纤维肌痛患者的团体心理治疗：一项系统评价。
Group Psychotherapy With Fibromyalgia Patients: A Systematic Review.
作者信息
Temeloğlu Şen Esin, Hocaoğlu Ayla, Sertel Berk Özlem
机构信息
Department of Psychology, İstanbul University, İstanbul, Turkey.
出版信息
Arch Rheumatol. 2019 Jul 31;34(4):476-491. doi: 10.5606/ArchRheumatol.2019.6801. eCollection 2019 Dec.
OBJECTIVES
This review aims to investigate the factors that play a role on the efficacy of group psychotherapy (GP) interventions for fibromyalgia syndrome (FMS).
MATERIALS AND METHODS
We employed a search using keywords group psychotherapy and fibromyalgia in the databases of Scopus, Web of Sciences, CINAHL, BMJ, MEDLINE, ScienceDirect and EBSCOhost.
RESULTS
A total of 30 original studies were identified. These studies, which aimed to improve primary outcomes (POs-pain and fibromyalgia impact) and/or secondary outcomes (SOs-psychosocial), indicated that 15 were conducted in a multidisciplinary (MT) fashion, and the rest were unidimensional as they employed only GPs. Cognitive behavior therapy, which modifies dysfunctional thoughts and accompanying behaviors, was the most utilized psychological intervention. Overall, MTs were only slightly superior to GPs; however, improvements in POs were more frequent than SOs in MTs, and the vice versa in GPs.
CONCLUSION
Although studies varied in various methodological characteristics, the content of the interventions in MTs should be designed to cover the biopsychosocial nature of FMS.
目的
本综述旨在探究对纤维肌痛综合征（FMS）进行团体心理治疗（GP）干预时发挥作用的因素。
材料与方法
我们在Scopus、科学网、护理学与健康领域数据库、英国医学杂志、医学期刊数据库、科学Direct和EBSCOhost数据库中使用关键词“团体心理治疗”和“纤维肌痛”进行检索。
结果
共识别出30项原创研究。这些旨在改善主要结局（POs——疼痛和纤维肌痛影响）和/或次要结局（SOs——心理社会方面）的研究表明，15项是以多学科（MT）方式开展的，其余的是单维度的，因为它们仅采用了团体心理治疗。认知行为疗法可改变功能失调的思维及伴随行为，是最常用的心理干预方法。总体而言，多学科治疗仅略优于团体心理治疗；然而，在多学科治疗中主要结局的改善比次要结局更常见，而在团体心理治疗中情况则相反。
结论
尽管各项研究在各种方法学特征上存在差异，但多学科治疗干预的内容应设计为涵盖纤维肌痛综合征的生物心理社会特性。
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