Hipnosis, dolor, afectividad y calidad de vida en pacientes con fibromialgia
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Palabras clave

anesthetic hypnosis
emotions
mental health
pain
physical health hipnosis anestésica
emociones
salud mental
dolor
salud física

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Aravena, V., Garcia, F. E., Téllez, A. ., & Arias, P. R. (2025). Hipnosis, dolor, afectividad y calidad de vida en pacientes con fibromialgia: Un ensayo controlado aleatorizado. Terapia Psicológica, 43(2), 203-222. Recuperado a partir de http://teps.cl/index.php/teps/article/view/779

Resumen

Objetivo: Este estudio pretendía evaluar el efecto de la hipnosis grabada en audio y autoadministrada como complemento al tratamiento farmacológico de los síntomas de la fibromialgia; el estudio se centró en los impactos de la hipnosis sobre el afecto positivo, el afecto negativo y la calidad de vida de los pacientes -y la distinción de los efectos sobre la salud física y sobre la salud mental- cuando se utilizaba como parte de su tratamiento para la fibromialgia. Diseño: Se utilizó un ensayo controlado aleatorizado. Métodos: Participaron 97 pacientes diagnosticados de fibromialgia que recibían tratamientos farmacológicos, quienes se dividieron aleatoriamente en un grupo de control y un grupo experimental. El procedimiento consistió en escuchar el audio por las mañanas durante 30 días. Resultados: La intervención de hipnosis autoadministrada produjo una disminución en la intensidad del dolor en el grupo experimental; también impactó en la capacidad de los pacientes de mantener niveles base de afecto positivo y calidad de vida relacionada con la salud mental, que disminuyeron en el grupo control; no se observaron diferencias en el afecto negativo ni en la calidad de vida relacionada a la salud física Implicaciones: La hipnosis podría complementar la labor de los profesionales de la salud en el tratamiento de pacientes con fibromialgia. Conclusiones: En general, los resultados indican que las sesiones de hipnosis autoadministradas y grabadas en audio tienen un impacto en la calidad de vida relacionada a la salud mental, además de reducir la intensidad del dolor en pacientes diagnosticados con fibromialgia.

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Alden, P., & Heap, M., (1998). Hypnotic pain control: Some theoretical and practical issues, International Journal of Clinical and Experimental Hypnosis, 46(1), 62-76. https://doi.org/10.1080/00207149808409990

Aravena, V., Garcia, F., Téllez, A. & Arias, P. (2020). Hypnotic intervention in people with fibromyalgia: A randomized controlled trial. American Journal of Clinical Hypnosis. https://doi.org/10.1080/00029157.2020.1742088

Bernardy, K., Füber, N., Klose, P., & Häuser, W. (2011). Efficacy of hypnosis/guided imagery in fibromyalgia syndrome-a systematic review and meta-analysis of controlled trials. BMC Musculoskeletal Disorders, 12(1), 133. https://doi.org/10.1186/1471-2474-12-133

Castel, A., Cascón, R., Padrol, A., Sala, J., & Rull, M. (2012). Multicomponent cognitive-behavioral group therapy with hypnosis for the treatment of fibromyalgia: Long-term outcome. The Journal of Pain, 13(3), 255-265. https://doi.org/10.1016/j.pain.2011.11.005

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155. https://doi.org/10.1037/0033-2909.112.1.155

Corsetti, M. T., Rossi, E., Bonvino, S., & Randazzo, P. (2019). Psychological distress and quality of life are improved in autoimmune patients through Tandem-Psychotherapy, combining individual hypnosis and eye movement desensitization and reprocessing (EMDR) treatment for trauma, followed by supportive-expressive group therapy. Clinical Rheumatology, 1-9. https://doi.org/10.1007/s10067-019-04862-1

De Andrés Ares, J., Cruces Prado, L. M., Canos Verdecho, M. A., Penide Villanueva, L., Del Valle Hoyos, M., Herdman, M., Traseira Lugilde, S., & Velázquez Rivera, I. (2015). Validation of the short form of the Brief Pain Inventory (BPI?SF) in Spanish patients with non? cancer?related pain. Pain Practice, 15(7), 643-653. https://doi.org/10.1111/papr.12219

Del Río, E., Palacios, A., & Arbona, C. (2014). Calidad de vida en fibromialgia: Influencia de factores físicos y psicológicos. Psicología Conductual, 22(1.), 19-36. https://bit.ly/4kkTFLI

Delivet, H., Dugue, S., Ferrari, A., Postone, S., & Dahmani, S. (2018). Efficacy of self-hypnosis on quality of life for children with chronic pain syndrome. International Journal of Clinical and Experimental Hypnosis, 66(1), 43-55. https://doi.org/10.1080/00207144.2018.1396109

