如何解释生物心理社会结果的效应大小以及对当前研究的含义
Scott D Tagliaferri1, Daniel L Belavy2, Bernadette M Fitzgibbon3
1Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Faculty of Health, Geelong, Australia; Orygen, Parkville, Australia; Centre for Youth Mental Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
The journal of pain
|October 23, 2023
概括
标准化平均差异 (SMD) 有助于在疼痛研究中比较生物心理社会因素. 提出了新的方法,为这些因素创建特定的切断值,提高治疗相关性.
科学领域:
- 疼痛研究 疼痛研究
- 心理学 心理学 心理学
- 生物医学科学 生物医学科学
背景情况:
- 生物心理社会因素显著影响疼痛经历.
- 使用标准化平均差异 (SMD) 来比较这些因素是具有挑战性的,因为随意的效果大小值.
- 对于小型 (.2),中型 (.5),大型 (.8) SMD 的现有门,在不同的生物心理社会因素中可能不合适.
研究的目的:
- 解决目前对疼痛中的生物心理社会因素的影响大小值的任意性质.
- 为生物心理社会因素推出新的方法来推导特定结果效应大小截止值.
- 提高疼痛研究中生物心理社会因素的可比性,以获得更有针对性的治疗方法.
主要方法:
- 提出三个不同的方法来确定每个生物心理社会因素的适当效果大小截止值.
- 方法1:根据每个因素的疾病严重程度分析效应大小变化.
- 方法2:使用最小临床重要差异来固定大效果大小.
- 方法3:通过比较有疼痛和没有疼痛的个体来确定切断点.
主要成果:
- 该研究概述了为生物心理社会因素创建更相关的效果大小基准的潜在方法.
- 这些方法旨在克服普遍应用的任意门的局限性.
- 提出的方法为在疼痛研究中对效果大小进行更细致的解释提供了一个框架.
结论:
- 对疼痛研究中标准化平均差异的任意值是不充分的.
- 为生物心理社会因素制定结果特异性的效果大小截止值至关重要.
- 提出的方法可以提高生物心理社会因素的可比性,可能导致更有效的疼痛管理策略.
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