基于种族的差异对基于正念的综合医疗小组的反应 慢性疼痛的访问干预
Angela C Incollingo Rodriguez1, Benjamin C Nephew2, Justin J Polcari2
1Department of Social Science and Policy Studies, Worcester Polytechnic Institute, Worcester, MA, USA.
Global advances in integrative medicine and health
|May 20, 2024
概括
综合医疗小组访问 (IMGV) 显示了慢性疼痛减轻的种族差异. 非洲裔美国人/黑人个体经历了最初的疼痛缓解,而白人个体在研究后期表现出改善.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 健康差异 在健康上的差异
背景情况:
- 慢性疼痛显著影响医疗保健的使用,是健康差距的一个关键领域,非洲裔美国人/黑人人口受到了不成比例的影响.
- 综合医疗小组访问 (IMGV) 结合了正念,基于证据的综合医学和小组医疗访问.
- 一项先前的随机对照试验评估IMGV作为慢性疼痛和抑郁症的辅助治疗在多样化,服务不足的人群中.
研究的目的:
- 为了调查基于种族的异质性在有效性的一种基于正念的治疗慢性疼痛.
- 分析种族身份如何影响慢性疼痛综合医学干预的结果.
主要方法:
- 进行了对父母随机对照试验的二次分析.
- 根据慢性疼痛和抑郁症的种族认同,研究了治疗效果的异质性.
- 使用RMANOVA分析疼痛结果轨迹 (平均疼痛,严重程度,干扰) 在基线,9,和21周的非洲裔美国人/黑人和白人参与者.
主要成果:
- 与白人参与者相比,非洲裔美国人/黑人参与者报告了更高的基线疼痛严重程度,并且在年龄,工作状况和并发症方面有所不同.
- 在IMGV干预的反应中观察到基于种族的显著差异.
- 非洲裔美国人/黑人参与者在IMGV治疗9周后,疼痛严重程度从基线降低,而白人参与者没有看到这种变化. 白人参与者在9到21周之间经历了疼痛减轻,在此期间,IMGV对非裔美国人/黑人参与者没有显著影响.
结论:
- 治疗反应中的基于种族的异质性强调了进一步调查疼痛和种族化之间的相互作用的必要性.
- 了解这些差异对于解决慢性疼痛管理中的健康不平等至关重要.
- 这些发现强调了在开发和应用综合医学治疗时考虑种族因素的重要性.
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