治疗慢性疼痛的数字接受和承诺疗法:随机对照有效性试验的结果
Deutsches Arzteblatt international
|January 29, 2026
概括
HelloBetter慢性疼痛,一个在线接受和承诺治疗计划,显著减少了慢性疼痛患者的疼痛干扰和抑郁症状. 这些改善持续了长达12个月,提供了有效的慢性疼痛管理.
科学领域:
- 数字健康数字健康
- 心理治疗 心理治疗
- 慢性疼痛管理 慢性疼痛管理
背景情况:
- 对慢性疼痛的传统治疗方法的获取有限.
- 接受和承诺疗法 (ACT) 显示出作为认知行为疗法 (CBT) 的延伸的前景.
- 在德国临床样本中对基于ACT的在线程序"HelloBetter慢性疼痛"的评估.
研究的目的:
- 评估HelloBetter慢性疼痛在线计划的有效性.
- 为了比较基于ACT的干预与通常待遇的对照组.
- 评估该计划对疼痛干扰,抑郁和生活质量的影响.
主要方法:
- 随机,受控,调查者盲目的试验,包括360名慢性疼痛患者.
- 干预组在治疗师的支持下接受了7个单位的HelloBetter慢性疼痛计划.
- 对照组接受了通常的待遇 (等待名单).
- 主要终点:通过12周的多维疼痛清单测量疼痛干扰.
- 使用线性回归 (治疗意图) 的有效性分析.
主要成果:
- 与12周后的对照组相比,干预组的疼痛干扰得分明显较低 (d = 0.69).
- 在干预组中减少了抑郁症状 (d = 0.40) 和改善了与健康有关的生活质量 (d = -0.23).
- 在干预后6个月和12个月观察到持续的积极效应.
结论:
- 慢性疼痛有效地减少与疼痛相关的损伤到临床相关的程度.
- 该计划可持续地缓解整体症状,改善生活质量.
- 在线ACT干预可以促进基于指南的慢性疼痛患者的护理.
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