在慢性疼痛和阿片类药物滥用中通过以正念为导向的恢复增强增强提高整体感知意识
Anna Parisi1, Lisa Taylor-Swanson2, Jennifer L Stewart3
1Department of Social Work, George Mason University, MSN IF8, 4400 University Drive, Fairfax, VA 22030, USA.
Drug and alcohol dependence
|June 7, 2025
概括
患有慢性疼痛的人滥用阿片类药物具有较低的感知意识. 像MORE这样的基于正念的干预措施提高了意识,减少了阿片类药物滥用,并将其作为关键干预目标.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
背景情况:
- 药物使用障碍与改变的感知意识有关.
- 目前尚不清楚慢性疼痛患者滥用阿片类药物是否表现出类似的感觉缺陷.
- 调查基于正念治疗的潜力,以减少阿片类药物滥用在这个人群中至关重要.
研究的目的:
- 为了检查慢性疼痛患者滥用阿片类药物的整体感知意识.
- 评估基于正念的干预对整体感知意识和阿片类药物滥用的影响.
- 为了确定增强的整感觉意识是否会减少阿片类药物滥用.
主要方法:
- 在阿片类药物治疗中,有372名患有慢性疼痛的参与者完成了基线评估,包括间接意识的多维评估 (MAIA) 和当前阿片类药物滥用措施 (COMM).
- 250名阿片类药物滥用高风险的参与者被随机分配到为期8周的正念导向恢复增强 (MORE) 计划或支持性小组 (SG) 心理治疗中.
- 通过9个月的随访,MAIA和COMM被重新评估.
主要成果:
- 较低的基线MAIA注意力调节和信任得分与较高的阿片类药物滥用相关,独立于疼痛严重程度.
- 与SG相比,MORE计划显著提高了MAIA总和子级分数.
- 通过MORE提高整体感知意识,在9个月内减少了阿片类药物滥用.
结论:
- 慢性疼痛患者滥用阿片类药物表明,与使用阿片类药物按规定的人相比,他们的感知意识降低了.
- 基于正念的干预措施,就像MORE一样,可以增强整感觉意识.
- 提高整感觉意识是减少滥用阿片类止痛药的可行治疗目标.
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