Derbyshire, S., Whalley, M., Seah, S., & Oakley, D. (2017). Suggestions to reduce clinical fibromyalgia pain and experimentally induced pain produce parallel effects on perceived pain but divergent functional mri–based brain activity. Psychosomatic Medicine, 79(2), 189-200. https://doi.org/10.1097/PSY.0000000000000370

Dufey, M., & Fernandez, A. M. (2012). Validez y confiabilidad del Positive Affect and Negative Affect Schedule (PANAS) en estudiantes universitarios chilenos. Revista Iberoamericana de Diagnóstico y Evaluación-e Avaliação Psicológica, 2(34), 157-173. https://dialnet.unirioja.es/servlet/articulo?codigo=6929566

Dumain, M., Jaglin, P., Wood, C., Rainville, P., Pageaux, B., Perrochon, A., ... & Billot, M. (2022). Long-Term efficacy of a home-care hypnosis program in elderly persons suffering from chronic pain: a 12-month follow-up. Pain Management Nursing, 23(3), 330-337. https://doi.org/10.1016/j.pmn.2021.06.005

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). GPower 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146

Feldman, J. B. (2004). The neurobiology of pain, affect and hypnosis. American Journal of Clinical Hypnosis, 46(3), 187-200. https://doi.org/10.1080/00029157.2004.10403599

Gheita, T. A., Sayed, S., Gheita, H. A., & Kenawy, S. A. (2016). Vitamin D status in rheumatoid arthritis patients: relation to clinical manifestations, disease activity, quality of life and fibromyalgia syndrome. International Journal of Rheumatic Diseases, 19(3), 294-299. https://doi.org/10.1111/1756-185X.12426

Grégoire, C., Chantrain, C., Faymonville, M. E., Marini, J., & Bragard, I. (2019). A hypnosis-based group intervention to improve quality of life in children with cancer and their parents. International Journal of Clinical and Experimental Hypnosis, 67(2), 117-135. https://doi.org/10.1080/00207144.2019.1580965

IBM Corp. (2015). IBM SPSS Statistics for Windows, Version 23.0 [Computer software]. IBM Corp.

Jami, M., Martinez, P., Miró, E., Sánchez, A., Prados, G., Cáliz, R., Vlaeyen, J. (2017) Efficacy of combined cognitive-behavioral therapy for insomnia and pain in patients with friblomyalgia: A randomized controlled trial. Cognitive Therapy and Research, 42(1), 63-79. https://doi.org/10.1007/s10608-017-9875-4

Jenkinson, C., & Layte, R. (1997). Development and testing of the UK SF-12. Journal of Health Services Research, 2(1), 14-18. https://doi.org/10.1177/135581969700200105

Jensen, M., & Patterson, D. (2006). Hypnotic treatment of chronic pain. Journal of Behavioral Medicine, 29(1), 95-124. https://doi.org/10.1007/s10865-005-9031-6

Jones, H. G., Rizzo, R. R. N., Pulling, B. W., Braithwaite, F. A., Grant, A. R., McAuley, J. H., Jensen, M. P., Moseley, G. L., Rees, A., & Stanton, T. R. (2024). Adjunctive use of hypnosis for clinical pain: a systematic review and meta-analysis. Pain Reports, 9(5), e1185. https://doi.org/10.1097/PR9.0000000000001185

Jurado-Priego, L. N., Cueto-Ureña, C., Ramírez-Expósito, M. J., & Martínez-Martos, J. M. (2024). Fibromyalgia: A Review of the Pathophysiological Mechanisms and Multidisciplinary Treatment Strategies. Biomedicines, 12(7), 1543. https://doi.org/10.3390/biomedicines12071543

Karras, S., Rapti, E., Matsoukas, S., & Kotsa, K. (2016). Vitamin D in fibromyalgia: a causative or confounding biological interplay? Nutrients, 8(6), 343. https://doi.org/10.3390/nu8060343

Katz, J., Mamyrova, G., Guzhva, O., & Furmark, L. (2010). Gender bias in diagnosing fibromyalgia. Gender Medicine, 7(1), 19-27. https://doi.org/10.1016/j.genm.2010.01.003

Macfarlane, G. J., Kronisch, C., Dean, L. E., Atzeni, F., Häuser, W., Fluß, E., ... & Dincer, F. ?. T. N. A. T. (2017). EULAR revised recommendations for the management of fibromyalgia. Annals of the Rheumatic Diseases, 76(2), 318-328. http://dx.doi.org/10.1136/annrheumdis-2017-211587

Martínez, F., Pérez, I., Cuatrecasas, J. M., Chamorro, J., Martí, N., & Reig, A. (2006). Tratamiento de fibromialgia mediante hypnosis. Cuadernos de Medicina Psicosomática, 79/80, 53-60.

