心理干预措施降低慢性疼痛患者认知融合的有效性:系统性审查和元分析
Susana Sanduvete-Chaves1, Salvador Chacón-Moscoso2, Francisco J Cano-García3
1Departamento de Psicología Experimental, Facultad de Psicología, Universidad de Sevilla, Seville, Spain.
Journal of psychosomatic research
|August 30, 2024
概括
心理干预有效地减少慢性疼痛患者的认知融合. 需要进一步的研究才能充分理解它在心理灵活性中的作用.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 疼痛管理 疼痛管理
背景情况:
- 接受和承诺疗法 (ACT) 对慢性疼痛有效.
- 认知融合是ACT的核心组成部分,需要进一步研究.
- 心理干预对慢性疼痛认知融合的影响尚未得到充分证实.
研究的目的:
- 评估心理干预在慢性疼痛患者中减少认知融合的有效性.
- 综合现有关于心理治疗对认知融合的影响的证据.
主要方法:
- 通过使用主要数据库 (科学网,SCOPUS,Medline,PsycINFO) 进行了对研究的系统审查,直到2024年6月.
- 研究包括慢性疼痛患者接受心理干预,用认知融合措施进行心理干预.
- 评估了方法质量,并计算了效果大小 (Hedges g).
主要成果:
- 包括18篇文章,包括24项研究 (19项前后/后续研究,5项RCT).
- 干预后认知融合显著下降 (小/中效果大小:g = -0.39在测试后,g = -0.55在长期随访).
- 在随访期间的RCT中观察到类似的显著减少,效果大小中等.
结论:
- 心理干预表明,慢性疼痛患者的认知融合倾向降低.
- 需要更多的临床试验来确定认知融合在心理灵活性更广泛的框架中的作用.
- 确定的调节变量包括失业率,性别,疼痛强度,抑郁程度和干预特征.
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