在为患有慢性疼痛的青少年进行数字心理干预的过程中,出现不良或负面的治疗反应
Rocío de la Vega1,2, Kaylee Yokoyama3, Kristen Daniels3
1Department of Personality, Assessment, and Psychological Treatment, Faculty of Psychology and Speech Therapy, University of Málaga, Málaga, Spain.
Journal of pediatric psychology
|December 16, 2024
概括
青少年的数字认知行为疗法 (CBT) 显示了最小的负面治疗反应,强度低. 较高的基线焦虑和疼痛干扰预测了这些反应.
科学领域:
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
- 临床心理学 临床心理学
背景情况:
- 对疼痛的临床试验往往省略了心理治疗不良事件的数据.
- 了解治疗反应对于评估数字认知行为治疗 (CBT) 的安全性至关重要.
研究的目的:
- 评估在接受慢性疼痛疾病数字CBT的青少年中治疗负面反应的频率和强度.
- 确定与这些治疗反应相关的人口和临床因素.
主要方法:
- 246名青少年 (12-18岁) 和护理人员参加了三个数字CBT试验.
- 治疗后的反应 (数量,强度,类型) 被评估.
- 统计测试 (t-测试,Chi-平方) 探索了与基线特征的关联.
主要成果:
- 9%的参与者报告了负面的治疗反应,平均强度非常低 (M=0.1,SD=0.4).
- 根据性别,年龄,种族或基线疼痛强度,没有发现显著差异.
- 较高的基线焦虑和疼痛干扰与经历负面治疗反应有关.
结论:
- 对于患有慢性疼痛疾病的青少年而言,数字CBT似乎是安全的,几乎没有轻微的负面治疗反应.
- 基线焦虑和疼痛干扰可能预测心理干预中的不良事件.
- 建议在心理干预试验中标准化收集危害数据.
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