纤维肌痛患者焦虑和抑郁的认知行为疗法和接受和承诺疗法:系统性审查和元分析
Cristiana Manuela Cojocaru1, Cosmin Octavian Popa2, Alina Schenk1
1The Doctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Science, and Technology, Targu Mures, Romania.
Medicine and pharmacy reports
|February 12, 2024
概括
心理干预,如认知行为疗法和接受和承诺疗法,有效地减少纤维肌痛患者的抑郁和焦虑. 这些疗法可以整合到多学科治疗中,以改善情绪健康与疼痛管理一起.
科学领域:
- 心理学 心理学 心理学
- 临床医学 临床医学
- 疼痛管理 疼痛管理
背景情况:
- 纤维肌痛的特点是慢性肌肉骨疼痛,经常与抑郁症和焦虑症同时发生.
- 心理干预越来越被认为是纤维肌痛医学治疗的宝贵补充.
- 认知行为疗法 (CBT) 和接受和承诺疗法 (ACT) 是慢性疼痛的突出基于证据的心理方法.
研究的目的:
- 系统地审查和分析CBT和ACT在减少纤维肌痛患者情绪困扰方面的有效性.
- 评估这些心理干预对纤维肌痛患者抑郁和焦虑症状的影响.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行了全面的文献搜索.
- 包括符合条件的临床试验,并对治疗后抑郁症和焦虑症得分进行了元分析.
- 使用漏斗图表评估了出版偏差,使用Chi2和I2统计数据评估了异质性.
主要成果:
- 17份报告被选中进行审查,其中4份专注于接受和承诺治疗.
- 分析显示,减少抑郁症 (-0.31) 和焦虑症 (-0.15) 的总体效应大小具有统计学意义.
- 包含的研究样本中的人口特征在很大程度上是均的.
结论:
- 认知行为疗法和接受和承诺疗法都在减少纤维肌痛抑郁和焦虑症状方面表现出显著的效率.
- 这些心理治疗方案适合整合到多元组件治疗计划中,以增强纤维肌痛患者的情绪调整.
- 未来的研究应该调查变化过程和调节者,以开发更个性化的纤维肌痛心理治疗方法.
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