Graham Christopher D, Simmons Zachary, Stuart Simon R, Rose Michael R
NHS Lothian, Department of Clinical Neuropsychology, Astley Ainslie Hospital, Edinburgh, United Kingdom, EH9 2HL.
Department of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Teviot Place, Edinburgh, United Kingdom.
Muscle Nerve. 2015 Jul;52(1):131-6. doi: 10.1002/mus.24487. Epub 2015 May 28.
Quality of life (QoL) and mood are reduced in many patients with muscle disorders. Psychological variables appear to be contributors to both QoL and mood, suggesting that psychological interventions could improve these outcomes, yet research in this area is sparse. We review the roles of psychological variables, plus context and disease severity, in explaining QoL. A cognitive-behavioral model of disease self-management, with acceptance as the central component, is discussed. This model is then used to describe how psychological interventions derived from cognitive behavioral therapy (CBT), in particular Acceptance and Commitment Therapy (ACT), might be applied to address the issues of distress, nonadherence to treatments, pain, and fatigue in people with muscle disorders.
许多肌肉疾病患者的生活质量（QoL）和情绪都有所下降。心理变量似乎是影响生活质量和情绪的因素，这表明心理干预可能会改善这些结果，但该领域的研究却很少。我们回顾了心理变量以及背景和疾病严重程度在解释生活质量方面的作用。文中讨论了以接纳为核心组成部分的疾病自我管理认知行为模型。然后，该模型被用于描述如何应用源自认知行为疗法（CBT），特别是接纳与承诺疗法（ACT）的心理干预措施，来解决肌肉疾病患者的痛苦、不依从治疗、疼痛和疲劳等问题。
