在认知行为疗法后,解开疼痛经历和灾难化
Satoshi Yokoyama1,2, Tomonori Adachi3, Atsuo Yoshino4,5,6
1Faculty of Humanities, Niigata University, Niigata, Japan. syoko@human.niigata-u.ac.jp.
Scientific reports
|July 26, 2024
概括
群体认知行为疗法 (CBT) 通过改善疼痛和认知的概念化,帮助患者更好地理解他们的疼痛. 网络分析显示,在CBT后,从无差异化到结构化的疼痛经历发生了转变.
科学领域:
- 心理学 心理学 心理学
- 行为医学是一种行为医学.
- 网络科学 网络科学
背景情况:
- 疼痛经历是复杂的,涉及认知,情绪和行为.
- 认知行为疗法 (CBT) 用于帮助患者解开这些经历.
- 疼痛经验解脱中的变化过程的量化仍然没有得到充分的研究.
研究的目的:
- 量化疼痛和认知的概念化中的变化过程.
- 检查群体认知行为疗法 (CBT) 如何影响疼痛和认知因素之间的关系.
- 利用以相互关系为重点的网络模型来分析这些变化.
主要方法:
- 在65名参与者的数据上采用了以相互关系为重点的网络模型.
- 参与者完成了12个每周的团体CBT课程.
- 使用了麦吉尔短形式的疼痛问卷和治疗前后的疼痛灾难化问卷.
主要成果:
- 预处理网络分析显示,由于高共变率,没有明显的边缘.
- 处理后网络分析显示了显著的边缘形成,特别是在子尺度内.
- 这种转变表明,在CBT后,疼痛相关结构的概念化得到了改善.
结论:
- 群体CBT促进了对疼痛经历的更有结构的概念化.
- 网络模型有效地可视化了理解疼痛的变化过程.
- 这些发现支持CBT的基本监测过程,对临床医生来说也很重要.
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