坚持目标:利用接受和承诺疗法,在种族和经济上边缘化的人群中准并发性阿片类药物使用障碍和慢性疼痛
Yash Bhambhani1, Laurie Gallo1, Emily O McNamara2
1Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, 10467, USA.
概括
这项研究开发了一本接受和承诺治疗手册,用于治疗并发性阿片类药物使用障碍和慢性疼痛,重点关注边缘化人口. 该手册整合了创伤知情护理和减少伤害,以改善心理健康.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 和慢性疼痛 (CP) 经常同时发生,导致严重的残疾和死亡率.
- 伴随性OUD和CP的治疗受到高退学率和同时出现的精神疾病的挑战.
- 像接受和承诺疗法 (ACT) 这样的现有干预措施显示出希望,但缺乏对这种特定的共同疾病人口的系统评估,特别是在边缘化群体中.
研究的目的:
- 描述一个新的ACT干预手册的开发,该手册是针对OUD和CP并发症患者而定制的.
- 将跨诊断原则,创伤知情护理,文化谦逊和减少伤害纳入手册.
- 为经济和种族边缘化的患者群体创建可扩展和可访问的治疗资源.
主要方法:
- 使用干预映射方法系统地开发ACT治疗手册.
- 综合核心ACT原则,包括针对阿片类药物使用,慢性疼痛和心理健康的具体模块.
- 在整个手册的设计中,整合了创伤知情护理,文化谦卑和减少伤害的策略.
主要成果:
- 开发了一个全面的ACT手册,包含九个可扩展的技能.
- 该手册强调了有价值的生活和心理健康,以及有针对性的OUD和CP干预措施.
- 该手册旨在具有文化敏感性,并可供代表性不足的人口群体使用.
结论:
- 开发的ACT手册提供了一种新的,综合的方法来治疗并发性OUD和CP.
- 该干预专门为边缘化群体设计,并以他们为中心,解决了关键的护理差距.
- 目前正在进行的临床试验正在评估该手册的有效性,并提供免费可用的资源.
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