非认知行为疗法 心理干预可能不会在患有慢性疼痛的儿童和青少年中产生差异
Lauren Perlman1, Naomi Malka1, Oliver Terry1
1Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Journal of pain research
|March 26, 2025
概括
由于COVID-19流行病的干扰,儿童慢性疼痛患者的心理治疗中断了. 与不接受治疗相比,非CBT干预,如精神分析没有显著的益处,尽管在未接受治疗的组中睡眠有所改善.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 心理干预 心理干预
- 流行病对医疗保健的影响
背景情况:
- 儿童和青少年的慢性疼痛是一个复杂的生物心理社会问题,需要多学科的护理.
- 随着COVID-19的流行,儿童疼痛患者的基本心理治疗,包括认知行为疗法 (CBT),受到干扰.
- 这项研究调查了在疫情期间中断的非CBT心理干预措施的影响.
研究的目的:
- 评估在SARS-CoV-2大流行期间中断精神分析和精神动态心理治疗对儿科慢性疼痛患者的影响.
- 为了比较接受非CBT心理干预的儿童和青少年与没有接受心理干预的儿童和青少年之间的结果.
主要方法:
- 追溯性队列研究与匹配的病例控制分析.
- 包括在SARS-CoV-2大流行期间患有慢性疼痛的146名儿科患者.
- 主要结局:患者的全球变化印象 (PGIC) 得分. 二次结果:疼痛强度,睡眠,功能,上学时间,自杀倾向.
主要成果:
- 没有发现非CBT干预措施和不对PGIC,疼痛强度,上学时间,身体功能或自杀倾向的治疗有显著差异.
- 没有接受心理干预的患者更有可能实现睡眠正常化.
- 77名患者接受了非CBT干预,而69名患者没有接受心理干预.
结论:
- 精神分析和精神动力学心理治疗在COVID-19大流行期间没有对儿科慢性疼痛患者显示出有意义的益处.
- 没有接受心理干预的儿童和青少年报告说,与接受非CBT治疗的儿童和青少年相比,他们的睡眠正常化更好.
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