在转诊后,慢性疼痛疾病的认知行为疗法参与的趋势
Giovanni Kozel1, Owen P Leary1,2, Yasemin Losee1,2
1Department of Neurosurgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Translational behavioral medicine
|December 30, 2023
概括
慢性疼痛的认知行为疗法 (CBT-CP) 是一个关键的治疗方法. 较高的抑郁水平预测了患者与CBT-CP的参与,但其他因素没有.
科学领域:
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性疼痛的认知行为疗法 (CBT-CP) 是一种基于证据的,非药物治疗慢性背部和部疼痛的方法.
- 在临床环境中成功实施CBT-CP面临着对患者参与的障碍.
- 关于CBT-CP实施的先前研究是有限的,特别是在不同的实践环境中.
研究的目的:
- 在一个跨学科的,医院的慢性疼痛实践中检查CBT-CP的治疗启动模式.
- 为了比较那些在转诊后参加或不参加CBT-CP的患者组.
- 确定预测CBT-CP治疗开始的因素.
主要方法:
- 电子医疗记录的回顾性图表审查,以获得患者描述性数据.
- 收集的数据包括疼痛严重程度,工作状态,先前治疗和行为健康问卷得分 (PHQ-9,GAD-7).
- 使用跨组比较和后勤回归建模来分析预测因素.
主要成果:
- 在多变量分析中,只有抑郁水平 (PHQ-9分数) 能够预测CBT-CP治疗的开始.
- 患有较高抑郁水平的患者更有可能参加推的CBT-CP预约.
- 焦虑评分 (GAD-7),工作状况,疼痛评分和先前的治疗参与并不是独立的预测.
结论:
- 抑郁症水平是慢性疼痛患者CBT-CP启动的重要预测因素.
- 没有单一的临床变量患者资料可靠地预测CBT-CP吸收.
- 可能需要进一步的研究来了解和克服CBT-CP参与的其他障碍.
更多相关视频
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
522
09:00Investigating Pain-Related Avoidance Behavior using a Robotic Arm-Reaching Paradigm
Published on: October 3, 2020
3.9K
相关概念视频
01:25Cognitive Therapy
153
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
153
01:28Psychotherapy
107
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
107
01:24Rational Emotive Behavior Therapy
53
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
53
01:25Elements Crucial for Effective Psychotherapy
45
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
45
01:22Behavior Therapy
51
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
51
01:29Psychodynamic Therapy
67
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
67