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心理干预后多发性硬化症的症状变化:一项系统综述

Symptom changes in multiple sclerosis following psychological interventions: a systematic review.

作者信息

Pagnini Francesco, Bosma Colin M, Phillips Deborah, Langer Ellen

机构信息

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

Niguarda Ca' Granda Hospital, Milan, Italy.

出版信息

BMC Neurol. 2014 Nov 30;14:222. doi: 10.1186/s12883-014-0222-z.

Abstract

BACKGROUND

Multiple Sclerosis is a disease of the central nervous system involving a variety of debilitating physical, sensory, cognitive and emotional symptoms. This literature review evaluated the impact of psychological interventions on the physiological symptoms associated with the illness.

METHODS

A systematic literature search was conducted using Medline, PsycINFO, Scopus, and the Cochrane Library databases, as well as reference lists. Relevant studies were selected and assessed according to a preset protocol.

RESULTS

The search produced 220 articles, with 22 meeting inclusion criteria for the review. A total of 5,705 subjects with Multiple Sclerosis were analyzed. Results from the included studies indicate a general improvement in both psychological and physiological outcomes following psychological treatment. The most highly influenced physical symptoms include fatigue, sleep disturbances, pain, and physical vitality.

CONCLUSIONS

Findings from the review suggest a positive relationship between psychological interventions and physiological Multiple Sclerosis symptoms. Implications for future research are discussed.

摘要

背景

多发性硬化症是一种中枢神经系统疾病,会出现各种使人衰弱的身体、感觉、认知和情绪症状。本文献综述评估了心理干预对与该疾病相关的生理症状的影响。

方法

使用Medline、PsycINFO、Scopus和Cochrane图书馆数据库以及参考文献列表进行系统的文献检索。根据预设方案选择并评估相关研究。

结果

检索产生了220篇文章,其中22篇符合该综述的纳入标准。总共分析了5705名患有多发性硬化症的受试者。纳入研究的结果表明,心理治疗后心理和生理结果总体上有所改善。受影响最大的身体症状包括疲劳、睡眠障碍、疼痛和身体活力。

结论

综述结果表明心理干预与多发性硬化症生理症状之间存在正相关关系。讨论了对未来研究的启示。

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