疼痛接受是基于正念的偏头痛认知治疗的变化机制
Rachel D Best1, Ali Ozmeral2, Amy S Grinberg3,4
1Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Ave, The Bronx, New York, NY, 10461, USA. Rbest1@mail.yu.edu.
Journal of behavioral medicine
|February 26, 2024
概括
偏头痛基于正念认知疗法 (MBCT-M) 改善了疼痛接受,特别是活动参与,这有助于减少头痛残疾. 这些变化介于MBCT-MBCT.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 医学研究 医学研究
背景情况:
- 偏头痛是全球导致残疾的主要原因之一.
- 第三波疗法,如基于正念的偏头痛认知疗法 (MBCT-M),有望减少头痛残疾.
- 了解MBCT-M的机制,特别是疼痛接受,至关重要.
研究的目的:
- 研究疼痛接受及其组成部分 (疼痛意愿和活动参与) 在MBCT-M中的作用.
- 检查疼痛接受的变化如何调解治疗对头痛残疾的影响.
- 分析疼痛意愿和活动参与的独立贡献.
主要方法:
- 随机对照试验的二次分析,将MBCT-M与等候名单/常规治疗 (WL/TAU) 进行比较.
- 分析了60名参与者 (MBCT-M=31,WL/TAU=29).研究人员分析了60名参与者 (MBCT-M=31,WL/TAU=29).
- 混合模型和纵向调解分析评估了疼痛接受,疼痛意愿,活动参与和头痛残疾的变化.
主要成果:
- 疼痛接受,疼痛意愿和活动参与与基线头痛残疾有负相关性.
- 在这两组中,所有三个接受组件都随着时间的推移显著增加.
- 与WL/TAU相比,MBCT-M组的活动参与度增加得更大.
- 疼痛接受,疼痛意愿和活动参与度的变化调解了MBCT-M和减少头痛残疾之间的关系.
结论:
- 疼痛接受,包括疼痛的意愿和活动参与,对于MBCT-M的有效性很重要.
- 活动参与是疼痛接受的关键组成部分,有助于减少MBCT-M中头痛相关的残疾.
- 这些发现支持在偏头痛治疗中准疼痛接受机制.
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