认知情感变化调解了基于正念的干预对子宫内膜异位症相关的疼痛和心理健康的影响:一种路径分析方法
Marcelo de França Moreira1, Olga Lucia Gamboa2,3, Marco Aurelio Pinho Oliveira4
1State University of Rio de Janeiro, Faculty of Medical Sciences, Rio de Janeiro, RJ, Brazil.
一个简短的基于正念的干预 (bMBI) 通过改善认知情感因素来帮助子宫内膜异位症疼痛. 通过减少疼痛和影响变化,bMBI提高了心理健康 (QoL-MH) 的生活质量.
科学领域:
- 心灵与身体的医学
- 疼痛管理 疼痛管理
- 妇女健康 妇女健康
背景情况:
- 对子宫内膜异位症的保守治疗机制的理解有限.
- 假设简短的基于正念的干预 (bMBI) 影响盆腔疼痛强度 (PPI),疼痛不愉快度 (PU) 和生活质量心理健康 (QoL-MH) 通过疼痛灾难化 (PC),积极影响 (PA) 和负面影响 (NA) 的变化.
研究的目的:
- 调查PC,PA和NA在bMBI和子宫内膜异位症妇女的结果之间关系中的调解作用.
- 阐明bMBI对子宫内膜异位症相关疼痛和心理健康的治疗机制.
主要方法:
- 一项试点随机对照试验的二次分析,涉及患有子宫内膜异位症的妇女.
- 参与者接受了标准的医疗治疗或标准的医疗治疗加bMBI.
- 测试了PC,PA和NA作为bMBI和结果 (PPI,PU,QoL-MH) 之间的调解器的并行和串行调解模型.
主要成果:
- bMBI组显示了改善的PA,减少的NA和减少的PC.
- 减少PC直接介导了bMBI对PPI和PU的影响.
- bMBI对QOL-MH的影响是由PA和NA直接介导,PC通过PA和疼痛减轻间接介导.
结论:
- bMBI通过与疼痛相关的认知情感因素的变化影响子宫内膜异位症疼痛.
- bMBI通过多种途径改善QOL-MH,包括减少疼痛和影响调制.
- 影响改善表明在子宫内膜异位症中恢复心理健康的独立潜力.
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