在慢性疼痛的在线疼痛管理计划中,抑郁和焦虑的突然增加
Madelyne A Bisby1, Ashleigh B Correa1, Rachel Trujillo1
1eCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
European journal of pain (London, England)
|May 13, 2024
概括
抑郁或焦虑症状的突然增加与在线慢性疼痛计划中更好的结果无关. 治疗师的指导没有影响这些突然的症状减少.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 数字健康数字健康
背景情况:
- 慢性疼痛经常与抑郁和焦虑同时发生.
- 在线疼痛管理程序有效地减少慢性疼痛的影响.
- 突发增长 (快速,显著的症状减轻) 与一般人群中更好的结果有关.
研究的目的:
- 为了调查在线疼痛管理期间抑郁/焦虑的突然增长.
- 为了确定突然的增长是否与改善的抑郁/焦虑结果相关.
- 检查治疗师指导在突然收益和结果中的作用.
主要方法:
- 对随机对照试验 (n=338) 数据的分析.
- 在每周,可选和自我指导的治疗师支持中比较突然的收益和治疗结果.
- 确定突发增益状态的预测因素.
主要成果:
- 抑郁 (22%) 和焦虑 (24%) 的突然增长率相似.
- 大多数突然的增长发生在治疗的早期 (1至2周).
- 治疗师的指导没有影响突然的增长;较高的基线症状严重程度预测了它们. 在突然获得者和非获得者之间没有发现结果的显著差异.
结论:
- 抑郁或焦虑症状的突然增加与在线程序中患有慢性疼痛的成年人治疗后的更好的结果没有关联.
- 研究结果表明,与一般样本相比,慢性疼痛群体的症状变化动态可能存在差异.
- 治疗师指导的水平没有影响突然增长和治疗结果之间的关联.
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