认知行为疗法减少了有肌肉骨症状的人的无益思维:一个元分析
Deven Niraj Patel1, Rajeev Pathapati1, Catherine Hand1
1Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Chronic stress (Thousand Oaks, Calif.)
|December 23, 2024
概括
认知行为疗法 (CBT) 在患有肌肉骨症状的个体中适度减少了无助的思维,运动恐惧症和焦虑症. 然而,在本次元分析中,CBT并没有提高能力水平.
科学领域:
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 无助的思维模式与肌肉骨不适和功能限制的增加有关.
- 认知行为疗法 (CBT) 是一种治疗方法,旨在改变无助的想法以缓解症状.
研究的目的:
- 评估CBT在减少无助思维,痛苦和改善肌肉骨症状患者的能力方面的有效性.
- 调查不同CBT交付方法对研究结果的影响.
主要方法:
- 随机对照试验 (RCT) 的元分析按照 QUOROM 的指导方针进行.
- 用关键词搜索数据库,查找与疼痛灾难化,动态恐惧症和肌肉骨疾病的CBT相关的RCT.
- 研究的质量是使用Cochrane Review of Bias 2来评估的,并且对平均值和标准偏差进行了元分析.
主要成果:
- 与六个月的常规护理相比,CBT显示了灾难性思维 (P=.01),运动恐惧症 (P=.01) 和焦虑症状 (P<.01) 的适度显著减少.
- 在能力水平上没有观察到显著的改善 (P=.05).
- 精神卫生专业人员提供的CBT显示,与其他临床医生相比,灾难性思维的减少更大 (P=.03).
结论:
- 这些发现支持CBT在肌肉骨疾病的综合管理中通过培养更健康的思维模式来支持CBT的使用.
- 建议进行进一步的研究,以开发专门提高这一群体功能能力的干预措施.
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