干预任务的其他重要支持和障碍:改善健康和福祉的干预措施的影响
Alyssa N Van Denburg1, Laura S Porter2, Tamara J Somers2
1Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, US.
Couple & family psychology
|September 2, 2025
概括
通过应对疼痛技能培训 (PCST) 提高慢性疼痛管理的自我有效性. 虽然支持和阻碍没有影响技能使用,但接受支持的骨关节炎患者对疼痛管理的信心增强.
科学领域:
- 行为医学
- 心理学
- 康复科学
背景情况:
- 疼痛应对技能培训 (PCST) 是慢性疼痛的主要行为干预措施.
- 成功的PCST需要将技能融入日常生活,受社会环境的影响.
- 社会支持和障碍对PCST有效性的影响尚不完全理解.
研究的目的:
- 评估来自重要人的社会支持和障碍对骨关节炎患者PCST结果的影响.
- 检查预期/接受的社会因素与技能使用,疼痛强度和自我效能之间的关系.
主要方法:
- 55名患有关节或膝关节关节炎的参与者接受了基于互联网的8次PCST课程.
- 一项新的措施评估了干预任务的社会支持和障碍.
- 层次回归分析检查了与技能使用,疼痛和自我效能的关联.
主要成果:
- 参与者期望得到的支持超过了他们得到的支持.
- 较低的预期障碍与收到的障碍较少相关.
- 预期和收到的支持/阻碍没有预测技能使用或疼痛强度/干扰的变化.
- 获得的支持与疼痛管理的自我有效性显著增加有关.
结论:
- 获得的社会支持有助于提高OA疼痛管理的自我有效性.
- 对于PCST的心理效益来说,社会背景,特别是所获得的支持, 起着至关重要的作用.
- 进一步的研究应该在行为疼痛干预中优化社会支持.
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