Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting

Background Medical management of acute pain among hospital inpatients may be enhanced by mind-body interventions. Objective We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2017-10, Vol.32 (10), p.1106-1113
Main Authors: Garland, Eric L., Baker, Anne K., Larsen, Paula, Riquino, Michael R., Priddy, Sarah E., Thomas, Elizabeth, Hanley, Adam W., Galbraith, Patricia, Wanner, Nathan, Nakamura, Yoshio
Format: Article
Language:English
Subjects:
Acute effects
Acute Pain - diagnosis
Acute Pain - psychology
Acute Pain - therapy
Adult
Aged
Analgesia
Anxiety
Clinical trials
Colleges & universities
Control methods
Female
Hospitalization - trends
Humans
Hypnosis
Hypnosis - methods
Imagery
Internal Medicine
Intervention
Male
Medicine
Medicine & Public Health
Middle Aged
Mindfulness
Mindfulness - methods
Narcotics
Opioids
Original Research
Pain
Pain Management - methods
Pain Management - psychology
Pain Measurement - methods
Randomization
Time Factors
Training
Workers
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Summary:Background Medical management of acute pain among hospital inpatients may be enhanced by mind-body interventions. Objective We hypothesized that a single, scripted session of mindfulness training focused on acceptance of pain or hypnotic suggestion focused on changing pain sensations through imagery would significantly reduce acute pain intensity and unpleasantness compared to a psychoeducation pain coping control. We also hypothesized that mindfulness and suggestion would produce significant improvements in secondary outcomes including relaxation, pleasant body sensations, anxiety, and desire for opioids, compared to the control condition. Methods This three-arm, parallel-group randomized controlled trial conducted at a university-based hospital examined the acute effects of 15-min psychosocial interventions (mindfulness, hypnotic suggestion, psychoeducation) on adult inpatients reporting “intolerable pain” or “inadequate pain control.” Participants ( N  = 244) were assigned to one of three intervention conditions: mindfulness ( n  = 86), suggestion ( n  = 73), or psychoeducation ( n  = 85). Key Results Participants in the mind-body interventions reported significantly lower baseline-adjusted pain intensity post-intervention than those assigned to psychoeducation ( p  
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-017-4116-9