Evidence map›Paper›PMID 22233394›Full record

Trial reportPain medicine (Malden, Mass.)2012

Experimental pain ratings and reactivity of cortisol and soluble tumor necrosis factor-α receptor II following a trial of hypnosis: results of a randomized controlled pilot study.

Burel R Goodin, Noel B Quinn, Tarek Kronfli, Christopher D King, Gayle G Page, Jennifer A Haythornthwaite, Robert R Edwards, Laura M Stapleton, Lynanne McGuire

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Computer-delivered social norm message increases pain tolerance.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Burel R GoodinUniversity of Florida, Comprehensive Center for Pain Research, Gainesville, FL 32610, USA. bgoodin1@ufl.edu
Noel B Quinn
Tarek Kronfli
Christopher D King
Gayle G Page
Jennifer A Haythornthwaite
Robert R Edwards
Laura M Stapleton
Lynanne McGuire

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Biobehavioral Risk Factors for Persistent Pain following Total Knee ArthroplastyR01AG034982 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI EDWARDS, ROBERT R · 2010 to 2014
$3.2M
Integrative and translational training in pain researchT32NS045551 · NINDS · UNIVERSITY OF FLORIDA · PI YEZIERSKI, ROBERT P. · 2005 to 2014
$1.8M
Neuroendocrine and Immune Response to Hypnotic Analgesia: A Pilot Clinical TrialR21AT003250 · NCCIH · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI MCGUIRE, LYNANNE M · 2006 to 2008
$547k
Catastrophizing and Cytokine Responses to Acute Pain in the Rheumatic DiseasesR21AR057920 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI EDWARDS, ROBERT R · 2010 to 2011
$431k
NCATS NIH HHS UL1 TR000064NCCIH NIH HHS R21 AT003250NCCIH NIH HHS R21AT003250-01A1NIAMS NIH HHS R21 AR057920NIA NIH HHS L30 AG040467NIA NIH HHS R01 AG034982NINDS NIH HHS T32 NS045551NINDS NIH HHS T32NS045551-06
6 · The paper itself

Abstract

objectiveCurrent evidence supports the efficacy of hypnosis for reducing the pain associated with experimental stimulation and various acute and chronic conditions; however, the mechanisms explaining how hypnosis exerts its effects remain less clear. The hypothalamic-pituitary-adrenal (HPA) axis and pro-inflammatory cytokines represent potential targets for investigation given their purported roles in the perpetuation of painful conditions; yet, no clinical trials have thus far examined the influence of hypnosis on these mechanisms.

designHealthy participants, highly susceptible to the effects of hypnosis, were randomized to either a hypnosis intervention or a no-intervention control. Using a cold pressor task, assessments of pain intensity and pain unpleasantness were collected prior to the intervention (Pre) and following the intervention (Post) along with pain-provoked changes in salivary cortisol and the soluble tumor necrosis factor-α receptor II (sTNFαRII).

resultsCompared with the no-intervention control, data analyses revealed that hypnosis significantly reduced pain intensity and pain unpleasantness. Hypnosis was not significantly associated with suppression of cortisol or sTNFαRII reactivity to acute pain from Pre to Post; however, the effect sizes for these associations were medium-sized.

conclusionsOverall, the findings from this randomized controlled pilot study support the importance of a future large-scale study on the effects of hypnosis for modulating pain-related changes of the HPA axis and pro-inflammatory cytokines.

Indexed as

AdolescentAdultBiomarkersFemaleHumansHydrocortisoneHypnosisHypothalamo-Hypophyseal SystemMalePainPain ManagementPain MeasurementPilot ProjectsPituitary-Adrenal SystemReceptors, Tumor Necrosis Factor, Type IISalivaBiomarkersHydrocortisoneReceptors, Tumor Necrosis Factor, Type II

Identifiers

PMID22233394
PMCPMC3257832

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.