对慢性疼痛和抑郁症状的中国老年人进行接受和承诺治疗与运动的文化适应:一项混合方法研究
Dara Kiu Yi Leung1, Annabelle Pui Chi Fong1, Wai Wai Kwok1
1Department of Social Work and Social Administration, University of Hong Kong.
Psychotherapy (Chicago, Ill.)
|November 7, 2024
概括
这项研究开发了一种文化适应的接受和承诺疗法 (ACT),为患有慢性疼痛和抑郁症的中国老年人提供了炼计划. 这项干预证明是可行的,并改善了疼痛,身体功能和精神健康.
科学领域:
- 老年学是一门学科.
- 临床心理学 临床心理学
- 康复科学 康复科学 康复科学
背景情况:
- 慢性疼痛和抑郁症在老年人中经常同时发生,特别是在西方人群中.
- 接受和承诺疗法 (ACT) 和运动对这些情况单独有效.
- 对于老年亚洲成年人,特别是那些受教育程度较低的人来说,ACT和运动的整合尚未得到充分研究.
研究的目的:
- 描述文化适应的ACT与炼干预的代开发.
- 评估这种综合方法对于患有慢性疼痛和抑郁症状的中国老年人的可行性.
- 根据参与者的反和结果,完善干预方案.
主要方法:
- 一个多学科小组共同设计了一个文化适应的ACT (8周,每周2小时) 和运动计划 (每周1.5小时).
- 使用混合方法测试可行性,对22名中国老年人进行了测试前测试后测试设计.
- 干预侧重于核心ACT组件和基于电路的阻力练习.
主要成果:
- 参与者在疼痛强度,疼痛干扰,疼痛自我有效性,身体表现,疼痛接受和承诺行动方面表现出显著的改善 (p < .05).
- 协议修订出现了五个主题:价值观的上下文化,体验式学习,文化上适当的隐喻,将ACT与疼痛联系起来,并促进应用.
- 最终的协议强调了三个核心ACT组件和特定的身体炼.
结论:
- 这项研究首次展示了针对中国老年人进行体育干预的文化适应,以人为中心的ACT的可行性演示.
- 综合方法显示,它有望改善与疼痛相关的结果和该人口的心理健康.
- 研究结果强调了文化适应和参与者反在干预设计中的重要性.
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