基于正念的慢性疼痛减压疗法:在不改变对疼痛面孔的注意偏差的情况下增强心理健康。

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Elena Robles, Iván Blanco, Gustavo Díez, Carmelo Vázquez
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引用次数: 0

摘要

简介:本研究采用眼动追踪法,考察了正念减压(MBSR)项目对慢性疼痛患者心理测量和疼痛刺激注意模式的影响:32名患有慢性疼痛且之前没有正念经验的参与者被随机分配到实验组或候补组。两组均完成症状、幸福感的自我报告测量,以及以情绪面孔为刺激物的注意力分离任务。评估在两个时间点进行:实验组在干预前和干预后,候补组作为对照组:结果:在接受 MBSR 项目之前,慢性疼痛参与者在早期注意阶段对疼痛相关刺激表现出明显的注意偏差。课程结束后,抑郁、焦虑、压力、疼痛接受度、整体幸福感和生活满意度均有明显改善。然而,该项目对注意力模式的影响有限,在所有刺激中,注视时间仅有显著增加:讨论:尽管 MBSR 计划在减轻慢性疼痛相关症状方面取得了成功,但注意力没有得到更广泛的改善,这让人对心理改善的机制产生了疑问:本研究开创性地使用眼动追踪技术来研究 MBSR 如何影响慢性背痛患者的注意力。虽然该项目改善了患者的心理健康,但它并没有普遍改变注意力模式,只是提高了患者在不同刺激下保持注意力的能力。我们将讨论这种注意力变化是否与 MBSR 项目中观察到的接受能力增强有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mindfulness-based stress reduction for chronic pain: Enhancing psychological well-being without altering attentional biases towards pain faces.

Introduction: This study examines the effects of a Mindfulness-Based Stress Reduction (MBSR) program on psychological measures and attentional patterns to pain stimuli, using eye-tracking methods, in individuals with chronic pain.

Method: Thirty-two participants with chronic pain and no prior mindfulness experience were randomly assigned to an experimental group or a waiting list group. Both groups completed self-report measures of symptoms, well-being, and an attentional disengagement task using emotional faces as stimuli. Assessments were conducted at two points: before and after the intervention for the experimental group, with the waiting list group serving as a control.

Results: Before the MBSR program, chronic pain participants exhibited significant attentional biases towards pain-related stimuli during early attentional stages. Following the program, significant improvements were observed in depression, anxiety, stress, pain acceptance, overall well-being, and life satisfaction. However, it had a limited impact on attentional patterns, with only a significant increase in gaze duration across all stimuli.

Discussion: Despite the MBSR program's success in reducing symptoms associated with chronic pain, the lack of broader attentional improvements raises questions about the mechanisms responsible for psychological improvements.

Significance statement: This study pioneers the use of eye-tracking to examine how MBSR influences attention in chronic back pain. While the program improved psychological well-being, it did not generally alter attentional patterns, except for an increased ability to maintain attention across stimuli. We discuss whether this attentional change could be associated with the increased acceptance observed in the MBSR program.

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来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
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