基于暴露与纤维肌痛传统认知行为疗法的影响:一项两站点单盲随机对照试验
Maria Hedman-Lagerlöf1, Nils Gasslander2, Alice Ahnlund Hoffmann1
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Pain
|December 22, 2023
概括
没有发现基于暴露的认知行为疗法 (Exp-CBT) 优于纤维肌痛的传统认知行为疗法 (T-CBT). 这两种在线干预都显著降低了纤维肌痛的严重程度,提供了有价值的治疗选择.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 纤维肌痛是一种慢性疼痛疾病,治疗疗效有限.
- 传统的认知行为疗法 (T-CBT) 是一种广泛研究的心理干预.
- 基于暴露的认知行为疗法 (Exp-CBT) 最近显示出纤维肌痛管理的前景.
研究的目的:
- 在一项随机对照试验中,比较Exp-CBT与T-CBT对纤维肌痛的疗效.
- 评估Exp-CBT是否在减少纤维肌痛症状严重程度方面提供了优于T-CBT的结果.
主要方法:
- 一项随机对照试验,涉及274名自我指导的参与者患有纤维肌痛.
- 在线提供10周的Exp-CBT或T-CBT程序.
- 使用纤维肌痛影响问卷 (FIQ) 评估纤维肌痛严重程度在基线,每周,治疗后以及6个月和12个月的随访.
主要成果:
- 从基线到治疗后,Exp-CBT和T-CBT之间的纤维肌痛严重性减轻没有显著差异 (p = 0.544).
- 观察到类似的最低临床重要改善率:Exp-CBT的60%和T-CBT的59%.
- 治疗效果持续到干预后12个月.
结论:
- 在治疗纤维肌痛方面,exp-CBT并不优于T-CBT.
- 这两种在线CBT干预都显著降低了纤维肌痛的严重程度.
- 在线T-CBT仍然是纤维肌痛的临床相关和有效的治疗标准.
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