以正念为导向的恢复增强用于缓解癌症疼痛:试点随机对照试验
Karolina L Bryl1, Adam W Hanley2, Raymond E Baser3
1Integrative Medicine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 321 East 61st Street, New York, NY, 10065, USA.
Journal of pain and symptom management
|January 6, 2026
概括
以正念为导向的恢复增强 (MORE) 是癌症幸存者经历慢性疼痛的可行和可接受的干预措施. 这项试点研究表明,MORE可以有效地减少疼痛干扰和严重程度,提供一种新的治疗途径.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 心理社会干预 心理社会干预
背景情况:
- 慢性疼痛在癌症幸存者中普遍存在,并且未得到充分治疗.
- 目前的治疗方法有局限性,需要新的干预措施.
- 以正念为导向的恢复增强 (MORE) 是有前途的,但尚未在这个人群中进行研究.
研究的目的:
- 在癌症幸存者中评估MORE的可行性和可接受性.
- 探索MORE对疼痛干扰和严重性的初步疗效.
- 评估不同格式的MORE对潜在的剂量反应影响.
主要方法:
- 试点随机对照试验与60名癌症幸存者中等至重度疼痛.
- 随机化到三个MORE格式 (16,8,2小时) 或等待列表控制.
- 通过入学/完成率评估可行性;通过坚持/满意度评估可接受性;通过疼痛措施评估有效性.
主要成果:
- 高可行性 (70.6%的入学率,91%的完成率) 和可接受性 (高坚持,满意度).
- 所有的MORE格式显示,与基线相比,疼痛干扰和严重程度显著降低.
- 观察到一种剂量反应效应,所有格式都显示出有效性.
结论:
- MORE是癌症幸存者慢性疼痛的可行和可接受的干预措施.
- 初步证据表明,MORE在减少疼痛干扰和严重性的有效性.
- 需要进一步的研究来证实这些发现,并优化MORE的交付.
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