McCrae, C. S., Williams, J., Roditi, D., Anderson, R., Mundt, J., Miller, M., Curtis, A., Waxenberg, L., Staud, R., Berry, R., Robinson, M. (2019). Cognitive behavioral treatments for insomnia and pain in adults with comorbid chronic insomnia and fibromyalgia: clinical outcomes from the SPIN randomized controlled trial. Sleep, 42(3). https://doi.org/10.1093/sleep/zsy234

Moher, D., Schulz, K. F., Altman, D. G., & Consort Group. (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. The Lancet, 357(9263), 1191-1194. https://doi.org/10.1016/S0140-6736(00)04337-3

Moioli Montenegro, B. (2017). Eficacia incremental del entrenamiento de autohipnosis en un programa de afrontamiento psicológico de la fibromialgia [Tesis doctoral, Universidad de Sevilla]. idUS Repositorio Institucional. https://hdl.handle.net/11441/75565

Montgomery, G. H., DuHamel, K. N., & Redd, W. H. (2000). A meta-analysis of hypnotically induced analgesia: How effective is hypnosis? International Journal of Clinical and Experimental Hypnosis, 48(2), 138-153. https://doi.org/10.1080/00207140008410045

Okul, E. B., & Fertelli, T. K. (2024). The effects of sleep hygiene education on sleep quality, pain, and depression in individuals with fibromyalgia. Pain Management Nursing. https://doi.org/10.1016/j.pmn.2024.11.007

Ozgunay, S. E., Kasapoglu Aksoy, M., Deniz, K. N., Onen, S., Onur, T., Kilicarslan, N., Eminoglu, S., & Karasu, D. (2024). Effect of hypnosis on pain, anxiety, and quality of life in female patients with fibromyalgia: Prospective, randomized, controlled study. International Journal of Clinical and Experimental Hypnosis, 72(1), 51-63. https://doi.org/10.1080/00207144.2023.2277853

Padoli, P., Hasanah, N., & Rahmawati, N. A. L. (2024). A Systematic Review of the Effect of Self-Hypnosis on Quality of Life in Breast Cancer Patients. International Journal of Advanced Health Science and Technology, 4(3), 122-126. https://doi.org/10.35882/ijahst.v4i3.335

Paredes, A. C., Costa, P., Fernandes, S., Lopes, M., Carvalho, M., Almeida, A., & Pinto, P. R. (2019). Effectiveness of hypnosis for pain management and promotion of health-related quality-of-life among people with haemophilia: A randomised controlled pilot trial. Scientific Reports, 9(1), 1-12. https://doi.org/10.1038/s41598-019-49827-1

Pellicer, X. (2016). La hipnosis en el tratamiento del dolor. Cuadernos de Medicina Psicosomática y Psiquiatria de Enlace, 1(120), 42-47

Pérez, C. L. A. (2009). Fibromialgia: Diagnóstico y estrategias para su rehabilitación. Médica Panamericana.

Picard, P., Jusseaume, C., Boutet, M., Dualé, C., Mulliez, A., & Aublet-Cuvellier, B. (2013). Hypnosis for management of fibromyalgia. International Journal of Clinical and Experimental Hypnosis, 61(1), 111-123. https://doi.org/10.1080/00207144.2013.729441

Potié, A., Roelants, F., Pospiech, A., Momeni, M., & Watremez, C. (2016). Hypnosis in the perioperative management of breast cancer surgery: Clinical benefits and potential implications. Anesthesiology Research and Practice, 2016, 1–8. https://doi.org/10.1155/2016/2942416

Prabowo, T. (2021). Self-hypnosis model reduces anxiety and pain in post-general anesthesia patients. Macedonian Journal of Medical Sciences, 9(T4), 137-140. https://doi.org/10.3889/oamjms.2021.5858

Quirós-Ramírez, M. (2013). Hipnosis como tratamiento del dolor en pacientes con fibromialgia [Hypnosis as pain treatment in fibromyalgia patients]. Revista Costarricense de Psicología, 32(1), 1-24.

