J Psychosoc Nurs Ment Health Serv. 2022 May;60(5):45-54. doi: 10.3928/02793695-20211118-01. Epub 2021 Dec 3.
Cognitive-behavioral therapy (CBT) has been shown to have a small to medium effect on chronic pain, necessitating further research to identify which components of CBT work for which type of patient. Previously, we developed a high-intensity individual CBT protocol and conducted a single-arm, uncontrolled feasibility study for chronic pain. In the current study, we explored patients' experiences in CBT sessions, including tactile attention-shift training; memory work using the peak-end rule; mental practice of action using motor imagery rescripting; and video feedback, including mirror therapy. Fourteen patients with chronic pain completed 16 CBT sessions. The tactile attention-shift training was very helpful for two patients and somewhat helpful for five, memory work was helpful for nine, mental practice was very helpful for four and somewhat helpful for three, and visual feedback was very helpful for six patients. Effective methodologies for new chronic pain CBT components should be developed. [(5), 45-54.].
认知行为疗法 (CBT) 已被证明对慢性疼痛有小到中等的疗效，需要进一步的研究来确定 CBT 的哪些组成部分对哪种类型的患者有效。此前，我们开发了一种高强度的个体 CBT 方案，并对慢性疼痛进行了一项单臂、非对照的可行性研究。在当前的研究中，我们探讨了患者在 CBT 治疗中的体验，包括触觉注意力转移训练；使用峰终规则进行记忆训练；使用运动意象重写进行行动的心理练习；以及视频反馈，包括镜像疗法。14 名慢性疼痛患者完成了 16 次 CBT 治疗。触觉注意力转移训练对两名患者非常有帮助，对五名患者有些帮助；记忆训练对九名患者有帮助，心理练习对四名患者非常有帮助，对三名患者有些帮助；视觉反馈对六名患者非常有帮助。应该开发新的慢性疼痛 CBT 组件的有效方法。[(5), 45-54.]。
