开发个性化反干预,针对与疼痛相关的焦虑,针对报告危险饮酒和慢性疼痛的成年人:随机对照试验
Andrew H Rogers1,2,3, Clayton Neighbors1, Jaye L Derrick1
1Department of Psychology, University of Houston, Houston, Texas.
Journal of studies on alcohol and drugs
|April 15, 2024
概括
危险的酒精使用在慢性疼痛患者中很常见. 个性化反干预 (PFI) 在减少饮酒和与疼痛相关的焦虑方面表现有前途,但对于有针对性的效果需要进一步改进.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 患有慢性疼痛的个人表现出更高的危险酒精使用率.
- 这种人群服务不足,需要新的干预措施.
- 与疼痛相关的焦虑是减少滥用酒精的潜在向机制.
研究的目的:
- 为患有慢性疼痛的危险饮酒者开发和测试一种新的个性化反干预 (PFI).
- 评估干预措施的可接受性,可行性和对酒精使用和与疼痛相关的焦虑的影响.
主要方法:
- 使用了一种分阶段的方法 (1A/1B阶段).
- 第1A阶段涉及对干预改进的定性反 (N=9).
- 第1B期是一项试点随机临床试验,将PFI与健康信息对照进行比较 (N=118).
主要成果:
- 对于针对与疼痛相关的焦虑来说,PFI是可行的.
- 参与者减少了饮酒量.
- 与对照组相比,没有观察到干预的差异性影响.
结论:
- 基于计算机的简短干预显示了行为改变的初步实用性.
- 需要对PFI进行进一步的改进,以提高其在针对与疼痛相关的焦虑方面的有效性.
- 在慢性疼痛患者中解决危险的酒精使用需要持续的研究和干预开发.
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