ABSTRACT

Fibromyalgia syndrome (FMS) is a multifaceted and incapacitating functional pain syndrome characterized by continuous, severe, widespread musculoskeletal pain. FMS is associated with other symptoms such as fatigue, nonrestorative sleep, cognitive/emotional dysfunction, and diminished health-related quality of life. The pathogenesis of FMS is still not fully understood, but an increasing amount of evidence supports the link between childhood/adulthood emotional, physical, sexual abuse or neglect and the development of FMS. Managing and treating FMS patients can be challenging because the syndrome is refractory to most treatments. However, psychological interventions, particularly hypnotherapy, have been shown to be effective in the cognitive modulation of fibromyalgic pain. FMS patients may benefit from hypnotherapy alone or in combination with standard medical therapy. Symptom-oriented hypnosis aims to reduce pain, fatigue, sleep problems, anxiety, and depression, while hypnotherapy focuses on resolving emotional conflicts and unresolved traumas associated with FMS. In conclusion, hypnosis may be a useful and safe adjunct tool for managing chronic pain and dysfunctional symptoms in challenging fibromyalgic patients.

摘要

纤维肌痛综合征 (FMS) 是一种多方面的、致残的功能性疼痛综合征，其特征是持续、严重、广泛的肌肉骨骼疼痛。FMS 与其他症状相关，例如疲劳、非恢复性睡眠、认知/情绪功能障碍以及健康相关生活质量下降。FMS 的发病机制尚不完全清楚，但越来越多的证据支持童年/成年情感、身体、性虐待或忽视与 FMS 的发展之间的联系。管理和治疗 FMS 患者可能具有挑战性，因为大多数治疗方法都难以治愈该综合征。然而，心理干预，特别是催眠疗法，已被证明对纤维肌痛的认知调节有效。FMS 患者可能会受益于单独的催眠治疗或与标准药物治疗相结合。以症状为导向的催眠旨在减轻疼痛、疲劳、睡眠问题、焦虑和抑郁，而催眠疗法则侧重于解决与 FMS 相关的情绪冲突和未解决的创伤。总之，催眠可能是治疗纤维肌痛患者慢性疼痛和功能障碍症状的有用且安全的辅助工具。