慢性疼痛患者:正念特征是否能保护我们免受痛苦,焦虑和抑郁?
Mario Miniati1, Graziella Orrù1, Mery Paroli1
1Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 67, Pisa, Italy E-mail: mario.miniati@med.unipi.it ORCID ID: 0000-0001-7536- 9927.
Clinical neuropsychiatry
|December 13, 2023
概括
正念态度作为慢性疼痛管理中的保护因素. 具有较高正念水平的患者报告说,他们的痛苦,抑郁和焦虑较少,以及他们的幸福感有所改善.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 心理健康 心理健康
背景情况:
- 慢性疼痛显著影响患者的心理健康,往往导致痛苦,抑郁和焦虑.
- 正念的特征和态度越来越多地被认为是它们在减轻这些不良心理结果方面的潜在作用.
研究的目的:
- 调查正念特征和态度作为慢性疼痛患者的痛苦,抑郁和焦虑的保护因素的作用.
- 为了比较患有高与正常水平的正念患者之间的心理幸福感.
主要方法:
- 50名患有慢性疼痛的患者 (25名非瘤患者,25名瘤患者) 完成了评估疼痛,残疾,压力,焦虑,抑郁,睡眠质量,整体健康和正念的验证秤.
- 在正念注意意识量表 (MAAS) 上的截止分数区分了高正念 (HM) 和正常正念 (NM) 组.
主要成果:
- 与NM组相比,高正念 (HM) 患者在感知压力,焦虑和抑郁的措施上报告得分明显较低.
- 此外,HM患者在家庭/家庭责任方面的残疾也显著减少,在心理总体幸福指数 (PGWBI) 上得分更高.
- 多重回归分析表明,MAAS得分是PGWB的显著积极预测指标,而焦虑和疼痛强度是负面预测指标.
结论:
- 高水平的正念态度与慢性疼痛患者的心理痛苦,抑郁和焦虑减少有关.
- 正念作为一种保护因素,增强慢性疼痛管理的个体的身体和一般健康.
- 旨在培养正念的干预措施可能有助于改善慢性疼痛患者的心理健康.
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