Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial
OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain. METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with som...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2016-11, Vol.128 (5), p.1134-1142 |
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| creator | Meissner, Karin Schweizer-Arau, Annemarie Limmer, Anna Preibisch, Christine Popovici, Roxana M. Lange, Isabel de Oriol, Barbara Beissner, Florian |
| description | OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain.
METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with somatosensory stimulation (ie, different techniques of acupuncture point stimulation) or wait-list control for 3 months, after which all patients were treated. The primary outcome was brain connectivity assessed by functional magnetic resonance imaging. Prespecified secondary outcomes included pain on 11-point numeric rating scales (maximal and average global pain, pelvic pain, dyschezia, and dyspareunia) and physical and mental quality of life. A sample size of 30 per group was planned to compare outcomes in the treatment group and the wait-list control group.
RESULTS:From March 2010 through March 2012, 67 women (mean age 35.6 years) were randomly allocated to intervention (n=35) or wait-list control (n=32). In comparison with wait-list controls, treated patients showed improvements after 3 months in maximal global pain (mean group difference −2.1, 95% confidence interval [CI] −3.4 to −0.8; P=.002), average global pain (−2.5, 95% CI −3.5 to −1.4; P |
| doi_str_mv | 10.1097/AOG.0000000000001691 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835420084</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835420084</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2801-d23f062f1af2a53d5b81176d37a2d85eaca8ccb09cb75899388eba1ce7daf0573</originalsourceid><addsrcrecordid>eNqFkNtKxDAQhoMouq6-gUgvvanm0G5S75bFEwiKB_SuTNOURtNmTVJkfXqz7CrihQaGzAzfP8P8CB0QfExwwU-mNxfH-Mcjk4JsoBERnKWUsedNNMKYFikXWbaDdr1_WUFsG-1QzjNCMR6h7tYvZGtDqxzMF8mTDm1ybzsI1qveW7dI7oPuBgNB2z5prEvO-tp2Kjhtvfbp1HsrNQRVJ7eg-9NkmtzBktAfsTWzfXDWmJg-OA1mD201YLzaX_9j9Hh-9jC7TK9vLq5m0-tUUoFJWlPW4AltCDQUclbnlSCET2rGgdYiVyBBSFnhQlY8F0XBhFAVEKl4DQ3OORujo9XcubNvg_Kh7LSXyhjolR18SQTLs3i_yCKarVDprPdONeXc6Q7coiS4XBpdRqPL30ZH2eF6w1B1qv4WfTkbAbEC3q0JyvlXM7wrV7YKTGj_m539IV1iE5rjlEaakFilMahgn6-Dm5k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835420084</pqid></control><display><type>article</type><title>Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Meissner, Karin ; Schweizer-Arau, Annemarie ; Limmer, Anna ; Preibisch, Christine ; Popovici, Roxana M. ; Lange, Isabel ; de Oriol, Barbara ; Beissner, Florian</creator><creatorcontrib>Meissner, Karin ; Schweizer-Arau, Annemarie ; Limmer, Anna ; Preibisch, Christine ; Popovici, Roxana M. ; Lange, Isabel ; de Oriol, Barbara ; Beissner, Florian</creatorcontrib><description>OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain.
METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with somatosensory stimulation (ie, different techniques of acupuncture point stimulation) or wait-list control for 3 months, after which all patients were treated. The primary outcome was brain connectivity assessed by functional magnetic resonance imaging. Prespecified secondary outcomes included pain on 11-point numeric rating scales (maximal and average global pain, pelvic pain, dyschezia, and dyspareunia) and physical and mental quality of life. A sample size of 30 per group was planned to compare outcomes in the treatment group and the wait-list control group.
RESULTS:From March 2010 through March 2012, 67 women (mean age 35.6 years) were randomly allocated to intervention (n=35) or wait-list control (n=32). In comparison with wait-list controls, treated patients showed improvements after 3 months in maximal global pain (mean group difference −2.1, 95% confidence interval [CI] −3.4 to −0.8; P=.002), average global pain (−2.5, 95% CI −3.5 to −1.4; P<.001), pelvic pain (−1.4, 95% CI −2.7 to −0.1; P=.036), dyschezia (−3.5, 95% CI −5.8 to −1.3; P=.003), physical quality of life (3.8, 95% CI 0.5–7.1, P=.026), and mental quality of life (5.9, 95% CI 0.6–11.3; P=.031); dyspareunia improved nonsignificantly (−1.8, 95% CI −4.4 to 0.7; P=.150). Improvements in the intervention group remained stable at 6 and 24 months, and control patients showed comparable symptom relief after delayed intervention.
