Hypnotic Susceptibility and Experimental Pain Reduction

Tenenbaum, Steven J.; Kurtz, Richard M.; Bienias, Julia L.

doi:10.1080/00029157.1990.10402899

Cited by 24 publications

(3 citation statements)

References 26 publications

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“…These earlier studies showed that each of our hypnotic and nonhypnotic analogue treatments were more effective than a no-treatment control condition in reducing pain, but there was no difference between the treatments. Similarly, several other investigators failed to detect a difference between hypnotic analgesia and simple (Spanos et al, 1984;Tenenbaum, Kurtz and Bienias, 1990) or Stress Inoculation Training (Miller and Bowers, 1993;Spanos, Ollerhead andGwynn, 1985-1986) in reducing cold pressor pain. However, none of these past studies utilized a placebo control condition.…”

Section: Discussionmentioning

confidence: 97%

Mediation and moderation of hypnotic and cognitive‐behavioural pain reduction

Milling

Breen

2003

Contemporary Hypnosis

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The mediator function of response expectancies and the moderator function of hypnotic and non-hypnotic imaginative suggestibility were evaluated in the analogue treatment of pain. One hundred and sixty-seven participants previously assessed for hypnotic and imaginative suggestibility were randomly assigned to distraction, cognitive-behavioural package (i.e., Stress Inoculation Training), hypnotic cognitive-behavioural package, hypnotic analgesia suggestion, placebo control, or no-treatment control conditions. The four 'active' treatments reduced pain more than the no-treatment control condition. There was no statistical difference in effectiveness between these four treatments, but only the cognitive-behavioural package reduced pain more than the placebo control condition. Response expectancies partially mediated the effects of treatment on pain. Imaginative suggestibility, defined as a generalized tendency to respond to imaginative suggestions delivered outside of hypnosis, moderated the effects of the cognitive-behavioural package. Contrary to prediction, neither hypnotic suggestibility, nor hypnotizability (operationalized as hypnotic suggestibility with imaginative suggestibility statistically controlled) moderated the effects of the hypnotic treatments.

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Section: Discussionmentioning

confidence: 97%

Mediation and moderation of hypnotic and cognitive‐behavioural pain reduction

Milling

Breen

2003

Contemporary Hypnosis

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“…Not surprisingly, the literature on analogue studies of pain indicates that highly hypnotizable patients show the greatest reductions in pain (Bowers & LeBaron, 1986;Hilgard, 1980). However, this relationship has not been found to be as clear in the clinical pain literature (Gillett & Coe, 1984;Tenenbaum, Kurtz, & Bienias, 1990). Because patients who score low on hypnotizability scales also benefit from hypnosis (Chaves, 1993), the relationship between hypnotizability and analgesia is not likely a linear one.…”

Section: Discussionmentioning

confidence: 99%

Baseline pain as a moderator of hypnotic analgesia for burn injury treatment.

Patterson¹,

Ptacek²

1997

Journal of Consulting and Clinical Psychology

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Sixty-one patients hospitalized for severe burns were randomly assigned to conditions in which they received either hypnosis or a control condition in which they received attention, information, and brief relaxation instructions from a psychologist. The posttreatment pain scores of the 2 groups did not differ significantly when all patients were considered. However, when a subset of patients who reported high levels of baseline pain were examined, it was found that patients in the hypnosis group reported less posttreatment pain than did patients in the control group. The findings are used to replicate earlier studies of burn pain hypnoanalgesia, explain discrepancies in the literature, and highlight the potential importance of motivation with this population.

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“…Nonetheless, increasing evidence shows that suggestions modulate pain experience both in and out of hypnosis [6], [7], [8], [18], [24], [25]. Thus, the aim of the present study was to investigate the psychophysical, respiratory and autonomic correlates of pain modulation induced by non-hypnotic suggestions of analgesia in highs and lows undergoing cold pressor test.…”

Section: Introductionmentioning

confidence: 92%

Cognitive Modulation of Psychophysical, Respiratory and Autonomic Responses to Cold Pressor Test

et al. 2013

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In healthy subjects with high hypnotisability (highs) under hypnosis, subjectively effective suggestions for analgesia abolish the increases in blood pressure associated with cold pressor test (cpt) by reducing the peripheral vascular resistance. The aim of the present study was to investigate the effects of the suggestions of analgesia on the responses to cpt in healthy highs (n = 22) and in low hypnotisable participants (lows, n = 22) out of hypnosis. Cpt was administered without (CPT) and with suggestions for analgesia (CPT+AN). Psychophysical (pain intensity, pain threshold, cpt duration (time of immersion) and pain tolerance, defined as the difference between cpt duration and pain threshold), respiratory (amplitude and frequency) and autonomic variables (tonic skin conductance, mean RR interval (RR = 1/heart rate), blood pressure, skin blood flow) were studied. The suggestions for analgesia increased cpt duration and RR in both groups, but decreased pain intensity and enhanced pain threshold only in highs; in both groups they did not modulate systolic blood pressure, tonic skin conductance and skin blood flow; thus, increased parasympathetic activity appears responsible for the heart rate reduction induced by suggestions in both groups. In conclusion, our findings show that suggestions modulate pain experience differentially in highs and lows, and are partially effective also in lows. We hypothesize that the mechanisms responsible for the efficacy of suggestions in healthy lows may be involved also in their efficacy in chronic pain patients with low hypnotisability.

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Hypnotic Susceptibility and Experimental Pain Reduction

Cited by 24 publications

References 26 publications

Mediation and moderation of hypnotic and cognitive‐behavioural pain reduction

Mediation and moderation of hypnotic and cognitive‐behavioural pain reduction

Baseline pain as a moderator of hypnotic analgesia for burn injury treatment.

Cognitive Modulation of Psychophysical, Respiratory and Autonomic Responses to Cold Pressor Test

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