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.
Biomed Res Int. 2020 Nov 3;2020:5076516. doi: 10.1155/2020/5076516. eCollection 2020.
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.
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.
Main groups of methods, disorders in which they are being employed and their effectiveness, have been identified.
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.
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。
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。
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。
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。