TY  - JOUR
PY  - 2024//
TI  - Feasibility of brief, hypnotic enhanced cognitive therapy for SCI-related pain during inpatient rehabilitation
JO  - Archives of physical medicine and rehabilitation
A1  - Starosta, Amy J.
A1  - Bombardier, Charles H.
A1  - Kahlia, Faran
A1  - Barber, Jason
A1  - Accardi-Ravid, Michelle C.
A1  - Wiechman, Shelley A.
A1  - Crane, Deborah A.
A1  - Jensen, Mark P.
SP  - 1
EP  - 9
VL  - 105
IS  - 1
N2  - OBJECTIVES: (1) Adapt evidence-based hypnosis-enhanced cognitive therapy (HYP-CT) for inpatient rehabilitation setting; and (2) determine feasibility of a clinical trial evaluating the effectiveness of HYP-CT intervention for pain after spinal cord injury (SCI).   STUDY DESIGN: Pilot non-randomized controlled trial.   SETTING: Inpatient rehabilitation unit.   PARTICIPANTS: English-speaking patients admitted to inpatient rehabilitation after SCI reporting current pain of at least 3 on a 0-10 scale. Persons with severe psychiatric illness, recent suicide attempt or elevated risk, or significant cognitive impairment were excluded. Consecutive sample of 53 patients with SCI-related pain enrolled, representing 82% of eligible patients.   INTERVENTION: Up to 4 sessions of HYP-CT Intervention, each 30-60 minutes long.   METHODS: Participants were assessed at baseline and given the choice to receive HYP-CT or Usual Care.   MAIN OUTCOME MEASURES: Participant enrollment and participation and acceptability of intervention. Exploratory analyses examined the effect of intervention on pain and cognitive appraisals of pain.   RESULTS: In the HYP-CT group, 71% completed at least 3 treatment sessions and reported treatment benefit and satisfaction with the treatment; no adverse events were reported. Exploratory analyses of effectiveness found pre-post treatment pain reductions after HYP-CT with large effect (P<.001; β=-1.64). While the study was not powered to detect significant between-group differences at discharge, effect sizes revealed decreases in average pain (Cohen's d=-0.13), pain interference (d=-0.10), and pain catastrophizing (d=-0.20) in the HYP-CT group relative to control and increases in self-efficacy (d=0.27) and pain acceptance (d=0.15).   CONCLUSIONS: It is feasible to provide HYP-CT to inpatients with SCI, and HYP-CT results in substantial reductions in SCI pain. The study is the first to show a psychological-based nonpharmacologic intervention that may reduce SCI pain during inpatient rehabilitation. A definitive efficacy trial is warranted.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2023.06.005
ID  - ref1
ER  -