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Terapia cognitivo-conductual digital para el manejo del dolor en personas con pancreatitis aguda y crónica recurrente
Tonya M Palermo1,2, Olivia Ohls3, Blake Dear4
1Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, USA. tonya.palermo@seattlechildrens.org.
Trials
|February 10, 2026
Resumen
La terapia cognitivo-conductual digital (TCC) es prometedora para el manejo del dolor por pancreatitis crónica. Este ensayo probará su efectividad e informará la implementación futura para la autogestión accesible del dolor.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Manejo del dolor Manejo del dolor.
- Salud digital La salud digital.
Sus antecedentes:
- El dolor abdominal es un síntoma primario en hasta el 90% de los pacientes con pancreatitis aguda recurrente (RAP) y pancreatitis crónica (PC).
- El aumento de la gravedad y la frecuencia del dolor se correlaciona con una morbilidad significativa, que incluye depresión, ansiedad, reducción de la función física, trastornos del sueño y disminución de la calidad de vida.
- Un estudio piloto indicó la eficacia preliminar de la terapia cognitivo-conductual digital (TCC) en el alivio del dolor y la discapacidad en adultos con RAP y PC.
Objetivo del estudio:
- Evaluar la efectividad de la TCC digital para el manejo del dolor crónico en adultos con pancreatitis aguda o crónica recurrente.
- Recopilar datos de implementación para la intervención de TCC digital escalable.
Principales métodos:
- Un ensayo clínico multisite y pragmático que involucró a 280 adultos (18+) con RAP o PC que experimentan dolor crónico.
- Los participantes son asignados al azar a una TCC digital (curso de dolor de pancreatitis) o a una educación digital sobre el dolor.
- Las evaluaciones se realizan al inicio, a los 2 meses y a los 6 meses, y los resultados primarios son la interferencia del dolor y la gravedad.
Principales resultados:
- Esta sección no está disponible en el resumen proporcionado.
- Esta sección no está disponible en el resumen proporcionado.
Conclusiones:
- El ensayo IMPACT-2 tiene como objetivo avanzar en soluciones no farmacológicas de manejo del dolor para RAP y CP.
- Los resultados exitosos abordarán la necesidad de estrategias de autocontrol del dolor accesibles y de bajo costo.
Palabras clave:
La pancreatitis crónica es una pancreatitis crónica.La terapia cognitivo-conductual es una terapia cognitivo-conductual.La intervención digital es una intervención digital.Manejo del dolor Manejo del dolor.Ensayos controlados aleatorizados.La pancreatitis aguda recurrente y recurrente.
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