认知行为疗法可改善慢性肌肉骨骼疼痛患者的生活质量。
The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain.
作者信息
Castro Martha M C, Daltro Carla, Kraychete Durval Campos, Lopes Josiane
机构信息
Centro de Dor do Complexo Universitário Professor Edgard Santos, Universidade Federal da Bahia UFBA, Salvador BA, Brazil.
出版信息
Arq Neuropsiquiatr. 2012 Nov;70(11):864-8. doi: 10.1590/s0004-282x2012001100008.
UNLABELLED
Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life.
OBJECTIVE
To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain.
METHODS
A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment.
RESULTS
When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025).
CONCLUSIONS
The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.
未标注
慢性疼痛会导致功能丧失，并损害个人的情感、社交和经济生活。
目的
研究认知行为疗法（CBT）对一组慢性疼痛患者的疗效。
方法
开展一项随机临床试验，将93例慢性疼痛患者分为两个平行组。48例患者接受CBT治疗，45例继续接受标准治疗。应用视觉模拟评分、医院焦虑抑郁量表和生活质量SF-36量表。在治疗十周前后对患者进行评估。
结果
将对照组与CBT组进行比较时，CBT组的抑郁症状减轻（p = 0.031），在“身体限制”（p = 0.012）、“总体健康状况”（p = 0.045）和“情感方面的限制”（p = 0.025）等领域有所改善。
结论
治疗十周后，与对照组相比，CBT有效且在更多生活质量领域带来了改善。
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