Kennedy Susan, O'Higgins Siobhan, Sarma Kiran, Willig Carla, McGuire Brian E
Brothers of Charity Services, Galway, Ireland.
BMC Womens Health. 2014 Sep 8;14:107. doi: 10.1186/1472-6874-14-107.
Menstrual pain which is severe enough to impact on daily activities is very common amongst menstruating females. Research suggests that menstrual pain which impacts on daily functioning may be even more prevalent amongst those with intellectual disabilities. Despite this, little research attention has focused on pain management programmes for those with intellectual disabilities.The aims of this pilot study were to develop and evaluate a theory-based cognitive behavioural therapy (CBT) programme for menstrual pain management in young women with intellectual disabilities.
METHODS/DESIGN: The study utilised a mixed methods controlled clinical trial to evaluate elements from a CBT programme called Feeling Better (McGuire & McManus, 2010). The Feeling Better programme is a modular, manualised intervention designed for people with an intellectual disability and their carers. The programme was delivered to 36 young women aged 12-30 years who have a Mild-Moderate Intellectual Disability, split between two conditions. The treatment group received the Feeling Better intervention and the control group received treatment as usual. To evaluate the effectiveness of the programme, measures were taken of key pain variables including impact, knowledge, self-efficacy and coping. Process evaluation was conducted to examine which elements of the programme were most successful in promoting change.
Participants in the intervention group were expected to report the use of a greater number of coping strategies and have greater knowledge of pain management strategies following participation in the intervention and at three month follow-up, when compared to control group participants. A significant advantage of the study was the use of mixed methods and inclusion of process evaluation to determine which elements of a cognitive behavioural therapy programme work best for individuals with intellectual disabilities.
Current Controlled Trials ISRCTN75567759.
严重到影响日常活动的痛经在经期女性中非常常见。研究表明，影响日常功能的痛经在智障女性中可能更为普遍。尽管如此，很少有研究关注针对智障人士的疼痛管理项目。这项试点研究的目的是开发并评估一种基于理论的认知行为疗法（CBT）项目，用于智障年轻女性的痛经管理。
方法/设计：该研究采用混合方法对照临床试验，以评估一个名为“感觉更好”（麦圭尔和麦克马纳斯，2010年）的CBT项目的各个要素。“感觉更好”项目是一个模块化的、手册化的干预措施，专为智障人士及其照顾者设计。该项目面向36名年龄在12至30岁之间、患有轻度至中度智障的年轻女性实施，分为两种情况。治疗组接受“感觉更好”干预，对照组接受常规治疗。为了评估该项目的有效性，对包括影响、知识、自我效能和应对在内的关键疼痛变量进行了测量。进行了过程评估，以检查该项目的哪些要素在促进改变方面最成功。
预计干预组的参与者在参与干预后以及在三个月的随访时，与对照组参与者相比，会报告使用更多的应对策略，并且对疼痛管理策略有更多的了解。该研究的一个显著优势是使用了混合方法，并纳入了过程评估，以确定认知行为疗法项目的哪些要素对智障人士最有效。
当前对照试验ISRCTN75567759。
