Research

  • Under standard care conditions, pain increases with time regardless of the amount of medication given or the type of the procedure—whether a patient just lies on the table or is instrumented heavily.(1-3)

  • Comfort Talk ® coaching reduces patient’s pain, anxiety and complications.(1; 3)

  • The more anxious patients are prior to a procedure the more pain they experience during the procedure.(4)

  • Healthcare professionals, well meaning, but not trained in talking methods (which allow them to express empathy correctly) can make their patients feel worse and increase the risk of complications during invasive medical procedures.(3; 5)

  • Men and women have different ways in coping with the stress of an examination. Women tend to ask for more medications to be comfortable whereas men tend to tough it out. The amount of sedatives and narcotics patients get depends to larger degree on what is “customary” in a hospital or practice rather than on their actual needs.(6; 7)

  • Patients “coached” in Comfort Talk ® methods were much more able to overcome their claustrophobia and complete their MRI scans.(8)

References

  1. Lang, Elvira V., Eric G. Benotsch, Lauri J. Fick, Susan Lutgendorf, Michael L. Berbaum, Kevin S. Berbaum, Henrietta Logan, and David Spiegel. 2000. Adjunctive non-pharmacologic analgesia for invasive medical procedures: A randomized trial. Lancet 355:1486-1490. http://www.ncbi.nlm.nih.gov/pubmed/10801169
  2. Lang, Elvira V., Kevin S. Berbaum, Salomao Faintuch, Olga Hatsiopoulou, Noami Halsey, Xinyu Li, Michael L. Berbaum, Eleanor Laser, and Janet Baum. 2006. Adjunctive self-hypnotic relaxation for outpatient medical procedures: A prospective randomized trial with women undergoing large core breast biopsy. Pain 126:155-164. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656356/?tool=pmcentrez
  3. Lang, Elvira V., Kevin S. Berbaum, Stephen Pauker, Salomao Faintuch, Gloria Maria Salazar, Susan K. Lutgendorf, Eleanor Laser, Henrietta Logan, and David Spiegel. 2008. Beneficial effects of hypnosis and adverse effects of empathic attention during percutaneous tumor treatment: When being nice does not suffice. Journal of Vascular and Interventional Radiology 19:897-905. http://www.ncbi.nlm.nih.gov/pubmed/18503905
  4. Schupp, Christine, Kevin S. Berbaum, Michael L. Berbaum, and Elvira V. Lang. 2005. Pain and anxiety during interventional radiological procedures. Effect of patients’ state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts Journal of Vascular and Interventional Radiology 16:1585-1592. http://www.ncbi.nlm.nih.gov/pubmed/16371522
  5. Lang, Elvira V., Olga Hatsiopoulou, Timo Koch, Susan Lutgendorf, Eva Kettenmann, Henrietta Logan, and Ted J. Kaptchuk. 2005. Can words hurt? Patient-provider interactions during invasive medical procedures. Pain 114:303-309. http://www.ncbi.nlm.nih.gov/pubmed/15733657
  6. Stinshoff, Verena, Elvira V. Lang, Kevin S. Berbaum, Susan Lutgendorf, Henrietta Logan, and Michael L. Berbaum. 2004. Effect of sex and gender on drug-seeking behavior during invasive medical procedures. Academic Radiology 11:390-397.
  7. Lang, Elvira V., Frank Chen, Laurie J. Fick, and Kevin S. Berbaum. 1998. Determinants of intravenous conscious sedation for arteriography. Journal of Vascular and Interventional Radiology 9:407-412. http://www.ncbi.nlm.nih.gov/sites/pubmed/9618098
  8. Lang, Elvira V., Cayte Ward, and Eleanor Laser. 2010. Effect of team training on patients' ability to complete MRI examinations. Academic Radiology 17:18-23. http://www.ncbi.nlm.nih.gov/pubmed/19734060.
    Full article for free download: http://www.academicradiology.org/issues/contents?issue_key=S1076-6332(09)X0012-7

 

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