以正念为导向的恢复增强:在临床环境中实施针对慢性疼痛,阿片类药物使用和阿片类药物成的基于证据的干预措施
1Department of Psychiatry, University of California-San Diego, La Jolla, California, USA.
以正念为导向的恢复增强 (MORE) 是一种针对慢性疼痛和阿片类药物使用障碍 (OUD) 的新干预措施. 它通过准大脑的奖励和压力系统,有效地减少阿片类药物的剂量,滥用和疼痛.
科学领域:
- 综合医学是一个整体的医学.
- 行为心理学 行为心理学
- 神经科学是一个神经科学.
背景情况:
- 阿片类药物危机因过度处方阿片类药物治疗慢性疼痛而加剧,导致阿片类药物使用障碍 (OUD).
- 逐渐减少阿片类药物不适合所有患者;可能需要长期的阿片类药物治疗.
- 需要新的干预措施来减轻与阿片类药物相关的伤害,并治疗成行为.
研究的目的:
- 审查临床结果,生物行为机制和正念导向恢复增强 (MORE) 的实施.
- 评估MORE作为一种基于证据的治疗慢性疼痛,阿片类药物使用和OUD的干预措施.
主要方法:
- MORE集成了正念训练,认知行为疗法和积极心理学原则.
- 它针对大脑的奖励和压力系统,以解决成行为,情绪失调和慢性疼痛.
- 该干预措施已在13项随机临床试验中进行评估,涉及超过1300名患者.
主要成果:
- MORE在减少阿片类药物剂量,阿片类药物滥用和非法药物使用方面表现出有效性.
- 此外,该干预措施在减少抑郁症,创伤后压力症状和慢性疼痛方面也表现出有效性.
- 在各种活性对照条件下观察到有效性.
结论:
- MORE是一种有希望的基于证据的治疗方法,用于慢性疼痛和OUD患者.
- 在初级保健和专业疼痛诊所中,对于阿片类药物逐渐减少和安全使用存在实施机会.
- 建议在美国,英国和全球范围内传播MORE.
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