对于患有慢性神经病痛的成年人来说,基于心理的干预措施:一个范围审查
Mayumi Oguchi1,2,3, Michael K Nicholas1,2,3, Ali Asghari1,2,3
1Sydney Medical School-Northern, Faculty of Medicine and Health, University of Sydney, St Leonards, NSW 2065, Australia.
Pain medicine (Malden, Mass.)
|February 4, 2024
概括
基于心理学的干预措施对慢性神经病痛 (NeuP) 管理有希望. 认知行为疗法和正念治疗对疼痛,残疾和痛苦有潜在的益处,因此需要进一步的系统审查.
科学领域:
- 心理学 心理学 心理学
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 基于心理的干预措施对一般的慢性疼痛是有效的.
- 它们对慢性神经病痛 (NeuP) 的疗效仍未确立.
- 之前的系统性审查受到随机对照试验 (RCT) 稀缺性的限制.
研究的目的:
- 确定用于慢性NeuP的成年人使用的基于心理的干预类型.
- 评估可用RCT的可用性,以便进行潜在的更新系统审查.
主要方法:
- 搜索了7个数据库和2个临床试验注册表,截至2021年12月,并于2023年2月更新.
- 包括参考清单审查和专家咨询,以扩大搜索范围.
- 从符合条件的物品中提取预先确定的研究特征.
主要成果:
- 33篇文章符合从4682份选的记录中符合资格标准.
- 确定的干预措施包括认知行为方法 (16),正念/冥想 (10),创伤集中治疗 (4) 和催眠 (3).
- 确定了13个RCT,其中9项研究每组治疗后有20名参与者.
结论:
- 认知行为疗法是最常见的方法;正念/冥想是最常见的技术.
- 大约50-67%的研究报告了疼痛,残疾或痛苦的显著改善.
- 基于心理学的干预措施似乎对患有慢性NeuP的成年人有潜在的益处,这支持了更新系统审查的必要性.
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