基于艺术的混合认知行为疗法对非恶性慢性疼痛患者的干预效果。

Q3 Medicine
Asimina Kalmanti, C. Batistaki, C. Christodoulou, Georgia Gerolouka-Kostopanagiotou, A. Douzenis, I. Michopoulos
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引用次数: 0

摘要

慢性疼痛(CP)被定义为持续或复发超过3至6个月的疼痛,可被视为一种健康状况。CP是一种常见病,影响全世界约20%的人,需要特殊治疗和护理。CP会导致抑郁、焦虑、睡眠障碍、生活质量差和医疗费用增加。基于疼痛认知概念化的社会心理方法可以为研究和临床工作提供坚实的基础。基于慢性疼痛认知行为治疗(CBT-CP)和创造性艺术治疗文献的关键原则,结合慢性疼痛管理框架的研究进展,开发了为期10周的小组治疗。本研究的目的是评估基于CBT-CP艺术的非恶性CP患者群体干预,解决影响疼痛感知的生物心理社会因素。共有100名大学疼痛管理科门诊患者参与,干预组50名,对照组50名(照常治疗)。在包括所有参与者的前测后测研究设计干预的分析中,几乎在所有检查的领域都观察到治疗收益:通过简短疼痛量表测量疼痛的严重程度,通过Orbach和Mikulincer心理疼痛量表测量精神疼痛的概念化,通过心理疼痛耐受性量表测量心理疼痛的耐受性,通过医院焦虑和抑郁量表测量焦虑和抑郁水平,以及通过世卫组织生活质量问卷测量生活质量。参与者的平均年龄为52.3岁,大多数是女性(84%)。研究结果显示,干预组患者的疼痛强度(p<0.001)、抑郁症状(p<0.001)、疼痛困惑(p=0.037)、情绪困扰耐受性(p=0.012)和总体健康相关生活质量(p<0.001)显著降低。实施综合CP干预(包括:创造性和CBT技术)可以预期有益的效果,重新评估当前社会心理非恶性CP方案中定义为适应性的一些应对反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of a hybrid arts-based Cognitive Behavioral Therapy intervention for patients with non-malignant chronic pain.
Chronic Pain (CP) is defined as pain that persists or recurs for more than 3 to 6 months and may be conceived as a health condition in its own right. CP is a frequent condition, affecting an estimated 20% of people worldwide and requires special treatment and care. CP can contribute to depression, anxiety, sleep disturbances, poor quality of life and increased health care costs. Psychosocial approaches based on a cognitive conceptualization of pain can provide a solid foundation for research and clinical work. The development of a 10 week-session group treatment was based on key principles from the literature on Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) and Creative Arts Therapy, integrated with advances in research on CP management framework. The aim of this study is to evaluate a CBT-CP arts-based group intervention for patients with non-malignant CP addressing the biopsychosocial factors that influence pain perception. A total of 100 University Pain Management Unit outpatients participated, 50 in the intervention group and 50 in the control group (treatment as usual). In analyses of the pretest-posttest research design intervention including all participants, treatment gains were observed in almost all domains examined: severity of pain measured by the Brief Pain Inventory, conceptualization of mental pain measured by the Orbach and Mikulincer Mental Pain Scale, tolerance for psychological pain measured by the Tolerance for Mental Pain Scale, anxiety and depression levels measured by the Hospital Anxiety and Depression Scale, and quality of life measured by the WHO Quality of Life-BREF Questionnaire. The participants' mean age was 52.3 years and most were female (84%). Findings suggest that postprogram, there was significant reduction in pain intensity (p<0.001), depressive symptoms (p<0.001), confusion about pain (p=0.037), and improvement of emotional distress tolerance (p=0.012) and global health-related quality of life (p<0.001) in the intervention group. Beneficial effects can be expected from the implementation of an integrated CP intervention (including: creative and CBT techniques) reappraising some of the coping responses defined as adaptive within current psychosocial non-malignant CP regimens.
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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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