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从临床到实验室(再回到临床)——呼吁开展实验室研究以优化疼痛的认知行为治疗。

From the clinic to the lab (and back)-a call for laboratory research to optimize cognitive behavioural treatment of pain.

机构信息

Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.

出版信息

Transl Behav Med. 2012 Mar;2(1):102-5. doi: 10.1007/s13142-011-0083-6.

DOI:10.1007/s13142-011-0083-6
PMID:24073100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3717810/
Abstract

Cognitive behavioural therapy (CBT) is the dominant psychological treatment for chronic pain. CBT covers a mixture of aims and a broad range of techniques, including attentional control, modification of maladaptive beliefs and coping strategies and flexible goal setting and acceptance. Patients are exposed to varying selections of these strategies, and a major challenge for clinical practice is to determine what works for whom in which context. We propose that incorporating laboratory research into translational behaviour medicine is a critical developmental step that will help optimizing CBT and provide examples of representative experimental research programs.

摘要

认知行为疗法(CBT)是慢性疼痛的主要心理治疗方法。CBT 涵盖了一系列目标和广泛的技术,包括注意力控制、不良信念和应对策略的修正以及灵活的目标设定和接受。患者接受这些策略的不同选择,临床实践的主要挑战是确定在何种情况下对哪些患者有效。我们认为,将实验室研究纳入转化行为医学是一个关键的发展步骤,这将有助于优化 CBT,并提供代表性实验研究计划的范例。

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Clin J Pain. 2012 Jul;28(6):475-83. doi: 10.1097/AJP.0b013e3182385392.
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No pain no gain? Pursuing a competing goal inhibits avoidance behavior.不劳无获?追求竞争目标会抑制回避行为。
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Distraction from pain and executive functioning: an experimental investigation of the role of inhibition, task switching and working memory.从疼痛和执行功能中分心:对抑制、任务转换和工作记忆作用的实验研究。
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Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy.基于接纳与承诺疗法的跨学科团体慢性疼痛治疗中心理灵活性变化的过程。
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Attempts to control pain prioritize attention towards signals of pain: an experimental study.试图控制疼痛会优先关注疼痛信号:一项实验研究。
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