Mirror Therapy in Patients with Somatoform Pain Disorders-A Pilot Study

被引:2
作者
Ruf, Steffen Philipp [1 ]
Hetterich, Larissa [1 ]
Mazurak, Nazar [1 ]
Rometsch, Caroline [1 ,2 ]
Jurjut, Anna-Maria [1 ]
Ott, Stephan [1 ,3 ]
Herrmann-Werner, Anne [1 ,4 ]
Zipfel, Stephan [1 ]
Stengel, Andreas [1 ,5 ,6 ,7 ,8 ]
机构
[1] Univ Hosp Tubingen, Dept Psychosomat Med & Psychotherapy, Osianderstr 5, D-72076 Tubingen, Germany
[2] Univ Florence, Dept Expt & Clin Med, Largo Brambilla 3, I-50134 Florence, Italy
[3] Friedrich Alexander Univ Erlangen Nurnberg, Inst Occupat Social & Environm Med Outpatient Clin, Henkestr 9-11, D-91054 Erlangen, Germany
[4] TIME Tubingen Inst Med Educ, Med Fac Tubingen, Elfriede Aulhorn Str 10, D-72076 Tubingen, Germany
[5] Charite Univ Med Berlin, Dept Psychosomat Med, Charite Ctr Internal Med & Dermatol, D-12203 Berlin, Germany
[6] Free Univ Berlin, D-12203 Berlin, Germany
[7] Humboldt Univ, D-12203 Berlin, Germany
[8] Berlin Inst Hlth, D-12203 Berlin, Germany
关键词
chronic pain; mirror therapy; heart rate variability; pain management; pain threshold; pain treatment; psychosomatic disorders; somatoform pain disorders; HEART-RATE-VARIABILITY; MEDICALLY UNEXPLAINED SYMPTOMS; MENTAL-DISORDERS; VISUAL FEEDBACK; STROKE PATIENTS; SYNDROME TYPE-1; BACK-PAIN; PREVALENCE; SENSITIVITY; THRESHOLDS;
D O I
10.3390/bs13050432
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Patients with chronic pain report reduced quality of life and high symptom burden while often responding insufficiently to treatment options. Mirror therapy has been proven to be effective in treating phantom limb pain and other conditions such as CRPS. This study was designed to investigate the efficacy of mirror therapy in patients with somatoform pain disorders on symptom severity and associated physiological parameters. Fifteen patients with persistent somatoform pain disorder (F45.40) or chronic pain disorder with somatic and psychological factors (F45.41) participated and received four weeks of tablet-based mirror therapy. Symptom severity was measured with established questionnaires, and their thermal detection, pain thresholds, and heart rate variability (HRV) were also assessed. After mirror therapy, pain intensity was reduced (z = -2.878, p = 0.004), and pain thresholds for cold stimuli were also diminished, i.e., the subjects became more sensitive to cold stimuli (z = -2.040, p = 0.041). In addition, a reduction of absolute power in the low-frequency band of HRV (t(13) = 2.536, p = 0.025) was detected. These findings indicate that this intervention may reduce pain intensity and modulate associated physiological parameters. As these results are limited by several factors, e.g., a small sample size and no control group, they should be validated in further studies investigating this novel intervention in these patients.
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页数:15
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