综合初级保健中慢性疼痛的简短行为干预:我们还在等什么?
Gregory P Beehler1, Michael Verile1, Mandy Conrad1
1VA Western New York Healthcare System, VA Center for Integrated Healthcare.
概括
在综合初级保健 (IPC) 中,建议对慢性疼痛进行简短的心理治疗. 本综述审查了IPC环境中对成年人进行简短心理治疗的证据,主张更早实施.
科学领域:
- 心理学 心理学 心理学
- 初级医疗保健医学 一级医疗保健医学
- 行为健康 行为健康
背景情况:
- 慢性疼痛影响了许多初级保健患者,增加了医疗保健成本.
- 由于阿片类药物安全性问题,越来越多地强调非药物治疗,包括心理治疗.
- 现有证据支持在专业环境中进行认知行为疗法 (CBT) 等心理治疗,但对于初级保健中的简短干预来说,这一点不太重要.
研究的目的:
- 审查现有的关于成人慢性疼痛短期心理治疗的研究.
- 评估在综合初级保健 (IPC) 环境中实施这些简短治疗的可行性.
- 在初级保健中提倡早期采用基于证据的简短行为干预措施.
主要方法:
- 专注于对同行评审研究进行叙述性审查.
- 包括关于成人慢性疼痛短期心理治疗的研究.
- 考虑适合初级保健行为健康模型的干预措施.
主要成果:
- 虽然IPC短期治疗的证据仍在发展,但现有的研究表明可行性.
- 慢性疼痛的心理治疗在专科护理中已经得到了很好的应用.
- 审查强调需要弥合研究和临床实践之间的差距.
结论:
- 慢性疼痛的简短心理治疗干预可以在综合初级保健环境中切实实施.
- 尽管研究处于早期阶段,但推迟实施是不必要的.
- 采用这些简短的行为干预措施可以改善初级保健中慢性疼痛患者的护理.
相关概念视频
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
Analgesia and Pain Management
568
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
568
Behavior Therapy
46
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
46
Irritable Bowel Syndrome III: Medical and Nursing Management
190
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
190
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38


