly be used to optimize the effectiveness of standard analgesic treatments in clinical practice. The findings of this meta-analysis extend previous metaanalyses in which the pain-reducing effects of verbal suggestion and conditioning were studied in the context of placebo effects 80,81 and a meta-analysis and systematic reviews in which the pain-reducing effects of imagery were studied, 66,67,79 by directly comparing the effects of these expectation inductions, while focusing on brief interventions in clinical samples. The observed medium to large effects of verbal suggestion on experimentally evoked and acute procedural pain were generally in line with the findings of a previous meta-analysis 81 and more recent studies in healthy participants, 5,53,76 which supports the transferability of findings from healthy to clinical samples.…”

Section: Discussionmentioning

confidence: 78%

“…This is partially in contrast with previous reviews that indicated small to large effects of imagery on pain. 66,67,79 Also, a priori, we considered that imagery might be more effective than verbal suggestion because visual thinking has been found to have a larger impact on emotions, and hence possibly also the subjective pain experience, than verbal thinking 28,35 and because imagery entails more active involvement. 20 Several factors might explain these findings.…”

Section: Discussionmentioning

confidence: 99%

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Relieving patients' pain with expectation interventions

Peerdeman

Laarhoven

Keij

et al. 2016

Pain

202

159

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Patients' expectations are important predictors of the outcome of analgesic treatments, as demonstrated predominantly in research on placebo effects. Three commonly investigated interventions that have been found to induce expectations (verbal suggestion, conditioning, and mental imagery) entail promising, brief, and easy-to-implement adjunctive procedures for optimizing the effectiveness of analgesic treatments. However, evidence for their efficacy stems mostly from research on experimentally evoked pain in healthy samples, and these findings might not be directly transferable to clinical populations. The current meta-analysis investigated the effects of these expectation inductions on patients' pain relief. Five bibliographic databases were systematically searched for studies that assessed the effects of brief verbal suggestion, conditioning, or imagery interventions on pain in clinical populations, with patients experiencing experimental, acute procedural, or chronic pain, compared with no treatment or control treatment. Of the 15,955 studies retrieved, 30 met the inclusion criteria, of which 27 provided sufficient data for quantitative analyses. Overall, a medium-sized effect of the interventions on patients' pain relief was observed (Hedges g = 0.61, I = 73%), with varying effects of verbal suggestion (k = 18, g = 0.75), conditioning (always paired with verbal suggestion, k = 3, g = 0.65), and imagery (k = 6, g = 0.27). Subset analyses indicated medium to large effects on experimental and acute procedural pain and small effects on chronic pain. In conclusion, patients' pain can be relieved with expectation interventions; particularly, verbal suggestion for acute procedural pain was found to be effective.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Relieving patients' pain with expectation interventions

Peerdeman

Laarhoven

Keij

et al. 2016

Pain

202

159

View full text Add to dashboard Cite

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“…3, 8, 18, 49, 50, 87, 91, 92, 96, 102, 124]. Nonetheless, there are methodological issues with many of the studies conducted in this field, as discussed in recent literature reviews [109, 123]. …”

Section: Neuroimaging Of Mental Imagery In Pain Patientsmentioning

confidence: 99%

The use of functional neuroimaging to evaluate psychological and other non-pharmacological treatments for clinical pain

Jensen

Berna²,

Loggia

et al. 2012

Neuroscience Letters

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A large number of studies have provided evidence for the efficacy of psychological and other non-pharmacological interventions in the treatment of chronic pain. While these methods are increasingly used to treat pain, remarkably few studies focused on the exploration of their neural correlates. The aim of this article was to review the findings from neuroimaging studies that evaluated the neural response to distraction-based techniques, cognitive behavioral therapy (CBT), clinical hypnosis, mental imagery, physical therapy/exercise, biofeedback, and mirror therapy. To date, the results from studies that used neuroimaging to evaluate these methods have not been conclusive and the experimental methods have been suboptimal for assessing clinical pain. Still, several different psychological and non-pharmacological treatment modalities were associated with increased painrelated activations of executive cognitive brain regions, such as the ventral- and dorsolateral prefrontal cortex. There was also evidence for decreased pain-related activations in afferent pain regions and limbic structures. If future studies will address the technical and methodological challenges of today’s experiments, neuroimaging might have the potential of segregating the neural mechanisms of different treatment interventions and elucidate predictive and mediating factors for successful treatment outcomes. Evaluations of treatment-related brain changes (functional and structural) might also allow for sub-grouping of patients and help to develop individualized treatments.

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“…27 Several of the cognitive-behavioral strategies used as components of CBT have beneficial effects when applied as single strategies, outside of the “therapy” context. For example, relaxation, guided imagery, and distraction strategies have been found to reduce pain 28–32 , dyspnea 23,33–34 , fatigue 35–36 , and sleep disturbance 37–39 in various health conditions. Recent research has demonstrated initial efficacy of these strategies across clustered symptoms, including co-occurring pain, fatigue, and sleep disturbance in patients with advanced cancer.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Relaxation, Meditation, and Guided Imagery Strategies for Symptom Management in Heart Failure

Kwekkeboom

Bratzke

2016

J Cardiovasc Nurs

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Background Pain, dyspnea, fatigue, and sleep disturbance are prevalent and distressing symptoms in persons with advanced heart failure. Although many lifestyle and self-care interventions have been developed to control heart failure progression, very few studies have explored treatments exclusively for symptom palliation. Cognitive-behavioral strategies may be effective treatment for these symptoms in advanced heart failure. Objective A systemic review was conducted to describe the effect of cognitive-behavioral strategies on pain, dyspnea, fatigue, and sleep disturbance in patients with heart failure. Methods CINAHL, Medline, and PsychINFO were searched from inception through December 2014. Articles were selected for inclusion if they tested a cognitive-behavioral strategy using a quasi-experimental or experimental design, involved a sample of adults with heart failure, and measured pain, dyspnea, fatigue, sleep disturbance, or symptom-related quality of life (QoL). The two authors evaluated study quality, abstracted data elements from each study, and synthesized findings. Results Thirteen articles describing nine unique studies met criteria and were included in the review. Five studies tested relaxation strategies, three tested meditation strategies, and one tested a guided imagery strategy. Seven of the nine studies demonstrated some improvement in symptom outcomes. Relaxation, meditation, guided imagery, or combinations of these strategies resulted in less dyspnea and better sleep compared to attention control or usual care conditions, and reduced pain, dyspnea, fatigue and sleep disturbance within treatment groups (pre- to post-treatment). Symptom-related QoL was improved with meditation compared to attention control and usual care conditions, and improved pre- to post-guided imagery. Conclusions Studies exploring cognitive-behavioral symptom management strategies in heart failure vary in quality and report mixed findings, but indicate potential beneficial effects of relaxation, meditation, and guided imagery on heart failure-related symptoms. Future research should test cognitive-behavioral strategies in rigorously designed efficacy trials, using samples selected for their symptom experience, and measure pain, dyspnea, fatigue, and sleep disturbance outcomes with targeted symptom measures.

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Guided Imagery for Musculoskeletal Pain.

Abstract: It is concluded that there are too few rigorous RCTs testing the effectiveness of GI in the management of MSP. Therefore, the evidence that GI alleviates MSP is encouraging but inconclusive.

Cited by 38 publications

References 41 publications

Relieving patients' pain with expectation interventions

Relieving patients' pain with expectation interventions

The use of functional neuroimaging to evaluate psychological and other non-pharmacological treatments for clinical pain

A Systematic Review of Relaxation, Meditation, and Guided Imagery Strategies for Symptom Management in Heart Failure

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