Study Aims to Improve Responsiveness to Hypnosis, Better Able to Treat Pain and Other Conditions

PainRelief.com Interview with:
Afik Faerman, PhD
NIMH T32 Postdoctoral Fellow
Psychiatry and Behavioral Sciences
Stanford University
President-elect
Division 30 (Psychological Hypnosis)
American Psychological Association

PainRelief.com: What is the background for this study?

Response: Hypnosis offers an effective drug-free approach to treat a variety of psychophysiological symptoms, particularly pain. Unfortunately, not everyone benefits equally from hypnosis. The ability to experience suggestions in hypnosis (hypnotizability) is distributed in a bell-shaped curve across the population, with only about 20% considered highly hypnotizable. We wanted to test if we could make the brains of people who were not highly hypnotizable act and function as if they were, hoping such a possibility would open the door for improving therapy.

Several brain structures were previously linked to responsiveness to hypnosis, and modulating them could, theoretically, increase hypnotizability. Based on previous work, we created an approach (termed SHIFT) using individual brain scans to find the best part of the brain to stimulate.

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Mucosal Breaks from Periodontal Disease Likely Promotes Rheumatoid Arthritis

PainRelief.com Interview with:
Dana Orange MD
Associate Professor of Clinical Investigation
The Rockefeller Institute and
William H. Robinson, MD PhD
James W. Raitt, M.D., Professor Medicine
Immunology & Rheumatology
Stanford Health Care

PainRelief.com: What is the background for this study?

Response: Periodontitis is more common in patients with rheumatoid arthritis than those without.  

Of patients with rheumatoid arthritis, those with current periodontitis are less likely to receive benefit from treatment with biologic agents than those without periodontitis.

“Empowered Relief” Program Equips Patients With Effective Pain Relief Skills

PainRelief.com Interview with:
Beth Darnall, PhD

Director, Stanford Pain Relief Innovations Lab
Associate Professor, Stanford University School of Medicine
Department of Anesthesiology, Perioperative and Pain Medicine
Psychiatry and Behavioral Sciences (by courtesy)
Wu Tsai Neurosciences Institute (affiliate faculty)
Palo Alto, CA 94304

Dr. Darnall

PainRelief.com:  What is the background for this study?  What are the main findings?

Best pain care integrates patient education and tools to help them manage pain and reduce their symptoms1. Multi-session psychological or “behavioral” pain treatment approaches, such as 8-session cognitive behavioral therapy (CBT), are effective for equipping people with pain management skills. However, our prior research showed that patient access to these treatments is often poor, in part due to the costs and time burdens (e.g., up to 16 hours of treatment time).2

Findings from our study suggest that a one-time 2-hour pain relief skills class (“Empowered Relief”) was non-inferior to 8-session CBT for reducing multiple symptoms, including pain catastrophizing, pain intensity, and pain interference at 3 months post-treatment. We also found the single-session pain class imparted substantial reductions for pain bothersome, sleep disturbance, anxiety, fatigue and depression.

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