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Journal of Clinical and
            Basic Psychosomatics                                               Utilizing hypnosis to cope with fibromyalgia



            reduction or even complete resolution.  Hypnoanalytical   Author contributions
                                           13
            treatments have also proven effective for highly hypnotizable
            individuals with a history of abuse or PTSD.       This is a single-authored article.

            7. Limitations and future perspectives             Ethics approval and consent to participate
                                                               Not applicable.
            Most studies on hypnotherapy for FMS have limited
            clinical significance due to small sample sizes and lack of   Consent for publication
            follow-up evaluations. Furthermore, authors often do not
            provide sufficient detail on appropriate treatment methods,   Not applicable.
            comparisons with alternative therapies such as CBT, or   Availability of data
            factors predicting treatment success. In addition, the cost-
            effectiveness of hypnotherapy remains unexplored.  Not applicable.

              The management of FMS can be optimized by adopting   References
            standardized protocols that integrate mechanism-directed
            hypnosis, or theranostic hypnosis, and high-quality   1.   De Benedittis G. The challenge of fibromyalgia efficacy of
            controlled  studies.  The  application  of  mechanism-based   hypnosis in alleviating the invisible pain: A narrative review.
                                                                  Int J Clin Exp Hypn. 2023;71(4):276-296.
            techniques, as exemplified by gut-directed hypnosis for IBS,
                                                         54
            has shown potential for improving FMS treatment outcomes.     doi: 10.1080/00207144.2023.2247443
              To optimize the use of hypnosis in FMS management,   2.   De Benedittis G. Hypnosis and fibromyalgia. In: Elkins G,
            it is crucial to adhere to the efficacy standards established   editor.  Handbook of Medical and Psychological Hypnosis.
            by a task force of six major hypnosis organizations.  By   New York: Springer Publishing Company; 2016. p. 235-244.
                                                      55
            following these guidelines, the therapeutic efficacy of   3.   Wolfe F, Smythe HA, Yunus MB, et al. The American college
            hypnosis for FMS can be significantly enhanced.       of rheumatology 1990 criteria for the classification of
                                                                  fibromyalgia. Report of the multicenter criteria committee.
            8. Conclusion                                         Arthritis Rheum. 1990;33(2):160-172.

            FMS is a complex, chronic functional pain syndrome      doi: 10.1002/art.1780330203
            that significantly impacts QoL. It is characterized by   4.   Lami MJ, Martínez MP, Sánchez AI. Systematic review
            widespread musculoskeletal pain, fatigue, non-restorative   of psychological treatment in fibromyalgia.  Curr Pain
            sleep, cognitive dysfunction, and significant psychological   Headache Rep. 2013;17(7):345.
            distress, including anxiety and depression. Managing FMS      doi: 10.1007/s11916-013-0345-8
            can be challenging, as most treatments tend to be ineffective.   5.   Yunus MB. The role of gender in fibromyalgia syndrome.
            Clinicians may consider incorporating hypnosis, along   Curr Rheumatol Rep. 2001;3(2):128-134.
            with daily self-hypnosis practice, as a complementary
            therapy to standard medical care for FMS patients. While      doi: 10.1007/s11926-001-0008-3
            the therapeutic benefits of hypnotherapy may take time   6.   Häuser W, De Benedittis G. Hypnosis and fibromyalgia
            to manifest, patients may experience sustained or even   syndrome. In: Linden J, De Benedittis G, Varga K,
            improved outcomes over extended periods of treatment.   Sugarman L, editors. The International Handbook of Clinical
            However, further rigorous research is required to establish   Hypnosis. United Kingdom: Routledge; 2024.
            the efficacy of hypnotherapy in larger sample sizes with   7.   Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D.
            longer follow-up periods, along with the evaluation of its   Fibromyalgia: Pathogenesis, mechanisms, diagnosis and
            cost-effectiveness.                                   treatment options update. Int J Mol Sci. 2021;22(8):3891.
                                                                  doi: 10.3390/ijms22083891
            Acknowledgments
                                                               8.   Whibley D, Dean LE, Basu N. Management of widespread
            None.                                                 pain and fibromyalgia.  Curr Treatm Opt Rheumatol.
                                                                  2016;2(4):312-320.
            Funding
                                                                  doi: 10.1007/s40674-016-0056-5
            None.
                                                               9.   Wolfe F, Clauw DJ, Fitzcharles MA,  et  al. Fibromyalgia
            Conflict of interest                                  criteria and severity scales for clinical and epidemiological
                                                                  studies: A modification of the ACR preliminary diagnostic
            The author declares that there are no conflicts of interest.  criteria for fibromyalgia. J Rheumatol. 2011;38(6):1113-1122.


            Volume 3 Issue 3 (2025)                         21                              doi: 10.36922/jcbp.4796
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