执行功能和自我管理过程调解了失眠和与疼痛相关的残疾之间的关系
Emily F Law1, See Wan Tham1, Waylon Howard2
1Center for Child Health, Behavior & Development, Seattle Children's Research Institute, Seattle, Washington, DC; Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, Washington, DC.
The journal of pain
|August 26, 2023
概括
失眠阻碍了青少年的慢性疼痛治疗,因为它损害了执行功能和自我管理技能. 解决睡眠问题可能会改善儿科慢性疼痛患者的治疗结果.
科学领域:
- 儿科心理学 儿科心理学
- 临床心理学 临床心理学
- 疼痛管理 疼痛管理
背景情况:
- 失眠预测青少年慢性疼痛的认知行为疗法 (CBT) 的结果较差.
- 将失眠与青少年疼痛治疗反应减少联系在一起的机制尚不清楚.
研究的目的:
- 检查执行功能和自我管理作为失眠症状和与疼痛相关的残疾之间的调解者.
- 了解失眠如何影响青少年慢性疼痛在互联网上提供的CBT的结果.
主要方法:
- 一个单臂临床试验,涉及85名患有慢性疼痛的青少年 (年龄12-17岁).
- 参与者通过互联网接受了为期8周的CBT干预.
- 在多个时间点进行了对失眠,执行功能,自我管理和疼痛障碍的验证测量.
主要成果:
- 更高的失眠症状严重程度与更大的执行功能缺陷相关.
- 执行职能问题与减少参与自我管理过程有关.
- 两位调解员都解释了失眠与疼痛相关残疾改善程度较低之间的联系.
结论:
- 执行功能和自我管理调解失眠对儿童慢性疼痛的CBT结果的影响.
- 失眠会对青少年学习和使用自我管理策略的能力产生负面影响.
- 针对睡眠,执行功能和自我管理的有针对性的干预措施可以优化患有慢性疼痛的年轻人的治疗.
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