Health care. Current reviews最新文献

{"title":"\"Compassion Cultivation in Chronic Pain May Reduce Anger, Pain, and Increase Acceptance: Study Review and Brief Commentary\".","authors":"B. Darnall","doi":"10.4172/2375-4273.1000142","DOIUrl":"https://doi.org/10.4172/2375-4273.1000142","url":null,"abstract":"Chronic pain exerts an enormous impact on the quality of life of the more than 1 billion people around the globe who are living with this condition [1,2] (IOM, IASP). The economic burden of chronic pain is astounding, and in the United States alone costs over half a trillion dollars annually [1]. Given the costs to humanity there exists a critical need to develop and disseminate interventions that may reduce the impact of chronic pain including associated suffering. In 2014 my colleagues and I published “Pilot study of a compassion meditation intervention in chronic pain” in Journal of Compassionate Health Care [3] http://www.jcompassionatehc.com/content/1/1/4 \u0000 \u0000Compassion had previously been shown to influence emotional processing and reduce negative bias, thereby suggesting it could treat pain and anger in tandem. However, prior work on compassion cultivation training including pain didactics in the intervention. In our 2014 study, we aimed to study the unique effects of compassion cultivation training in people with chronic pain, with a specific focus on pain severity, anger, and acceptance. \u0000 \u0000Indeed, anger has emerged as an increasingly important aspect of the chronic pain experience [4-23]. In people with chronic pain, anger is associated with greater acute and chronic pain intensity [12,16,18,21], disability [24], poorer function [23], reduced pain treatment response [9,10] and impaired relationships with spouses [25]. Anger can be directed towards others as well as towards oneself [26-28] including disappointment and frustration with pain [29], self-blame [30], self-criticism [31] and poor acceptance of one’s physical limitations [32]. Eastern traditions prescribe compassion cultivation to treat persistent anger. \u0000 \u0000Similarly, acceptance has also proven to be a strong correlate of outcomes in chronic pain, with interventions that target and increase acceptance showing promise for reducing pain and its associated emotional and functional burdens.[33-37] \u0000 \u0000We conducted a pilot study of a 9-week group compassion cultivation intervention in chronic pain. The compassion cultivation training course we used is a standardized curriculum developed by the Stanford Center for Compassion and Altrusim Research and Education (CCARE) that is delivered in weekly, 2-hour group classes delivered by a certified instructor (http://ccare.stanford.edu/education/about-compassion-cultivation-training-cct/). Importantly, the program was in no way modified for chronic pain (i.e., did not include any pain education). We used a repeated measures design that included a within-subjects wait-list control period. Twelve chronic pain patients completed the intervention (F=10). Data were collected from patients at enrollment, treatment baseline and post-treatment. Post-treatment results revealed significantly reduced pain severity and anger, and increased pain acceptance, compared to treatment baseline. \u0000 \u0000The findings from this study suggested that compassion cultivate","PeriodicalId":91261,"journal":{"name":"Health care. Current reviews","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80517371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges For The Future Of Complementary And Integrative Care.","authors":"Chenchen Wang","doi":"10.4172/hccr.1000e102","DOIUrl":"10.4172/hccr.1000e102","url":null,"abstract":"It is estimated that over 40% of American people integrate one or more of these unconventional health practices, while many individuals worldwide also explore multidimensional approaches as treatment for chronic conditions beyond pharmacological therapies. For example, chronic conditions such as arthritis are among the top 6 conditions for complementary and alternative medicine use [1]. In fact, overwhelming evidence suggests that specific elements of complementary, alternative and integrative medicine, including mind-body approaches and improved lifestyle-modification strategies, may prevent disease, relieve pain, and enhance both physical and psychological health [28]. Individualized treatment that embraces an integrative approach may positively affect the progression of disease while simultaneously decreasing morbidity.","PeriodicalId":91261,"journal":{"name":"Health care. Current reviews","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/hccr.1000e102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35303254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}