八个模块的心理治疗慢性疼痛通过催眠告知心理治疗
David R Patterson1, M Elena Mendoza1
1Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA.
概括
这项研究提出了一种生物心理社会疼痛管理方法,使用催眠,冥想和激励面试. 目标是提高生活满意度和功能,而不仅仅是减少慢性疼痛.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 医学催眠 医学催眠
背景情况:
- 慢性疼痛影响数以百万计的人,导致大量的医疗保健和生产力成本.
- 目前治疗慢性疼痛的医疗干预措施往往不足,阿片类止痛药具有相当大的风险.
- 催眠治疗有望缓解慢性疼痛,但经常被低利用或误用.
研究的目的:
- 讨论以催眠为中心的慢性疼痛管理的生物心理社会模型.
- 提出一种基于证据的多模块心理治疗方法来治疗疼痛.
- 概述一种灵活的,以患者为中心的慢性疼痛治疗策略.
主要方法:
- 一个整合催眠,冥想和激励面试的生物心理社会模型.
- 八个不同的心理治疗模块:评估,激励面试,认知干预,催眠,冥想,活动,心理因素和睡眠.
- 一种灵活的,非线性方法,模块的重点根据患者而异.
主要成果:
- 拟议的模型为慢性疼痛管理提供了一个结构化而又可适应的框架.
- 模块的个性化应用允许量身定制的患者护理.
- 专注于功能改善和生活满意度以及疼痛管理.
结论:
- 结合催眠,冥想和激励面试的生物心理社会方法可以有效地管理慢性疼痛.
- 成功的结果优先考虑增加运动,生产力和生活满意度,而不是完全消除疼痛.
- 这种综合模型提供了一个全面的战略,以改善慢性疼痛患者的生活质量.
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