Different ways to reach the same goal: Are the analgesic effects of different types of tactile stimuli similar?

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-12-13 DOI:10.1002/ejp.4772
Rachel B. Zauberman, Simone Shamay-Tsoory, Irit Weissman-Fogel
{"title":"Different ways to reach the same goal: Are the analgesic effects of different types of tactile stimuli similar?","authors":"Rachel B. Zauberman,&nbsp;Simone Shamay-Tsoory,&nbsp;Irit Weissman-Fogel","doi":"10.1002/ejp.4772","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Tactile-induced analgesia (TIA) is a phenomenon in which different types of tactile stimulation alleviate pain via different mechanisms including empathy. As TIA plays an essential role in therapeutic situations and clinical conditions, it is crucial to determine whether specific tactile stimulations confer distinct benefits.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Fifty-two subjects (31 females; 21–47 years) were exposed to four distinct experimental conditions involving three types of touch provided within a simulated supportive therapeutic setting. First, a contact heat (70 s) at a pain intensity of 60/100 Numerical Pain Scale (NPS) was applied to the forearm. The pain stimulus was then given simultaneously with vibration, gentle stroking, or handholding in random order. Pain ratings were reported at 5 and 65 s of each stimulation. Given the role of empathy in TIA, we also assessed the levels of empathy experienced by the subjects and the experimenter.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Handholding and vibration conditions were associated with a more rapid decrease in pain ratings compared to pain-alone (B values: handholding = −150.94 vs. pain-alone = −99.38, <i>p</i> = 0.01; vibration = −163.54 vs. pain-alone = −99.38, <i>p</i> &lt; 0.001). Higher levels of the experimenter's empathy toward the subjects were associated with greater pain alleviation during vibration vs. pain-alone condition (B values: vibration = −56.42 vs. B pain-alone = −9.57, <i>p</i> = 0.04).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Vibration's potent analgesic effects may be attributed to its multi-channel analgesic mechanisms, including the therapist's empathy toward the participant. On the other hand, for handholding establishing an empathic interaction should be considered in a therapeutic setting to enhance its analgesic efficacy.</p>\n </section>\n \n <section>\n \n <h3> Significance</h3>\n \n <p>This article explores the effectiveness of touch-based pain relief methods and their association with empathetic therapeutic interactions. The study emphasizes the significance of positive therapeutic interactions in facilitating tactile-induced analgesia.</p>\n </section>\n </div>","PeriodicalId":12021,"journal":{"name":"European Journal of Pain","volume":"29 1","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639264/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Pain","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ejp.4772","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Tactile-induced analgesia (TIA) is a phenomenon in which different types of tactile stimulation alleviate pain via different mechanisms including empathy. As TIA plays an essential role in therapeutic situations and clinical conditions, it is crucial to determine whether specific tactile stimulations confer distinct benefits.

Methods

Fifty-two subjects (31 females; 21–47 years) were exposed to four distinct experimental conditions involving three types of touch provided within a simulated supportive therapeutic setting. First, a contact heat (70 s) at a pain intensity of 60/100 Numerical Pain Scale (NPS) was applied to the forearm. The pain stimulus was then given simultaneously with vibration, gentle stroking, or handholding in random order. Pain ratings were reported at 5 and 65 s of each stimulation. Given the role of empathy in TIA, we also assessed the levels of empathy experienced by the subjects and the experimenter.

Results

Handholding and vibration conditions were associated with a more rapid decrease in pain ratings compared to pain-alone (B values: handholding = −150.94 vs. pain-alone = −99.38, p = 0.01; vibration = −163.54 vs. pain-alone = −99.38, p < 0.001). Higher levels of the experimenter's empathy toward the subjects were associated with greater pain alleviation during vibration vs. pain-alone condition (B values: vibration = −56.42 vs. B pain-alone = −9.57, p = 0.04).

Conclusions

Vibration's potent analgesic effects may be attributed to its multi-channel analgesic mechanisms, including the therapist's empathy toward the participant. On the other hand, for handholding establishing an empathic interaction should be considered in a therapeutic setting to enhance its analgesic efficacy.

Significance

This article explores the effectiveness of touch-based pain relief methods and their association with empathetic therapeutic interactions. The study emphasizes the significance of positive therapeutic interactions in facilitating tactile-induced analgesia.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
达到同一目的的不同方法:不同类型的触觉刺激的镇痛效果相似吗?
背景:触觉诱发镇痛(TIA)是指不同类型的触觉刺激通过包括共情在内的不同机制缓解疼痛的现象。由于TIA在治疗情况和临床条件中起着至关重要的作用,因此确定特定的触觉刺激是否具有明显的益处是至关重要的。方法:52例受试者(女性31例;21-47岁)暴露在四种不同的实验条件下,包括在模拟的支持性治疗环境中提供的三种类型的触摸。首先,在疼痛强度为60/100的数值疼痛量表(NPS)下对前臂施加接触热(70 s)。然后,疼痛刺激与振动、轻柔抚摸或按随机顺序握手同时给予。每次刺激后5秒和65秒分别报告疼痛评分。考虑到共情在TIA中的作用,我们还评估了被试和实验者的共情水平。结果:与单独疼痛相比,手持和振动条件与疼痛评分的下降更快(B值:手持= -150.94 vs单独疼痛= -99.38,p = 0.01;结论:振动的有效镇痛作用可能与其多渠道的镇痛机制有关,包括治疗师对被试的共情作用。另一方面,应考虑在治疗环境中建立共情互动,以增强其镇痛效果。意义:本文探讨了基于触觉的疼痛缓解方法的有效性及其与共情治疗互动的关系。该研究强调了积极的治疗相互作用在促进触觉诱导镇痛中的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
期刊最新文献
Painful Mondays: Exploring Weekly Sleep Variations and Pain Perception in Healthy Women—An Experimental Study Subgrouping People With Acute Low Back Pain Based on Psychological, Sensory, and Motor Characteristics: A Cross-Sectional Study Assessing Child Pain-Related Injustice Appraisals: A Discriminant Content Analysis Study Chronic Postsurgical Pain Raises Risk of Dementia The Efficacy and Safety of Botulinum Neurotoxin Type A in Treating Chronic Low Back Pain: A Systematic Review, Meta-Analysis, Trial Sequential Analysis, and Meta-Regression
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1