Yang Su-Yin, Moss-Morris Rona, McCracken Lance M
King's College London, Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, London SE1 9RT, UK; Pain Management Clinic, Tan Tock Seng Hospital, Singapore 308433.
King's College London, Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, London SE1 9RT, UK.
Pain Res Treat. 2017;2017:6916915. doi: 10.1155/2017/6916915. Epub 2017 Feb 23.
Psychological interventions are increasingly utilising online or mobile phone based platforms to deliver treatment, including that for people with chronic pain. The aims of this study were to develop an adapted form of Acceptance and Commitment Therapy (ACT) for chronic pain in Singapore and to test the feasibility of elements of this treatment delivered via the internet and email. . Thirty-three participants recruited from a tertiary pain management clinic and via the clinic website participated in this program over a period of five weeks with a 3-month follow-up. Treatment outcomes were assessed at three assessment time points. . 90.9% of participants completed the program, with 81.8% reporting high treatment satisfaction. Significant changes in depression, = 3.08, = 0.002 (baseline to posttreatment), = 3.28, = 0.001 (baseline to follow-up), and pain intensity, = 2.15, = 0.03 (baseline to follow-up) were found. Mainly small effect sizes ( = 0.09-0.39) with a moderate effect size ( = 0.51) for depression were found at posttreatment. Clinically meaningful improvement in at least one outcome was demonstrated in 75.8% of participants. . An adaptation of ACT for people with chronic pain in Singapore appears promising. Optimal treatment design and more effective ways to target outcomes and processes measured here are required.
心理干预越来越多地利用基于网络或手机的平台来提供治疗，包括对慢性疼痛患者的治疗。本研究的目的是为新加坡的慢性疼痛患者开发一种适应性形式的接纳与承诺疗法（ACT），并测试通过互联网和电子邮件提供该治疗某些要素的可行性。从一家三级疼痛管理诊所及通过诊所网站招募的33名参与者在五周时间内参与了该项目，并进行了为期3个月的随访。在三个评估时间点对治疗结果进行了评估。90.9%的参与者完成了该项目，81.8%的参与者报告对治疗满意度高。发现抑郁有显著变化，t = 3.08，p = 0.002（基线至治疗后），t = 3.28，p = 0.001（基线至随访），疼痛强度也有显著变化，t = 2.15，p = 0.03（基线至随访）。治疗后主要发现小效应量（d = 0.09 - 0.39），抑郁有一个中等效应量（d = 0.51）。75.8%的参与者在至少一项结果上有临床意义的改善。为新加坡慢性疼痛患者改编的ACT似乎很有前景。需要优化治疗设计以及更有效的方法来针对此处测量的结果和过程。
