Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients
Hemodialysis patients suffer from long-term pain that drains their energy and contributes to behavioral interference and other negative effects on their daily lives that result in or exacerbate functional limitations. In addition, they deal with dietary restrictions, symptoms such as itching, lack o...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2019-06-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2019.01394/full |
| _version_ | 1818939568634724352 |
|---|---|
| author | Yutaka Haramaki Russell Sarwar Kabir Kazuaki Abe Takashi Yoshitake |
| author_facet | Yutaka Haramaki Russell Sarwar Kabir Kazuaki Abe Takashi Yoshitake |
| author_sort | Yutaka Haramaki |
| collection | DOAJ |
| description | Hemodialysis patients suffer from long-term pain that drains their energy and contributes to behavioral interference and other negative effects on their daily lives that result in or exacerbate functional limitations. In addition, they deal with dietary restrictions, symptoms such as itching, lack of energy, and psychological stressors like the loss of self-concept and self-esteem. Self-regulation involves the capacity to notice, inform, and modulate responses and behavior, and research indicates that it promotes rehabilitation in chronic pain patients. Research on the aspects of self-regulation afforded by the Japanese psychotherapy Dohsa-hou correspond to psychological processes tied to the sense of self-control that clients realize over their body movements. This study pilot tested a hospital-integrated implementation of Dohsa-hou relaxation tasks as a chronic pain management behavioral intervention for five female hemodialysis patients between the ages of 59–62 years. We conducted an ABABABA single-case design to compare baseline A-phases (treatment-as-usual: TAU) taken at recurring 1 week intervals (three sessions per week for a total of 4 weeks, 12 total recordings) with an intervention of Dohsa-hou B-phases every 4 weeks (three sessions per week for 12 weeks, 36 total recordings) over the span of 4 months to compare effectiveness. Visual Analogue Scale (VAS) pain scores between phases were taken and self-regulatory progress was tracked and summarized from a series of semi-structured interviews. Visual analysis of scores for each participant as single cases indicated decreases for the Dohsa-hou phase compared to baseline treatment-as-usual. As a result, participants reported using Dohsa-hou to reduce pain and experienced improvements in quality of life associated with greater self-regulatory capacity to attend to personal care and domestic activities. These preliminary findings suggest that Dohsa-hou body movement relaxation tasks were feasible as a coping skill in a hospital-integrated setting and at home and show promise for promoting quality of life vis-a-vis the management of severe and chronic bodily pain associated with end-stage renal disease and its treatment, particularly by improving aspects of pain-mediated self-regulatory fatigue. |
| first_indexed | 2024-12-20T06:25:49Z |
| format | Article |
| id | doaj.art-59df00e750b84f7c85fac3dada7b7dd4 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-20T06:25:49Z |
| publishDate | 2019-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-59df00e750b84f7c85fac3dada7b7dd42022-12-21T19:50:18ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-06-011010.3389/fpsyg.2019.01394392200Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis PatientsYutaka Haramaki0Russell Sarwar Kabir1Kazuaki Abe2Takashi Yoshitake3Department of Clinical Psychology, Hiroshima University, Higashihiroshima, JapanGraduate School of Education, Hiroshima University, Hiroshima, JapanDepartment of Clinical Psychology, Hiroshima University, Higashihiroshima, JapanPhysiology and Pharmacology, Karolinska Institute, Solna, SwedenHemodialysis patients suffer from long-term pain that drains their energy and contributes to behavioral interference and other negative effects on their daily lives that result in or exacerbate functional limitations. In addition, they deal with dietary restrictions, symptoms such as itching, lack of energy, and psychological stressors like the loss of self-concept and self-esteem. Self-regulation involves the capacity to notice, inform, and modulate responses and behavior, and research indicates that it promotes rehabilitation in chronic pain patients. Research on the aspects of self-regulation afforded by the Japanese psychotherapy Dohsa-hou correspond to psychological processes tied to the sense of self-control that clients realize over their body movements. This study pilot tested a hospital-integrated implementation of Dohsa-hou relaxation tasks as a chronic pain management behavioral intervention for five female hemodialysis patients between the ages of 59–62 years. We conducted an ABABABA single-case design to compare baseline A-phases (treatment-as-usual: TAU) taken at recurring 1 week intervals (three sessions per week for a total of 4 weeks, 12 total recordings) with an intervention of Dohsa-hou B-phases every 4 weeks (three sessions per week for 12 weeks, 36 total recordings) over the span of 4 months to compare effectiveness. Visual Analogue Scale (VAS) pain scores between phases were taken and self-regulatory progress was tracked and summarized from a series of semi-structured interviews. Visual analysis of scores for each participant as single cases indicated decreases for the Dohsa-hou phase compared to baseline treatment-as-usual. As a result, participants reported using Dohsa-hou to reduce pain and experienced improvements in quality of life associated with greater self-regulatory capacity to attend to personal care and domestic activities. These preliminary findings suggest that Dohsa-hou body movement relaxation tasks were feasible as a coping skill in a hospital-integrated setting and at home and show promise for promoting quality of life vis-a-vis the management of severe and chronic bodily pain associated with end-stage renal disease and its treatment, particularly by improving aspects of pain-mediated self-regulatory fatigue.https://www.frontiersin.org/article/10.3389/fpsyg.2019.01394/fullchronic conditionschronic painself-regulationDohsa-houhemodialysis patientspain management |
| spellingShingle | Yutaka Haramaki Russell Sarwar Kabir Kazuaki Abe Takashi Yoshitake Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients Frontiers in Psychology chronic conditions chronic pain self-regulation Dohsa-hou hemodialysis patients pain management |
| title | Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients |
| title_full | Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients |
| title_fullStr | Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients |
| title_full_unstemmed | Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients |
| title_short | Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients |
| title_sort | promoting self regulatory management of chronic pain through dohsa hou single case series of low functioning hemodialysis patients |
| topic | chronic conditions chronic pain self-regulation Dohsa-hou hemodialysis patients pain management |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2019.01394/full |
| work_keys_str_mv | AT yutakaharamaki promotingselfregulatorymanagementofchronicpainthroughdohsahousinglecaseseriesoflowfunctioninghemodialysispatients AT russellsarwarkabir promotingselfregulatorymanagementofchronicpainthroughdohsahousinglecaseseriesoflowfunctioninghemodialysispatients AT kazuakiabe promotingselfregulatorymanagementofchronicpainthroughdohsahousinglecaseseriesoflowfunctioninghemodialysispatients AT takashiyoshitake promotingselfregulatorymanagementofchronicpainthroughdohsahousinglecaseseriesoflowfunctioninghemodialysispatients |