CONCLUSION:Psychotherapy with somatosensory stimulation reduced global pain, pelvic pain, and dyschezia and improved quality of life in patients with endometriosis. After 6 and 24 months, when all patients were treated, both groups showed stable improvements.
CLINICAL TRIAL REGISTRATION:ClinicalTrials.gov, https://clinicaltrials.gov, NCT01321840.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0000000000001691</identifier><identifier>PMID: 27741200</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adult ; Chronic Pain - therapy ; Endometriosis - physiopathology ; Female ; Humans ; Magnetic Resonance Imaging ; Pain Management - methods ; Physical Stimulation ; Psychotherapy ; Quality of Life</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2016-11, Vol.128 (5), p.1134-1142</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2801-d23f062f1af2a53d5b81176d37a2d85eaca8ccb09cb75899388eba1ce7daf0573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27741200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meissner, Karin</creatorcontrib><creatorcontrib>Schweizer-Arau, Annemarie</creatorcontrib><creatorcontrib>Limmer, Anna</creatorcontrib><creatorcontrib>Preibisch, Christine</creatorcontrib><creatorcontrib>Popovici, Roxana M.</creatorcontrib><creatorcontrib>Lange, Isabel</creatorcontrib><creatorcontrib>de Oriol, Barbara</creatorcontrib><creatorcontrib>Beissner, Florian</creatorcontrib><title>Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain.
METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with somatosensory stimulation (ie, different techniques of acupuncture point stimulation) or wait-list control for 3 months, after which all patients were treated. The primary outcome was brain connectivity assessed by functional magnetic resonance imaging. Prespecified secondary outcomes included pain on 11-point numeric rating scales (maximal and average global pain, pelvic pain, dyschezia, and dyspareunia) and physical and mental quality of life. A sample size of 30 per group was planned to compare outcomes in the treatment group and the wait-list control group.
RESULTS:From March 2010 through March 2012, 67 women (mean age 35.6 years) were randomly allocated to intervention (n=35) or wait-list control (n=32). In comparison with wait-list controls, treated patients showed improvements after 3 months in maximal global pain (mean group difference −2.1, 95% confidence interval [CI] −3.4 to −0.8; P=.002), average global pain (−2.5, 95% CI −3.5 to −1.4; P<.001), pelvic pain (−1.4, 95% CI −2.7 to −0.1; P=.036), dyschezia (−3.5, 95% CI −5.8 to −1.3; P=.003), physical quality of life (3.8, 95% CI 0.5–7.1, P=.026), and mental quality of life (5.9, 95% CI 0.6–11.3; P=.031); dyspareunia improved nonsignificantly (−1.8, 95% CI −4.4 to 0.7; P=.150). Improvements in the intervention group remained stable at 6 and 24 months, and control patients showed comparable symptom relief after delayed intervention.
CONCLUSION:Psychotherapy with somatosensory stimulation reduced global pain, pelvic pain, and dyschezia and improved quality of life in patients with endometriosis. After 6 and 24 months, when all patients were treated, both groups showed stable improvements.
