Lanzaro Camile, Carvalho Sérgio A, Lapa Teresa A, Valentim Ana, Gago Bruno
Centro Hospitalar e Universitário de Coimbra (Portugal).
Universidade de Coimbra (Portugal).
Span J Psychol. 2021 Apr 12;24:e26. doi: 10.1017/SJP.2021.22.
Chronic pain (CP) is a common condition affecting millions of people worldwide. Compassion-related interventions are proving to be advantageous in CP, and self-compassion (SC) is hypothesized to be related with pain regulation physiological processes, as well as with psychological benefits in CP. We aimed to review scientific literature on: 1) Compassion-based psychological interventions and their changes in pain outcomes; and 2) associations between SC and pain-related outcomes. We performed a systematic research in four electronic databases: MEDLINE, EMBASE, PsycINFO and the Cochrane Library from inception until April 2020. In Question 1, we included studies involving adult patients with CP who participated in compassion-based psychological interventions. In Question 2, we included studies that examined the associations between SC and pain outcomes in adults with CP. We identified 16 studies. For Question 1, we included seven studies focused on different compassion-based interventions that assessed at least one pain outcome, in a total of 253 participants with CP associated with multiple conditions. For Question 2, we included nine studies, in a total of 1,430 participants, with eight different pain outcomes: Intensity, acceptance, catastrophizing, self-efficacy, disability, distress, pain related coping and anxiety. Considering the high heterogeneity between studies and the poor-quality assessment, we could not draw definitive conclusions on the efficacy of compassion-based interventions nor on the association between SC and pain outcomes. Studies are further discussed in detail. This review can be a starting point for large-scale and high-quality trials in this area as it provides an organized overview of the current literature on this topic.
慢性疼痛（CP）是一种常见病症，影响着全球数百万人。事实证明，与同情相关的干预措施对慢性疼痛有益，并且自我同情（SC）被认为与疼痛调节生理过程以及慢性疼痛中的心理益处有关。我们旨在综述关于以下方面的科学文献：1）基于同情的心理干预措施及其在疼痛结果方面的变化；2）自我同情与疼痛相关结果之间的关联。我们在四个电子数据库中进行了系统检索：MEDLINE、EMBASE、PsycINFO和Cochrane图书馆，检索时间从建库至2020年4月。在问题1中，我们纳入了涉及成年慢性疼痛患者并参与基于同情的心理干预措施的研究。在问题2中，我们纳入了研究成年慢性疼痛患者自我同情与疼痛结果之间关联的研究。我们共识别出16项研究。对于问题1，我们纳入了7项聚焦于不同基于同情的干预措施的研究，这些研究评估了至少一项疼痛结果，共有253名患有多种病症的慢性疼痛参与者。对于问题2，我们纳入了9项研究，共有1430名参与者，涉及8种不同的疼痛结果：强度、接受度、灾难化、自我效能感、残疾、痛苦、疼痛相关应对方式和焦虑。考虑到研究之间的高度异质性以及质量评估较差，我们无法就基于同情的干预措施的疗效以及自我同情与疼痛结果之间的关联得出明确结论。将对各项研究进行进一步详细讨论。本综述可作为该领域大规模高质量试验的起点，因为它对该主题的当前文献进行了有条理的概述。
