与对参与疼痛管理心理干预感兴趣相关的因素
Lisa R Miller-Matero1,2, Marissa Yaldo2, Sikander Chohan3
1Henry Ford Health, Behavioral Health Services.
The Clinical journal of pain
|October 11, 2023
概括
在阿片类药物使用者中,对慢性疼痛心理干预的兴趣很低. 更高的疼痛严重程度和精神困扰,包括抑郁症和PTSD,与对这些基于证据的疼痛管理策略更大的兴趣相关.
科学领域:
- 疼痛管理 疼痛管理
- 心理干预 心理干预
- 使用阿片类药物使用.
背景情况:
- 参与基于证据的疼痛管理心理干预措施的参与率显著低.
- 识别与兴趣相关的患者特征可以改善干预的吸收和参与.
研究的目的:
- 检查与人们对心理干预感兴趣相关的因素,这些人患有长期非癌症疼痛,并处方阿片类药物.
主要方法:
- 从两个卫生系统招募了845名患有慢性非癌症疼痛和新阿片类药物处方的参与者.
- 评估疼痛,阿片类药物使用,精神病症状,情绪支持和对心理干预的兴趣.
主要成果:
- 29%的参与者表示对心理干预非常感兴趣.
- 更大的疼痛严重程度,抑郁症,创伤后应激障碍 (PTSD) 和较低的情绪支持与兴趣有显著的关联.
- 年轻的年龄,女性性别,更大的疼痛干扰和更多的疼痛部位也与对双变异分析的兴趣有关.
结论:
- 低兴趣率表明,许多开始治疗慢性疼痛的阿片类药物治疗的患者可能不倾向于进行心理干预.
- 患有较高疼痛严重程度和精神疾病,如抑郁症和创伤后应激障碍的患者,表现出更大的兴趣,并可能受益最多.
- 提前将患者推送到心理干预,可能是在阿片类药物开始之前或开始时,可能是有益的.
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