坚持目的:在种族和经济边缘化人群中使用接受和承诺疗法来治疗阿片类药物使用障碍和慢性疼痛

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Yash Bhambhani , Laurie Gallo , Emily O. McNamara , Angela L Stotts , Vilma Gabbay
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引用次数: 0

摘要

阿片类药物使用障碍(OUD)和慢性疼痛(CP)是常见的合并症,可导致严重的残疾、痛苦和死亡。这些疾病的治疗受到退学和其他精神疾病的影响。接受和承诺疗法是治疗慢性疼痛和物质使用障碍的有效干预措施,然而,这种干预措施尚未被系统地评估用于治疗合并症OUD和CP,特别是在种族和经济边缘化人群中。在本文中,我们描述了这样一个ACT手册的发展,使用干预映射方法。虽然该手册密切关注阿片类药物的使用和慢性疼痛,但它包括针对整体心理健康的跨诊断原则,包括深度强调扩大有价值的生活。我们将创伤知情护理、文化谦逊和减少伤害原则纳入了九项ACT技能的开发,这些技能易于理解和扩展。治疗手册的中心是经济和种族边缘化的患者,他们传统上在心理学研究中代表性不足。该手册目前正在由NIH HEAL项目#RM1DA055437资助的临床试验NCT05039554中进行评估。治疗手册和讲义是免费提供的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Persisting with purpose: Using acceptance and commitment therapy to target comorbid opioid use disorder and chronic pain in a racially and economically marginalized population
Opioid use disorder (OUD) and chronic pain (CP) are commonly comorbid health conditions that cause significant disability, distress, and mortality. Treatment for these conditions is impacted by drop out and presence of other psychiatric conditions. Acceptance and Commitment Therapy is an effective intervention to treat chronic pain and substance use disorders, however this intervention has not been systematically evaluated for treatment of comorbid OUD and CP, especially in a racially and economically marginalized population. In this paper we describe development of such an ACT manual, using an intervention mapping approach. While the manual pays close attention to opioid use and chronic pain, it includes transdiagnostic principles that target overall psychological well-being including a deep emphasis on expanding valued living. We incorporated trauma informed care, cultural humility, and harm reduction principles in the development of nine ACT skills that are easy to understand and scalable. The treatment manual centers economically and racially marginalized patients who are traditionally underrepresented in psychological research. This manual is currently being evaluated in clinical trial NCT05039554 with funding from the NIH HEAL project #RM1DA055437. The treatment manual and handouts are freely available for use and included.
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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