通过睡眠循环节干预计划改善与慢性疼痛相关的焦虑:试点研究
Sonia López-Monzoni1,2, Gloria Hernando Benito3,4, Sofía Romero-Peralta1,2,5
1Sleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19002 Guadalajara, Spain.
Behavioral sciences (Basel, Switzerland)
|January 24, 2025
概括
睡眠和循环干预计划 (SCIP) 通过解决失眠和睡眠呼吸暂停等睡眠障碍,有效地减少了慢性肌肉骨疼痛 (CMP) 患者的焦虑和抑郁症. 这种非药物治疗方法改善了整体幸福感和与疼痛相关的焦虑.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 睡眠的药物 睡眠的药物
背景情况:
- 治疗慢性疼痛的药理疗法面临的局限性包括依赖性,副作用和效率下降.
- 迫切需要创新的非药理学策略来改善患者的治疗结果并减少阿片类药物消费.
- 睡眠障碍在慢性肌肉骨疼痛 (CMP) 中很常见,可能会加剧疼痛并降低生活质量.
研究的目的:
- 评估睡眠和循环干预计划 (SCIP) 对慢性肌肉骨疼痛 (CMP) 控制的影响.
- 评估SCIP对CMP患者疼痛强度,身体功能,抑郁,焦虑和生活质量的影响.
- 调查CMP患者睡眠障碍的患病率和有针对性的干预措施的有效性.
主要方法:
- 一个随机临床试验 (NCT03646084) 涉及49名CMP患者被分配到SCIP或非SCIP对照组.
- 根据临床指南,SCIP组接受了诊断出睡眠障碍 (不安腿综合征,失眠,睡眠呼吸暂停) 的治疗.
- 结果在6个月后使用自我报告问卷 (疼痛,功能,情绪,生活质量) 和SCIP组的多梦图进行评估.
主要成果:
- 与非SCIP组相比,SCIP组的焦虑 (73.3%至46.7%) 和抑郁症 (53.3%至33.3%) 的异常风险显著降低.
- SCIP显著改善了与疼痛相关的焦虑和恐惧,由疼痛焦虑症状尺度证明.
- 该干预有效地管理了CMP群体的睡眠障碍,特别是失眠.
结论:
- 睡眠和循环干预计划 (SCIP) 在慢性肌肉骨疼痛患者改善焦虑和控制睡眠障碍方面表现出有效性.
- 针对睡眠障碍,特别是失眠,是全面CMP管理的关键组成部分.
- 需要进行更大规模的研究,以进一步阐明睡眠干预在慢性疼痛控制中的作用.
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