慢性疼痛的基于正念的干预中磨损率:用元回归进行元分析
Michael Yufeng Wang1, M Prabhavi N Perera2,3, Paul B Fitzgerald2,3
1The School of Translational Medicine (STM), Monash University, Clayton, Victoria, Australia.
The Clinical journal of pain
|November 18, 2025
概括
针对慢性疼痛的基于正念的干预措施的消耗率为30.1%. 更严格的完成标准,在线交付和个人格式增加了参与者退出这些疼痛管理计划的可能性.
科学领域:
- 疼痛管理 疼痛管理
- 行为医学是一种行为医学.
- 心理干预 心理干预
背景情况:
- 基于正念的干预措施 (MBI) 显示了慢性疼痛管理的前景.
- 高消耗率和对可接受性的担忧限制了MBI的有效性.
- 对于MBI,通常需要大量的时间承诺.
研究的目的:
- 为了评估MBI中慢性疼痛的消耗率.
- 为了确定促进参与者退出MBI的疼痛的调节者.
- 评估计划特征对MBI遵守的影响.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括随机对照试验,对照试验和准实验性研究,报告消耗数据.
- 进行了随机效应的比例元分析,元回归和灵敏度分析.
主要成果:
- 在44项研究中,慢性疼痛中MBI的综合消耗率为30.1%.
- 较高的磨损与更严格的完成门有关 (49.7%的>6次会议与18.0%的3-4次会议).
- 在线交付 (51.0%) 和个人格式 (较高的消耗) 显示出比面对面 (25.6%) 和团体格式更大的退出.
结论:
- 慢性疼痛的MBI的磨损率是相当大的和可变的.
- 优化MBI程序结构对于改善坚持和疼痛管理结果至关重要.
- 诸如交付格式和完成要求等因素显著影响参与者保留.
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