优化儿童慢性疼痛的心理治疗方法,以提高治疗结果,可用性和可访问性
Melissa Pielech1, Emily A Beckmann2, Hailey Dorsainvil3
1Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, USA.
儿童慢性疼痛的心理治疗方法有希望,但需要提高质量和可访问性. 未来的努力应该优化治疗现实世界的设置,并解决青少年的进入障碍.
科学领域:
- 儿科心理学 儿科心理学
- 疼痛管理 疼痛管理
- 基于证据的实践.
背景情况:
- 儿童慢性疼痛 (CP) 显著影响年轻人,需要有效的干预措施.
- 对于儿科CP的现有心理治疗方法有希望,但质量和可访问性各不相同.
- 迫切需要提高这些治疗方法的质量和可用性.
研究的目的:
- 审查儿童CP的初级基于证据的心理治疗方法.
- 确定未来研究和程序开发的关键领域.
- 提高儿童慢性疼痛心理干预的质量和可获得性.
主要方法:
- 本综述综合了有关儿童慢性疼痛心理治疗的当前文献.
- 专注于开发定制的,基于证据的方法,如认知行为疗法和接受和承诺疗法.
- 确定研究和程序开发的优先事项.
主要成果:
- 对儿科CP的心理治疗的证据是有希望的,但不一致.
- 对于那些最能受益的年轻人来说,治疗往往是无法获得的.
- 关键方向包括优化治疗现实世界的设置和解决访问障碍.
结论:
- 提高儿童慢性疼痛心理治疗的质量和可获得性至关重要.
- 未来的研究必须专注于优化和定制的治疗与最终用户的输入.
- 解决多层次障碍对于增加儿童慢性疼痛基于证据的护理的准入至关重要.
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