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AB0427 Efficacy of hypnotic analgesia for the reduction of pain and negative emotional states in patients with rheumatoid arthritis of the “hospital civil de guadalajara “fray antonio alcalde”
  1. F Bolaños-Chamorro1,
  2. LA Hernandez-Palma2,
  3. G Vazquez-Murillo1,
  4. S Cerpa-Cruz3,
  5. JF Muñoz-Valle2,
  6. RM Meda-Lara1
  1. 1Basic Psychology
  2. 2Research Institute in Biomedical Sciences, University of Guadalajara
  3. 3Division of Rheumatology, Guadalajara Civil Hospital Fray Antonio Alcalde, Guadalajara, Mexico

Abstract

Background Rheumatoid arthritis is a autoimmune and multisystemic disease. However, the negative emotions of anxiety and depression are the ones that have been most addressed, and there is a close relationship between pain associated with pain. Hypnosis is one of the best documented behavioral interventions in the management of acute and chronic pain in adults.

Objectives To evaluate the efficacy of hypnotic analgesia for pain reduction and negative emotional states in patients with Rheumatoid Arthritis of the Guadalajara Civil Hospital Fray Antonio Alcalde

Methods The method was developed through a quasi-experimental study, in which had two groups: a control group (CG) of 11 patients and an experimental group (EG) of 17, the women's age group were developed between 18 and 65 years old diagnosed with arthritis. The medition of Pain was realized through an instrument called EVA, and for the case of the Anxiety and depression were through HAD, achieving the baseline of each one of the variables. The EG group attended three psychological sessions of Hypnosis, with intervals of one month each. In these sessions, the perception of pain with an EVA was measured at the beginning and at the end. After a month, the subsequent evaluation was performed, measuring the same initial variables, in order to make the comparison of the pre and pos.

Results The U of MANN Whitney was applied and it was identified that in the pre-test measurement, there were no statistically significant differences in the variables. However, in the pos measurement, differences were found in the patient's pain perception (z=-2.84, p<0.05), anxiety (z=-2.36, p<0.05) and The depression (z=-2.68, p<0.05). In addition, a Wilcoxon test was developed to determine differences between the pre-test score and the pos-test score in the EVA of each session. Statistically significant differences were found in the first session (Z=-3.65, p=0.001), second session (Z=-3.67, p=0.001) and third session (Z=-3.56, p=0.001).

Conclusions Hypnosis, as a behavioral technique, has shown efficacy in patients with chronic pain. In this research, a significant decrease in patients' perception of pain has been demonstrated.

References

  1. Chopra, A. (2013). The COPCORD world of musculoskeletal pain and arthritis. Rheumatology (United Kingdom), 52(11), 1925–1928.

  2. Matcham, F., Rayner, L., Steer, S., & Hotopf, M. (2013). The prevalence of depression in rheumatoid arthritis: A systematic review and meta-analysis. Rheumatology (United Kingdom), 52(12), 2136–2148.

References

Disclosure of Interest None declared

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