Cognitive Behavioral Therapy for Patients with Trigeminal Neuralgia: A Feasibility Study.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2021-12-01 DOI:10.11607/ofph.2664

H Clare Daniel, Jolyon Ji Poole, Helene Klein, Cleo Huang, Joanna M Zakrzewska

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引用次数: 8

Abstract

Aims: To test the feasibility and acceptability of a customized six-session cognitive behavioral therapy (CBT) group intervention for adults with recurrent trigeminal neuralgia (TN).

Methods: Fifteen participants with TN were recruited from a specialist facial pain unit in London, United Kingdom. The effects of the group intervention were evaluated using validated self-report measures, which the participants completed before and after the intervention and at 1-month and 9-month follow-ups. A semi-structured interview was also used at the 1-year follow-up to gather qualitative feedback of the group intervention.

Results: Participants reported an increase in confidence in managing everyday tasks in the presence of TN symptoms, a reduction in negative beliefs about pain, and an increase in engagement in meaningful activity. All patients completed the group intervention (100% retention rate). Qualitative feedback highlighted that the group CBT intervention was helpful, and no participants reported a worsening of mood or experience as a result of the intervention.

Conclusion: The trends for improvement in several domains, plus the positive experiences of the participants, suggest that a CBT management program is acceptable and feasible for this population and should be further developed and implemented on a larger scale to determine its clinical efficacy.

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认知行为疗法治疗三叉神经痛的可行性研究。

目的:探讨定制化六期认知行为疗法(CBT)治疗成人复发性三叉神经痛(TN)的可行性和可接受性。方法:从英国伦敦一家面部疼痛专科医院招募了15名TN患者。采用有效的自我报告方法评估小组干预的效果，参与者在干预前后以及1个月和9个月的随访中完成了自我报告。在为期1年的随访中，还采用半结构化访谈来收集群体干预的定性反馈。结果:参与者报告说，在出现TN症状的情况下，管理日常任务的信心增加了，对疼痛的负面信念减少了，参与有意义活动的程度增加了。所有患者均完成了组干预(保留率100%)。定性反馈强调了群体CBT干预是有帮助的，没有参与者报告由于干预而导致情绪或经历的恶化。结论:多个领域的改善趋势，加上参与者的积极经验，表明CBT管理计划对这一人群是可接受和可行的，应进一步发展和大规模实施，以确定其临床疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.