Rivera, J., Alegre, C., Ballina, F., Carbonell, J., Carmona, L., Castel, B., & Vallejo, M. (2006). Documento de consenso de la Sociedad Española de Reumatología sobre la fibromialgia. Reumatología Clínica, 2(1), 55-66. https://doi.org/10.1016/S1699-258X(06)73084-4

Rizzo, R., Medeiros, F., Pires, L., Pimenta, R., McAuley, J., Jensen, M., & Costa, L. (2018). Hypnosis enhances the effects of pain education in patients with chronic nonspecific low back pain: A randomized controlled trial. The Journal of Pain. 19(10), 1103.e1-1103.e9. https://doi.org/10.1016/j.jpain.2018.03.013

Rosendahl, J., Alldredge, C. T., & Haddenhorst, A. (2024). Meta-analytic evidence on the efficacy of hypnosis for mental and somatic health issues: a 20-year perspective. Frontiers in Psychology, 14, 1330238. https://doi.org/10.3389/fpsyg.2023.1330238

Rowe, C. A., Sirois, F. M., Toussaint, L., Kohls, N., Nöfer, E., Offenbächer, M., & Hirsch, J. K. (2019). Health beliefs, attitudes, and health-related quality of life in persons with fibromyalgia: mediating role of treatment adherence. Psychology, Health & Medicine, 24(8), 962-977. https://doi.org/10.1080/13548506.2019.1576913

Sánchez, T., Téllez, A., Juárez-García, D., García, C. H., & García, F. E. (2019). Clinical hypnosis and music in breast biopsy: A randomized clinical trial. American Journal of Clinical Hypnosis, 61(3), 244-257. https://doi.org/10.1080/00029157.2018.1489776

Schmidt, B., Hecht, H., Naumann, E., & Miltner, W. H. R. (2022). The Power of Hypnosis: Hypnotic Suggestions Induce High Compliance and Profound Changes in Electrodermal Activity and Self-Reported Anxiety and Affect. Frontiers in Psychology, 13, 917139. https://doi.org/10.3389/fpsyg.2022.917139

Schoenberger, N. E., Kirsch, I., Gearan, P., Montgomery, G., & Pastyrnak, S. L. (1997). Hypnotic enhancement of a cognitive behavioral treatment for public speaking anxiety. Behavior Therapy, 28(1), 127-140. https://doi.org/10.1016/S0005-7894(97)80038-X

Talotta, R., Bazzichi, L., Di Franco, M., Casale, R., Batticciotto, A., Gerardi, M. C., & Sarzi- Puttini, P. (2017). One year in review 2017: Fibromyalgia. Clinical and Experimental Rheumatology, 35(3), 6-12. https://pubmed.ncbi.nlm.nih.gov/28681712/

Téllez A., García C. H., & Corral, V. (2015). Effect size, confidence intervals and statistical power in psychological research. Psychology in Russia: State of the Art, 8(3), 27-47. https://doi.org/10.11621/pir.2015.0303

VandeVusse, L., Hanson, L., Berner, M. A., & Winters, J. M. W. (2010). Impact of self-hypnosis in women on select physiologic and psychological parameters. Journal of Obstetric, Gynecologic & Neonatal Nursing, 39(2), 159-168. https://doi.org/10.1111/j.1552-6909.2010.01103.x

Vera-Villarroel, P., Silva, J., Celis-Atenas, K., & Pavez, P. (2014). Evaluación del cuestionario SF-12: Verificación de la utilidad de la escala salud mental. Revista Médica de Chile, 142(10), 1275–1283. https://doi:10.4067/s0034-9887201400100000

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037/0022-3514.54.6.1063

Wolfe, F., Clauw, D., Fitzcharles, M., Goldenberg, D., Katz, R., Mease, P., & Yunus, M. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research, 62(5), 600-610. https://doi.org/10.1002/acr.20140

Zautra, A. J., Fasman, R., Parish, B. P., & Davis, M. C. (2007). Daily fatigue in women with osteoarthritis, rheumatoid arthritis, and fibromyalgia. Pain, 128(1-2), 128-135. https://doi.org/10.1016/j.pain.2006.09.004

Zautra, A. J., Fasman, R., Reich, J. W., Harakas, P., Johnson, L. M., Olmsted, M. E., & Davis, M. C. (2005). Fibromyalgia: Evidence for deficits in positive affect regulation. Psychosomatic Medicine, 67(1), 147–155. https://doi.org/10.1097/01.psy.0000146328.52009.23

Zech, N., Hansen, E., Bernardy, K., & Häuser, W. (2017). Efficacy, acceptability and safety of guided imagery/hypnosis in fibromyalgia: A systematic review and meta?analysis of randomized controlled trials. European Journal of Pain, 21(2), 217-227. https://doi.org/10.1002/ejp.933

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