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正念认知疗法对慢性疼痛的影响:一项多中心研究。

Effects of Mindfulness-Based Cognitive Therapy for Chronic Pain: A Multicenter Study.

机构信息

Sexual and Reproductive Health Unit, Novelda Health Center, 03660 Alicante, Spain.

Child-Youth Mental Health Unit, Can Misses Hospital, 07800 Ibiza, Spain.

出版信息

Int J Environ Res Public Health. 2021 Jun 29;18(13):6951. doi: 10.3390/ijerph18136951.

DOI:10.3390/ijerph18136951
PMID:34209604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8297331/
Abstract

The prevalence of chronic pain in Spain is 15%. The objective of this study was to evaluate the efficacy of mindfulness-based cognitive therapy on patients with chronic pain. A quasi-experimental design of repeated measures pre- and post-test ( = 57) was carried out at three hospitals from the province of Alicante. Self-reported assessment measurements of pain intensity, anxiety-depression symptoms, perception of health status, interference of pain on sleep, self-efficacy in pain, acceptance, and mindfulness attitude were included. The T-test indicates significant differences in intensity of present pain, mental quality of life, and depression (medium effect sizes), as well as in self-efficacy: total score, symptom management and pain control (medium effect sizes), sleep disturbances and quantity of sleep (large effect sizes). MBCT is effective in reducing many symptoms in patients with chronic pain, although its maintenance needs to be further investigated.

摘要

西班牙慢性疼痛的患病率为 15%。本研究旨在评估正念认知疗法对慢性疼痛患者的疗效。在阿利坎特省的三家医院进行了准实验设计的重复测量前后测试(n=57)。包括自我报告的疼痛强度评估、焦虑抑郁症状、健康状况感知、疼痛对睡眠的干扰、疼痛自我效能、接纳和正念态度。T 检验表明,目前疼痛强度、心理健康状况和抑郁(中等效应大小)以及自我效能感:总分、症状管理和疼痛控制(中等效应大小)、睡眠障碍和睡眠时间(大效应大小)有显著差异。MBCT 可有效减轻慢性疼痛患者的多种症状,但需要进一步研究其维持效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a3/8297331/d8ff6ed2dc8e/ijerph-18-06951-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a3/8297331/5ac52c42a6b1/ijerph-18-06951-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a3/8297331/d8ff6ed2dc8e/ijerph-18-06951-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a3/8297331/5ac52c42a6b1/ijerph-18-06951-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a3/8297331/d8ff6ed2dc8e/ijerph-18-06951-g002.jpg

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本文引用的文献

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慢性疼痛中的心理治疗:基于正念的认知疗法与认知行为疗法的疗效差异
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A Pilot Randomized Controlled Trial Comparing Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain.一项比较正念冥想、认知疗法和正念认知疗法治疗慢性下腰痛的随机对照试验。
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Brief Mindfulness-Based Interventions for Acute and Chronic Pain: A Systematic Review.基于正念的急性和慢性疼痛简短干预措施:一项系统综述。
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Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis.基于正念的干预措施治疗抑郁性沉思:系统评价与荟萃分析。
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