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Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope.
Emily J Bartley1,2, Natalie R LaGattuta3, Michael E Robinson4,2,5
1Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA.
Pain Reports
|May 2, 2019
Summary
This pilot study found that a hope intervention improved resilience in orofacial pain patients. The intervention reduced pain sensitivity and catastrophizing, suggesting hope is a viable target for pain management.
Area of Science:
- Psychology
- Pain Management
- Clinical Research
Background:
- Growing interest in psychological resources for chronic pain resilience.
- Hope, a motivational state, aids psychosocial adjustment and pain coping.
- Therapeutic approaches fostering resilience are emerging, but hope-focused interventions for pain are understudied.
Purpose of the Study:
- To test the feasibility and preliminary efficacy of a resilience-oriented hope intervention for clinical pain.
- To assess psychosocial outcomes and experimental pain sensitivity in individuals with orofacial pain.
Main Methods:
- Pilot study with 29 temporomandibular disorder participants.
- Randomized controlled trial comparing a 3-session hope intervention to an education control (EDU).
- Assessed psychosocial measures and heat, cold, and pressure pain sensitivity pre- and post-intervention.
Main Results:
- The hope intervention group showed increased state hope compared to EDU.
- Participants in the hope group experienced reduced heat pain sensitivity.
- Higher pressure pain thresholds and decreased pain catastrophizing were observed in the hope group.
Conclusions:
- Preliminary findings suggest a resilience-based hope intervention may effectively reduce pain sensitivity and catastrophizing.
- Hope interventions show potential as a novel target for managing chronic pain.
- Further research is warranted to explore the broader application of hope interventions in pain management.
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