情绪自由技术治疗慢性疼痛的随机临床试验:现场授课与自学授课,6 个月随访。

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Peta Stapleton, Clara Wilson, Nicola Uechtritz, Michele Stewart, Michelle McCosker, Tom O'Keefe, Matthew Blanchard
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引用次数: 0

摘要

背景:慢性疼痛是全球医疗保健的一大危机,而目前的治疗方法在有效性和安全性方面都很有限。情绪自由技术(EFT)作为一种潜在的心理治疗方法前景广阔:本研究调查了在 147 名成年慢性疼痛患者(89.9% 为女性,平均 54.63 岁)中开展的 EFT 治疗慢性疼痛随机临床试验的效果。参与者参加了为期 6 周的 EFT 计划(在线自学或面对面学习):结果:按协议分析表明,在治疗结束时,EFT组的疼痛严重程度和干扰评分明显低于候补名单组,并且在随访中保持不变。在随访中,面对面或自定进度方案在疼痛严重程度和干扰方面没有差异。EFT 治疗后,躯体症状明显减轻,但在随访时没有进一步的差异。经 EFT 治疗后,生活质量得分明显提高,并在随访中保持不变,两种治疗方式之间没有差异。对于焦虑、抑郁、幸福感或对生活的满意度,无论是哪种方式的 6 周课程或随访都没有发现明显的效果。我们将从临床评分的角度对这些影响进行讨论。意向治疗分析与按协议分析一致。本文指出了研究的局限性,并讨论了未来的研究方向:研究结果为 EFT 作为一种潜在有效的疼痛管理策略提供了早期希望,并支持在不影响治疗效果的情况下进行在线干预:一种新出现的以身体为基础的慢性疼痛干预方法可能会成为无法参加现场治疗的远程客户的一种解决方案。在这项临床试验中,情绪自由技术(EFT)显著降低了慢性疼痛的严重程度和干扰,在线自定进度程序与在线面对面 EFT 干预之间没有差异。两种方法同样有效,都能在不影响治疗效果的情况下提高生活质量。在6个月的随访中,效果显著。这些研究结果表明,以身体为基础的方法是一种很有前景的、易于接受的疼痛管理策略,并强调在线项目可能是慢性疼痛患者解决方案的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A randomized clinical trial of emotional freedom techniques for chronic pain: Live versus self-paced delivery with 6-month follow-up.

Background: Chronic pain represents a major global healthcare crisis, and current treatments are limited in effectiveness and safety. Emotional freedom techniques (EFTs) show promise as a potential psychological treatment.

Methods: The current study investigated the effect of a randomized clinical trial of EFT for chronic pain in a sample of 147 adult chronic pain sufferers (89.9% female; mean 54.63 years). Participants engaged in a 6-week EFT programme (either online self-paced or in-person).

Results: The per-protocol analysis indicated pain severity and interference scores were significantly lower at the end of treatment for the EFT group compared to waitlist, and these were sustained at follow-up. There were no differences between the in-person or self-paced programmes at follow-up for pain severity and interference. Somatic symptoms were significantly lower after EFT, although no further differences at follow-up. Quality of life scores were significantly higher after EFT, which were sustained at follow-up, and no differences between two styles of programme. No significant effects were found for anxiety, depression, happiness or satisfaction with life across the 6-week programmes for either style of delivery or at follow-up. These are discussed in terms of clinical score meanings. Intent-to-treat analysis was consistent with the per-protocol analyses. Limitations of the study are identified and future directions are discussed.

Conclusions: Findings offer early promise for EFT as a potentially effective pain management strategy, as well as support for online intervention without compromising treatment outcomes.

Significance statement: An emerging body-based intervention for chronic pain may be a possible solution for remote clients who cannot attend in-person sessions. In this clinical trial Emotional Freedom Techniques (EFT) significantly reduced chronic pain severity and interference, and there were no differences between and online self-paced program toan online in-person EFT intervention. Both were equally effective, also enhancing quality of life without compromising outcomes. The results were significant at 6-month follow-up/. These findings highlight a body-based approach as a promising, accessible pain management strategy, and highlights that online programs may be part of the solution for chronic pain patients.

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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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