在一项基于正念的认知治疗对偏头痛患者的随机对照试验中,认知评估的变化
Jessica A Kruse1, Elizabeth K Seng1,2,3
1Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
Headache
|September 19, 2023
概括
基于正念的偏头痛认知疗法 (MBCT-M) 在患有偏头痛的成年人中显著减少了灾难性的疼痛. 这表明MBCT-M可能通过改变患者评估疼痛的方式来帮助,为偏头痛管理提供了一条新的途径.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 偏头痛是一种普遍的神经疾病,导致严重的残疾.
- 偏头痛的基于正念的认知疗法 (MBCT-M) 集成了认知行为疗法和正念技术.
- 在减少偏头痛相关的残疾方面,MBCT-M已经显示出有效性.
研究的目的:
- 在8周的MBCT-M干预后,评估认知融合和疼痛灾难性的变化.
- 将这些变化与等待名单/常规治疗对照组进行比较.
- 探索这些心理因素在中介偏头痛治疗结果中的作用.
主要方法:
- 一个随机对照试验的二次分析,涉及60名头痛成年人.
- 参与者被随机分配到每周8次MBCT-M疗程或等候名单/通常的治疗.
- 疼痛灾难化量表 (PCS) 和认知融合问卷 (CFQ) 在基线和1,2,4个月时进行了管理.
主要成果:
- 与对照组 (p=0.001) 相比,MBCT-M组显示疼痛灾难化 (PCS分数) 的显著下降.
- 认知融合 (CFQ分数) 在MBCT-M组从基线到4个月没有显著变化 (p=0.482).
- 结合PCS和CFQ得分的减少,单独PCS得分,在MBCT-M完成者中介于头痛残疾的变化.
结论:
- 疼痛灾难化是一种有希望的机制,MBCT-M通过它在偏头痛管理中发挥作用.
- 基于正念的干预措施可以通过改变对疼痛的认知评估来影响偏头痛残疾.
- 需要进一步的研究来探索神经疾病的基于正念的干预措施中的认知变化.
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