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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

803
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
803

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Eye Movement Desensitization and Reprocessing for Chronic Pain: A Systematic Review.

Abhinav Singla1,2, Pragyat Futela3, Komal Arora4

  • 1Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.

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Eye Movement Desensitization and Reprocessing (EMDR) shows promise for chronic pain management. This systematic review found EMDR improved pain and associated mental health symptoms, supporting its potential clinical use.

Keywords:
anxietychronic paindepressioneye movement desensitization reprocessingmental healthpain management

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Area of Science:

  • Psychology
  • Pain Management
  • Clinical Trials

Background:

  • Nonpharmacologic interventions are recommended for chronic pain.
  • Fibromyalgia is a condition where nonpharmacologic interventions are beneficial.
  • Eye Movement Desensitization and Reprocessing (EMDR) is not yet a routine pain management practice.

Purpose of the Study:

  • To systematically review the efficacy of EMDR for managing chronic pain.
  • Evaluate EMDR's impact on pain symptoms and associated mental health.
  • Assess the quality and effect sizes of existing EMDR studies for chronic pain.

Main Methods:

  • Systematic review of randomized clinical trials (RCTs) and observational studies.
  • Keywords used: "EMDR" and "chronic pain".
  • Collected data on study population, EMDR protocols, pain assessment, outcomes, and risk of bias. Calculated Hedges g for effect sizes.

Main Results:

  • Nine studies (seven RCTs) were reviewed, using diverse pain measures and EMDR protocols.
  • All studies reported significant improvements in pain symptoms with EMDR.
  • EMDR also improved psychological distress, anxiety, and depression. Effect sizes ranged from large to small.

Conclusions:

  • EMDR demonstrates potential for managing chronic pain and related mental health issues.
  • Despite study limitations and heterogeneity, findings support EMDR's use in chronic pain management.
  • Further research may clarify optimal EMDR protocols for different chronic pain conditions.