J Oral Facial Pain Headache. 2021;35(1):30-34. doi: 10.11607/ofph.2664.
To test the feasibility and acceptability of a customized six-session cognitive behavioral therapy (CBT) group intervention for adults with recurrent trigeminal neuralgia (TN).
Fifteen participants with TN were recruited from a specialist facial pain unit in London, United Kingdom. The effects of the group intervention were evaluated using validated self-report measures, which the participants completed before and after the intervention and at 1-month and 9-month follow-ups. A semi-structured interview was also used at the 1-year follow-up to gather qualitative feedback of the group intervention.
Participants reported an increase in confidence in managing everyday tasks in the presence of TN symptoms, a reduction in negative beliefs about pain, and an increase in engagement in meaningful activity. All patients completed the group intervention (100% retention rate). Qualitative feedback highlighted that the group CBT intervention was helpful, and no participants reported a worsening of mood or experience as a result of the intervention.
The trends for improvement in several domains, plus the positive experiences of the participants, suggest that a CBT management program is acceptable and feasible for this population and should be further developed and implemented on a larger scale to determine its clinical efficacy.
测试针对复发性三叉神经痛（TN）成人的定制六节认知行为疗法（CBT）团体干预的可行性和可接受性。
从英国伦敦的一个面部疼痛专科单位招募了 15 名 TN 患者。使用经过验证的自我报告措施评估团体干预的效果，参与者在干预前后以及 1 个月和 9 个月的随访中完成了这些措施。在 1 年随访时还使用半结构化访谈收集了团体干预的定性反馈。
参与者报告称，在存在 TN 症状的情况下，他们对管理日常任务的信心增强，对疼痛的负面信念减少，参与有意义活动的积极性提高。所有患者都完成了团体干预（保留率 100%）。定性反馈强调团体 CBT 干预是有帮助的，没有参与者报告因干预而导致情绪或体验恶化。
在多个领域的改善趋势，加上参与者的积极体验，表明 CBT 管理方案对于该人群是可接受和可行的，应进一步开发和实施更大规模，以确定其临床疗效。
