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使用基于正念的认知治疗来解决慢性疼痛和自杀风险:理由,设计和基线特征

Lisham Ashrafioun¹, Anna Stephens², Hugh F Crean¹

¹VA Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System, 400 Fort Hill Ave, Canandaigua, NY 14424, United States of America; Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, United States of America.

Contemporary clinical trials

|October 7, 2025

概括

一项新的研究测试了基于正念的疼痛和自杀认知疗法 (MBCT-P/S),用于患有慢性疼痛和自杀念头的退伍军人. 该试验显示了这一新型干预措施的可行性和可接受性.

科学领域:

精神病学是一个精神病学.
临床心理学临床心理学
公共卫生公共卫生

背景情况:

慢性疼痛和自杀风险是重要的公共卫生问题,特别是影响退伍军人.
现有的干预措施往往不能同时解决慢性疼痛和自杀风险.
基于正念的疼痛和自杀认知疗法 (MBCT-P/S) 是一种全新的综合方法.

研究的目的:

评估MBCT-P/S在退伍军人群中的可行性和治疗可接受性.
提供随机临床试验的理由,设计和基线特征的概述.

主要方法:

使用基于证据的共识方法开发了MBCT-P/S的精细版本.
76名患有慢性疼痛和自杀念头的退伍军人被招募并随机分配到MBCT-P/S或健康教育中.
参与者完成了基线评估,计划在1,3个月和6个月后进行后续评估.

主要成果:

基线数据表明,不同样本的退伍军人具有严重的临床特征.
招聘比预期的更快,这表明可行性.
将评估研究保留率和治疗师对MBCT-P/S的忠诚度.

结论:

这项研究为MBCT-P/S更大的疗效试验提供了关键的见解.
数据将告知MBCT-P/S对退伍军人的疼痛和自杀风险结果的影响.
这项研究支持针对复杂的退伍军人健康需求制定有针对性的干预措施.

关键词:

慢性疼痛是一种慢性疼痛.基于正念的认知疗法自杀自杀的自杀是自杀的自杀.退伍军人退伍军人退伍军人

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