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慢性疼痛管理中的认知疗法更新:全面综述。

An Update on Cognitive Therapy for the Management of Chronic Pain: a Comprehensive Review.

机构信息

Department of Anesthesia, Beth Israel Deaconess Medical Center, Critical Care, and Pain Medicine, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Phoenix Regional Campus, Creighton University School of Medicine, Phoenix, AZ, USA.

出版信息

Curr Pain Headache Rep. 2019 Jul 10;23(8):57. doi: 10.1007/s11916-019-0794-9.

Abstract

PURPOSE OF REVIEW

Psychological approaches to the management of chronic pain have proven to be very effective in allowing patients to better manage their symptoms and with overall functioning.

RECENT FINDINGS

Cognitive functional therapy (CFT) is centered on a three-step process, beginning with cognitive training, then progressing to functional movement training and exposure with control, and ending with physical activity and lifestyle changes. Cognitive behavioral therapy (CBT) as a technique focuses on identifying and changing maladaptive behaviors, thought patterns, and situations that contribute to psychiatric dysfunction, which may lead to further progression of pain. The purpose of this review is to provide a comprehensive update of recent advances in the use of both CFT and CBT for the management of chronic pain conditions.

摘要

目的综述

心理方法在慢性疼痛的管理中已被证明非常有效,可以帮助患者更好地控制症状和整体功能。

最近的发现

认知功能疗法(CFT)以三步过程为中心,首先进行认知训练,然后进展到功能性运动训练和暴露控制,最后进行体育活动和生活方式的改变。认知行为疗法(CBT)作为一种技术,专注于识别和改变导致精神功能障碍的不良行为、思维模式和情况,这可能导致疼痛进一步加重。本综述的目的是提供 CFT 和 CBT 在慢性疼痛管理中的最新进展的综合更新。

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