慢性疼痛和PTSD的密集治疗:爱国者计划
John D Otis1,2, Jonathan S Comer3, Terence M Keane1,4
1Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USA.
Behavioral sciences (Basel, Switzerland)
|November 27, 2024
概括
爱国者计划是一个简短的,密集的治疗,有效地减少了退伍军人的慢性疼痛和创伤后应激障碍 (PTSD) 症状. 这种综合方法对有效管理并发性疼痛和PTSD有希望.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 军人卫生保健 军人卫生保健
背景情况:
- 军事战斗经常导致慢性疼痛和创伤后应激障碍 (PTSD).
- 这些情况经常同时发生,导致严重的痛苦和功能障碍.
- 有效,节省时间的治疗对于管理伴随性疼痛和PTSD至关重要.
研究的目的:
- 开发和试点测试疼痛和创伤密集门诊治疗 (爱国者) 计划.
- 评估综合性慢性疼痛和PTSD治疗的可行性,可接受性和初步疗效.
- 为退伍军人提供一种简短的,密集的治疗方案,用于治疗伴随性慢性疼痛和PTSD.
主要方法:
- 开发和试点测试爱国者计划,一个为期3周,6个会议的综合治疗.
- 在八名退伍军人中评估可行性,可接受性和初步疗效,这些退伍军人患有并发性慢性疼痛和PTSD.
- 使用临床医生管理的PTSD评估 (CAPS),疼痛和灾难性思维来评估PTSD症状.
主要成果:
- 没有观察到治疗中断,表明高可行性和可接受性.
- 在治疗后,人们注意到PTSD症状的显著减少.
- 从治疗前到治疗后观察到疼痛和灾难性思维的减少.
结论:
- 爱国者计划表明可行性,可接受性和初步有效性,用于退伍军人的伴随性慢性疼痛和PTSD.
- 这种简短,密集,综合的治疗可能是一个成本效益和可访问的选择.
- 需要进一步的研究来支持其更广泛的实施,以管理疼痛和PTSD.
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