在线辩证行为疗法治疗慢性疼痛患者情绪失调:一项随机临床试验
Nell Norman-Nott1,2, Nancy E Briggs3, Negin Hesam-Shariati1,2
1NeuroRecovery Research Hub, School of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
JAMA network open
|May 6, 2025
概括
与标准护理相比,慢性疼痛的在线辩证行为疗法 (iDBT-Pain) 在患有慢性疼痛的成年人中显著改善了情绪调节. 这种可访问的干预提供了一种有希望的方法来管理慢性疼痛及其心理影响.
科学领域:
- 心理学 心理学 心理学
- 行为医学是一种行为医学.
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛影响着数以百万计的人,经常与情绪失调同时发生,影响治疗的有效性.
- 目前的慢性疼痛治疗方法并非全方位可用,也可能无法充分解决情绪因素.
- 需要在慢性疼痛群体中针对情绪调节的可访问干预措施.
研究的目的:
- 为了评估在线辩证行为治疗治疗慢性疼痛 (iDBT-疼痛) 干预的有效性.
- 为了比较iDBT-疼痛加常规治疗 (TAU) 与TAU单独改善慢性疼痛患者的情绪失调.
主要方法:
- 一个双臂随机临床试验,于2023年3月至2024年9月在澳大利亚进行.
- 患有慢性疼痛 (持续时间≥3个月,疼痛强度≥3/10) 的参与者被随机分配 (1:1) 接受9周的iDBT-Pain或TAU.
- 情绪调节障碍在9周时使用情绪调节困难量表进行评估.
主要成果:
- 89名参与者 (平均年龄为51.5岁,83%为女性) 被随机分类.
- 与TAU组相比,iDBT-Pain组在9周后显示出情绪失调的统计显著减少 (平均差异 -4.88,P=.03).
- 这项干预显示了中等效果大小 (科恩d=-0.46).
结论:
- 慢性疼痛的在线辩证行为治疗 (iDBT-Pain) 是一种有效的干预措施,用于改善慢性疼痛患者的情绪失调.
- 混合方法,将自我学习与治疗师指导相结合,提供了一个可扩展和可访问的治疗选择.
- 研究结果支持将以情绪调节为重点的干预措施纳入慢性疼痛管理策略.
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