CLINICAL TRIAL REGISTRATION:ClinicalTrials.gov, https://clinicaltrials.gov, NCT01321840.</description><subject>Adult</subject><subject>Chronic Pain - therapy</subject><subject>Endometriosis - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Pain Management - methods</subject><subject>Physical Stimulation</subject><subject>Psychotherapy</subject><subject>Quality of Life</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNtKxDAQhoMouq6-gUgvvanm0G5S75bFEwiKB_SuTNOURtNmTVJkfXqz7CrihQaGzAzfP8P8CB0QfExwwU-mNxfH-Mcjk4JsoBERnKWUsedNNMKYFikXWbaDdr1_WUFsG-1QzjNCMR6h7tYvZGtDqxzMF8mTDm1ybzsI1qveW7dI7oPuBgNB2z5prEvO-tp2Kjhtvfbp1HsrNQRVJ7eg-9NkmtzBktAfsTWzfXDWmJg-OA1mD201YLzaX_9j9Hh-9jC7TK9vLq5m0-tUUoFJWlPW4AltCDQUclbnlSCET2rGgdYiVyBBSFnhQlY8F0XBhFAVEKl4DQ3OORujo9XcubNvg_Kh7LSXyhjolR18SQTLs3i_yCKarVDprPdONeXc6Q7coiS4XBpdRqPL30ZH2eF6w1B1qv4WfTkbAbEC3q0JyvlXM7wrV7YKTGj_m539IV1iE5rjlEaakFilMahgn6-Dm5k</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Meissner, Karin</creator><creator>Schweizer-Arau, Annemarie</creator><creator>Limmer, Anna</creator><creator>Preibisch, Christine</creator><creator>Popovici, Roxana M.</creator><creator>Lange, Isabel</creator><creator>de Oriol, Barbara</creator><creator>Beissner, Florian</creator><general>Lippincott Williams & Wilkins</general><general>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial</title><author>Meissner, Karin ; Schweizer-Arau, Annemarie ; Limmer, Anna ; Preibisch, Christine ; Popovici, Roxana M. ; Lange, Isabel ; de Oriol, Barbara ; Beissner, Florian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2801-d23f062f1af2a53d5b81176d37a2d85eaca8ccb09cb75899388eba1ce7daf0573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Chronic Pain - therapy</topic><topic>Endometriosis - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Pain Management - methods</topic><topic>Physical Stimulation</topic><topic>Psychotherapy</topic><topic>Quality of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meissner, Karin</creatorcontrib><creatorcontrib>Schweizer-Arau, Annemarie</creatorcontrib><creatorcontrib>Limmer, Anna</creatorcontrib><creatorcontrib>Preibisch, Christine</creatorcontrib><creatorcontrib>Popovici, Roxana M.</creatorcontrib><creatorcontrib>Lange, Isabel</creatorcontrib><creatorcontrib>de Oriol, Barbara</creatorcontrib><creatorcontrib>Beissner, Florian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meissner, Karin</au><au>Schweizer-Arau, Annemarie</au><au>Limmer, Anna</au><au>Preibisch, Christine</au><au>Popovici, Roxana M.</au><au>Lange, Isabel</au><au>de Oriol, Barbara</au><au>Beissner, Florian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>128</volume><issue>5</issue><spage>1134</spage><epage>1142</epage><pages>1134-1142</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>OBJECTIVE:To evaluate whether psychotherapy with somatosensory stimulation is effective for the treatment of pain and quality of life in patients with endometriosis-related pain.
METHODS:Patients with a history of endometriosis and chronic pelvic pain were randomized to either psychotherapy with somatosensory stimulation (ie, different techniques of acupuncture point stimulation) or wait-list control for 3 months, after which all patients were treated. The primary outcome was brain connectivity assessed by functional magnetic resonance imaging. Prespecified secondary outcomes included pain on 11-point numeric rating scales (maximal and average global pain, pelvic pain, dyschezia, and dyspareunia) and physical and mental quality of life. A sample size of 30 per group was planned to compare outcomes in the treatment group and the wait-list control group.
RESULTS:From March 2010 through March 2012, 67 women (mean age 35.6 years) were randomly allocated to intervention (n=35) or wait-list control (n=32). In comparison with wait-list controls, treated patients showed improvements after 3 months in maximal global pain (mean group difference −2.1, 95% confidence interval [CI] −3.4 to −0.8; P=.002), average global pain (−2.5, 95% CI −3.5 to −1.4; P<.001), pelvic pain (−1.4, 95% CI −2.7 to −0.1; P=.036), dyschezia (−3.5, 95% CI −5.8 to −1.3; P=.003), physical quality of life (3.8, 95% CI 0.5–7.1, P=.026), and mental quality of life (5.9, 95% CI 0.6–11.3; P=.031); dyspareunia improved nonsignificantly (−1.8, 95% CI −4.4 to 0.7; P=.150). Improvements in the intervention group remained stable at 6 and 24 months, and control patients showed comparable symptom relief after delayed intervention.
CONCLUSION:Psychotherapy with somatosensory stimulation reduced global pain, pelvic pain, and dyschezia and improved quality of life in patients with endometriosis. After 6 and 24 months, when all patients were treated, both groups showed stable improvements.
CLINICAL TRIAL REGISTRATION:ClinicalTrials.gov, https://clinicaltrials.gov, NCT01321840.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>27741200</pmid><doi>10.1097/AOG.0000000000001691</doi><tpages>9</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2016-11, Vol.128 (5), p.1134-1142 |
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| subjects | Adult Chronic Pain - therapy Endometriosis - physiopathology Female Humans Magnetic Resonance Imaging Pain Management - methods Physical Stimulation Psychotherapy Quality of Life |
| title | Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial |
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