Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castellón de la Plana, Spain.
PROMOSAM Excellence in Research Program (PSI2014-56303-REDT), MINECO, Valencia, Spain.
Pain Med. 2018 Jul 1;19(7):1451-1468. doi: 10.1093/pm/pnx298.
Previous studies have demonstrated the effects of positive psychological factors on pain adjustment. Specifically, optimism has been linked to better physical functioning and less psychological distress. Until recently, these beneficial effects have mostly been examined in correlational studies or laboratory settings. The aim of this study was to test the efficacy of the Best Possible Self intervention using information and communication technologies with fibromyalgia patients.
Seventy-one patients were randomly allocated to the Best Possible Self intervention or a Daily Activities control condition. The Best Possible Self intervention used an interactive multimedia system with the support of an Internet platform to practice the guided imagery exercise online.
Intent-to-treat analyses showed that, compared with the control condition, Best Possible Self patients showed significant improvements in depression, positive affect, and self-efficacy at postintervention. Moreover, at three-month follow-up, patients who received the intervention improved their optimism and negative affect significantly more than participants in the control condition.
This study shows how a technology-supported intervention aimed at augmenting positive affect and promoting positive functioning works in the case of fibromyalgia, expanding the intervention's efficacy data in clinical populations and adding knowledge about the role that positive psychological factors play in pain experience. Moreover, it demonstrates the specific effects of the Best Possible Self intervention in order to incorporate this exercise in pain treatment protocols.
先前的研究已经证实了积极心理因素对疼痛调节的影响。具体而言，乐观与更好的身体功能和更少的心理困扰有关。直到最近，这些有益的影响主要在相关研究或实验室环境中进行了检验。本研究的目的是测试使用信息和通信技术对纤维肌痛患者进行最佳自我干预的效果。
71 名患者被随机分配到最佳自我干预或日常活动对照组。最佳自我干预使用具有互联网平台支持的互动多媒体系统在线练习引导想象练习。
意向治疗分析表明，与对照组相比，最佳自我组患者在干预后抑郁、积极情绪和自我效能感方面有显著改善。此外，在三个月的随访中，接受干预的患者在乐观和消极情绪方面的改善明显优于对照组的参与者。
这项研究展示了一种旨在增强积极情绪和促进积极功能的技术支持干预如何在纤维肌痛病例中发挥作用，扩展了该干预在临床人群中的疗效数据，并增加了关于积极心理因素在疼痛体验中所起作用的知识。此外，它还证明了最佳自我干预的具体效果，以便将此练习纳入疼痛治疗方案。
