Ana Blasco-Belled, Claudia Tejada-Gallardo, Carles Alsinet
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引用次数: 0
摘要
目的:通过系统回顾和荟萃分析,探讨积极心理干预(PPIs)对慢性疼痛患者的疗效。PPIs被定义为关注积极情绪、思想和行为的策略,通过增加心理幸福感和减少心理困扰来改善心理健康。设计:使用PubMed、Scopus、PsycINFO和Cochrane图书馆数据库进行搜索。主要结果测量:主观、心理和社会幸福感被用作心理健康的指标,抑郁、焦虑和压力症状被用作心理困扰的指标。结果:纳入9项研究。8项研究评估主观幸福感,7项评估抑郁,3项评估焦虑症状。没有研究考察心理健康、社会健康或压力。PPIs在促进治疗后主观幸福感方面是有效的(Hedges’g = 0.40;95% CI[0.06, 0.73])和减少焦虑(Hedges' g = -0.32, 95% CI[-0.59, -0.06]),但在抑郁方面没有发现显著结果(Hedges' g = -0.23, 95% CI[-0.50, 0.04])。结论:纳入的调查虽然有限,但表明PPIs在减轻慢性疼痛的心理后果方面的效用。鼓励研究人员和从业人员实施PPI实践。
Positive psychology interventions can improve mental health for chronic pain patients: a systematic review and meta-analysis.
Objective: This study examines the efficacy of positive psychology interventions (PPIs) for patients with chronic pain through a systematic review and meta-analysis. PPIs are defined as strategies that involve focusing on positive emotions, thoughts, and behaviors that improve mental health by increasing mental well-being and reducing psychological distress.
Design: The search was conducted using the PubMed, Scopus, PsycINFO, and Cochrane Library databases.
Main outcome measures: Subjective, psychological, and social well-being were used as indicators of mental well-being, and depression, anxiety, and stress symptoms were used as indicators of psychological distress. Results: Nine studies were included. Eight studies evaluated subjective well-being, seven evaluated depression, and three evaluated anxiety symptoms. No studies examined psychological well-being, social well-being, or stress. PPIs were found to be effective in promoting subjective well-being post-treatment (Hedges' g = 0.40; 95% CI [0.06, 0.73]) and reducing anxiety (Hedges' g = -0.32, 95% CI [-0.59, -0.06]), but no significant results were found for depression (Hedges' g = -0.23, 95% CI [-0.50, 0.04]).
Conclusion: The included investigations, while limited, suggest the utility of PPIs in mitigating the psychological consequences of chronic pain. Researchers and practitioners are encouraged to implement PPI practices.
期刊介绍:
Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.