慢性疼痛与心理干预:系统综述

F. Karimian, S. Saadat, M. Hosseininezhad
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引用次数: 0

摘要

背景和目的:慢性疼痛是一种情绪体验,对个人和社会造成不愉快的心理后果。本研究旨在系统地回顾在慢性疼痛患者中实施的心理干预措施。方法和材料/患者:在这篇系统综述中,在PubMed、Scopus和Google Scholar数据库中搜索了以下关键词:慢性疼痛、心理干预、心理治疗、心理学、临床试验和随机临床试验。搜索时间跨度为2018年1月至2022年12月。从总共2785篇文章中,选择了2078位撰稿人的20篇文章进行本次审查。结果:认知行为疗法在慢性疼痛患者的心理干预中排名第一。此外,为了通过其他心理干预措施,如接受和承诺疗法,提高这些人的生活质量和心理健康,已经使用了正念方法。这种治疗方法在缓解疼痛、控制疼痛、减轻压力和抑郁以及提高生活质量方面是有效的。采用随机对照试验设计和随访是这些研究的优势。结论:研究结果表明,心理干预对疼痛缓解、生活质量、抑郁和压力的影响最大。因此,建议在医疗之外使用心理干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chronic Pain and Psychological Interventions: A Systematic Review
Background and Aim: Chronic pain is an emotional experience with unpleasant psychological consequences for individuals and society. This research aims to systematically review the psychological interventions implemented in people suffering from chronic pain. Methods and Materials/Patients: In this systematic review, the following keywords were searched in PubMed, Scopus, and Google Scholar databases: Chronic pain, psychological interventions, psychotherapy, psychology, clinical trials, and randomized clinical trials. The time span for the search was from January 2018 to December 2022. From a total of 2785 articles, 20 articles by 2078 contributors were selected for this review. Results: Cognitive behavioral therapy ranks first among psychological interventions for people with chronic pain. Also, to improve the quality of life and psychological health of these individuals from other psychological interventions, such as acceptance and commitment therapy, the mindfulness method has been used. This treatment has been effective in relieving pain, controlling pain, reducing stress and depression, and improving the quality of life. Using a randomized controlled trial design and follow-up were the strengths of these studies. Conclusion: The findings suggest that psychological interventions had the greatest impact on pain relief, quality of life, depression, and stress, respectively. Accordingly, it is proposed to use psychological interventions in addition to medical treatment.
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CiteScore
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