认知行为疗法的比较评价与关节障碍的标准治疗:一个系统的审查
Sahana Shivakumar1, Nishath Sayed Abdul2, Bhuvan Jyoti3
1Public Health Dentistry, Peoples College of Dental Sciences and Research Centre Peoples University Bhopal, Bhopal, India.
Journal of oral rehabilitation
|July 23, 2024
概括
认知行为疗法 (CBT) 显示出治疗关节疾病 (TMD) 的前景,显著减少疼痛并改善功能. CBT可以作为一种有效的替代方案或补充标准治疗的TMD缓解.
科学领域:
- 口腔和牙和面部医学
- 行为医学是一种行为医学.
- 康复科学 康复科学 康复科学
背景情况:
- 关节疾病 (TMDs) 涵盖了一系列影响关节和周围结构的肌肉骨和神经肌肉疾病.
- 与标准治疗相比,对于TMD的认知行为疗法 (CBT) 的有效性需要进一步澄清.
研究的目的:
- 系统地审查和比较CBT与管理TMD的标准干预措施的有效性.
主要方法:
- 使用MeSH关键字和布尔运算符进行了系统的文献搜索.
- 包括的研究是随机临床试验,评估CBT (单独或与标准护理结合) 与对照或TMD标准护理.
- 主要结局是疼痛;次要结局包括残疾,抑郁和功能. 研究质量使用RoB 2.0.0进行评估.
主要成果:
- 八项研究符合纳入标准,其中七项显示TMD管理的积极结果.
- 在具有积极结果的研究中观察到显著的疼痛减轻.
- 接受CBT (单独或与传统方式) 或基于CBT的催眠疗法的个人报告了更好的下功能,生活质量和心理健康.
结论:
- 认知认知疗法对TMD有潜在的益处,改善疼痛和整体幸福感.
- 认知认知治疗可以作为标准TMD治疗的有价值的辅助或替代方案.
- 需要对更大样本和标准化措施进行进一步的研究,以确认CBT在TMD管理中的比较有效性.
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