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行为医学方法在躯体疾病治疗中的应用。

Behavioral Medicine Methods in Treatment of Somatic Conditions.

机构信息

Department of Psychology, Sociology of Health and Public Health. School of Public Health, Collegium Medicum, University of Warmia and Mazury, Clinical University Hospital in Olsztyn, 10-900 Olsztyn, Poland.

Institute of Psychology, Polish Academy of Sciences, Jaracza 1, 00-378 Warsaw, Poland.

出版信息

Biomed Res Int. 2020 Nov 3;2020:5076516. doi: 10.1155/2020/5076516. eCollection 2020.

DOI:10.1155/2020/5076516
PMID:33204700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7655248/
Abstract

BACKGROUND

The aim of this article is to present a short review of noninvasive, nonpharmacological treatment methods used in somatic illnesses that fall under the umbrella of approach called behavioral medicine.

METHODS

The narrative review method was applied in the study. Science paper databases, including PubMed, had been used to retrieve papers on therapeutic methods used in clinical setting that meet the broad criteria of behavioral medicine definition as stated in the Charter of International Behavioral Medicine Society.

RESULTS

Main groups of methods, disorders in which they are being employed and their effectiveness, have been identified.

CONCLUSIONS

Behavioral medicine is grouping treatment methods and interventions that hold large potential for clinical setting. Two groups of methods can be distinguished by the scrutiny and level of evidence gathered in their effectiveness assessment; for biofeedback, guided imagery, and hypnosis techniques, comprehensive evidence reports in the framework of U.S. Evidence Synthesis Program exist. Meditation techniques, disclosure therapies, and relaxation methods are less well assessed. Broader employment of behavioral medicine therapies in clinical setting is possible after addressing two major problems in the field, which are deficiencies in quality evidence of effectiveness for many of the methods and their insufficiencies in underlying therapeutic mechanism knowledge.

摘要

背景

本文旨在对行为医学领域中用于治疗躯体疾病的非侵入性、非药物治疗方法进行简要综述。

方法

本研究采用叙述性综述方法。检索了包括 PubMed 在内的科学文献数据库,以获取符合国际行为医学学会章程中行为医学定义的临床治疗方法的相关论文。

结果

确定了主要的治疗方法类别、应用于何种疾病以及其有效性。

结论

行为医学将具有临床应用潜力的治疗方法和干预措施进行了分类。可根据对其有效性评估的严格程度和证据水平对两种方法进行区分;美国循证计划框架内存在针对生物反馈、意象引导和催眠技术的全面证据报告。而冥想技术、披露疗法和放松方法的评估则相对较少。在解决该领域的两个主要问题之后,行为医学疗法在临床中的更广泛应用是可行的,这两个问题是:许多方法的有效性证据质量不足,以及治疗机制知识不足。

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本文引用的文献

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Hypnosis, anesthesia, pain management, and preparation for medical procedures.催眠、麻醉、疼痛管理以及医疗程序准备。
Ann Palliat Med. 2019 Sep;8(4):498-503. doi: 10.21037/apm.2019.07.01. Epub 2019 Jul 22.
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Efficacy of Biofeedback for Medical Conditions: an Evidence Map.生物反馈疗法对医疗状况的疗效:证据图谱。
J Gen Intern Med. 2019 Dec;34(12):2883-2893. doi: 10.1007/s11606-019-05215-z. Epub 2019 Aug 14.
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The Effectiveness of a Brief Psychological Intervention for Patients with Diabetes-Related Distress.一种针对糖尿病相关困扰患者的简短心理干预的有效性
Indian J Psychol Med. 2019 Jul-Aug;41(4):357-361. doi: 10.4103/IJPSYM.IJPSYM_455_18.
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Standards for economic analyses of interventions for the field of health psychology and behavioral medicine.健康心理学和行为医学领域干预措施经济分析的标准。
Health Psychol. 2019 Aug;38(8):669-671. doi: 10.1037/hea0000770.
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Update on current and emerging therapies for dystonia.肌张力障碍的现有及新出现治疗方法的最新进展
Neurodegener Dis Manag. 2019 Jun;9(3):135-147. doi: 10.2217/nmt-2018-0047. Epub 2019 May 22.
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Galvanic Skin Response (GSR)/Electrodermal/Skin Conductance Biofeedback on Epilepsy: A Systematic Review and Meta-Analysis.基于皮肤电反应(GSR)/皮电反应/皮肤电导的癫痫生物反馈:系统评价与荟萃分析
Front Neurol. 2019 Apr 24;10:377. doi: 10.3389/fneur.2019.00377. eCollection 2019.
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Behavioral Medicine: a retro/prospective view of the field.行为医学:该领域的回顾/展望。
J Behav Med. 2019 Feb;42(1):5-11. doi: 10.1007/s10865-018-9960-5. Epub 2019 Mar 1.
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Autonomic biofeedback therapy in epilepsy.癫痫的自主神经生物反馈疗法。
Epilepsy Res. 2019 Jul;153:76-78. doi: 10.1016/j.eplepsyres.2019.02.005. Epub 2019 Feb 20.
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Efficacy of psychological treatment for headache disorder: a systematic review and meta-analysis.心理治疗头痛障碍的疗效:系统评价和荟萃分析。
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The effectiveness of progressive muscle relaxation and interactive guided imagery as a pain-reducing intervention in advanced cancer patients: A multicentre randomised controlled non-pharmacological trial.渐进性肌肉松弛和互动引导想象在晚期癌症患者中作为减轻疼痛的干预措施的有效性:一项多中心随机对照非药物试验。
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