了解为何认知行为疗法对青少年纤维肌痛患者是一种有效的治疗方法。
Understanding why cognitive-behavioral therapy is an effective treatment for adolescents with juvenile fibromyalgia.
作者信息
Sil Soumitri, Kashikar-Zuck Susmita
机构信息
Division of Behavioral Medicine & Clinical Psychology, Cincinnat Children's Hospital Medical Center, Cincinnat, OH 45229, USA.
Division of Behavioral Medicine & Clinical Psychology, Cincinnat Children's Hospital Medical Center, Cincinnat, OH 45229, USA ; Department of Pediatrics, University of Cincinnat College of Medicine, Cincinnat, OH, USA.
出版信息
Int J Clin Rheumtol. 2013 Apr 1;8(2). doi: 10.2217/IJR.13.3.
Recent studies have demonstrated that cognitive-behavioral therapy (CBT) is an effective treatment for children and adolescents with juvenile fibromyalgia. Unfortunately, the specific psychological changes that occur during treatment that explain why CBT works are not well understood. Historically, the increased use of specific coping strategies learned during CBT was thought to be the primary reason for why CBT was effective. However, evidence to support the notion that increases in adaptive coping directly lead to patient improvement is minimal. Instead, a growing number of studies in adults suggest that CBT results in more global changes of psychological perceptions of the pain itself (cognitive appraisals) and one's ability to manage the pain. This report discusses the role of coping and aspects of cognitive appraisal as potential psychological changes that explain CBT-related improvements for youths with juvenile fibromyalgia.
最近的研究表明，认知行为疗法（CBT）是治疗青少年纤维肌痛的有效方法。不幸的是，对于治疗过程中发生的能解释CBT为何有效的具体心理变化，人们还了解得不够透彻。从历史上看，人们认为在CBT过程中学到的特定应对策略使用增加是CBT有效的主要原因。然而，支持适应性应对增加直接导致患者病情改善这一观点的证据微乎其微。相反，越来越多针对成年人的研究表明，CBT会导致对疼痛本身的心理认知（认知评估）以及个人应对疼痛能力发生更全面的变化。本报告讨论了应对的作用以及认知评估的各个方面，这些都是可能解释CBT对青少年纤维肌痛患者病情改善情况的潜在心理变化。
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