慢性疼痛综合认知行为治疗的长期影响:一种定性和定量研究
Kanako Tsubaki1, Kayoko Taguchi2, Tokiko Yoshida2
1Graduate School of Medicine, Chiba University, Chiba, Japan.
Medicine
|July 7, 2023
概括
综合性认知行为疗法 (CBT) 显著减少慢性疼痛和残疾,效益持续至少一年. 定性发现强调了自主和接受是长期疼痛管理的关键因素.
科学领域:
- 心理学 心理学 心理学
- 行为医学是一种行为医学.
- 疼痛管理 疼痛管理
背景情况:
- 认知行为疗法 (CBT) 是慢性疼痛的公认干预方法.
- 以前的研究表明短期有效性,但缺乏长期随访数据.
- 需要评估综合性CBT计划的持续影响.
研究的目的:
- 评估慢性疼痛管理的综合性CBT计划的长期有效性.
- 在计划完成后1.5年评估结果.
- 探索患者报告的经验和促进持续疼痛管理的因素.
主要方法:
- 观察后续研究分析了2018-2019年CBT会议的数据.
- 对七个经过验证的评估尺度进行定量分析,包括疼痛灾难化尺度 (PCS),疼痛残疾评估尺度 (PDAS) 和贝克抑郁 inventory (BDI).
- 半结构面试的定性主题分析,探索患者的体验.
主要成果:
- 在PCS,PDAS,欧洲生活质量5维5级和BDI治疗后得分中观察到显著的改善.
- 这些改善在1.5年的随访中保持不变,没有显著下降.
- 定性主题确定了"自主"",理解自己和疼痛"和"接受疼痛"对于持续管理至关重要.
结论:
- 综合性CBT在减少灾难性疼痛,残疾和抑郁症状方面表现出持续的有效性,至少一年.
- 患者报告的主题强调了在长期慢性疼痛管理中,自主和接受等心理因素的重要性.
- 这些发现支持综合性CBT方法在改善慢性疼痛患者生活质量的长期价值.
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