Supportive Care Unit, Institut Jules Bordet, Brussels, Belgium.
Curr Opin Oncol. 2013 Jul;25(4):368-72. doi: 10.1097/CCO.0b013e3283621090.
To review relevant studies about psychological interventions among patients with cancer pain.
We used MEDLINE as a source of studies on psychological interventions between January 2012 and December 2012. Most studies were randomized, but there was no homogeneity in terms of psychological intervention types or pain evaluation.
Not all studies with psychological interventions measured pain as a primary outcome; pain was measured inconsistently across studies, pain raters were rarely blinded, few studies carefully described the other treatments (pharmacological or not), and patients were observed for only a limited period of time. Despite these limitations, the positive findings of this review advance support for the importance of psychological interventions on reducing pain among patients with cancer, and for the implementation of quality-controlled psychosocial interventions as part of a multimodal approach to the management of pain.
回顾癌症疼痛患者心理干预的相关研究。
我们使用 MEDLINE 作为 2012 年 1 月至 12 月间心理干预研究的资料来源。大多数研究为随机对照,但心理干预类型或疼痛评估方面缺乏同质性。
并非所有的心理干预研究都将疼痛作为主要结局指标;研究中疼痛的测量不一致,疼痛评估者很少设盲,很少有研究详细描述其他治疗方法(药物或非药物),并且仅对患者进行了有限时间的观察。尽管存在这些局限性,本综述的阳性结果支持心理干预在减轻癌症患者疼痛中的重要性,以及将质量控制的心理社会干预作为疼痛多模式管理的一部分加以实施的重要性。