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一项针对纤维肌痛的基于群体的数字疗法干预的初步研究结果。

. Preliminary findings from a group-based digital therapeutics intervention for fibromyalgia.

作者信息

Vilalta-Abella Ferran, Porras-Garcia Bruno, Ghiţă Alexandra, Vacas-Moreira Montserrat, Prat-Galbany Mónica, Gutiérrez-Maldonado José

机构信息

Unit of Psychology, Department of Psychiatry, Hospital of Sant Joan Despí Moisès Broggi, Sant Joan Despí, Spain.

BrainXR Lab, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Spain.

出版信息

Br J Pain. 2024 Apr;18(2):155-165. doi: 10.1177/20494637231210391. Epub 2023 Nov 3.

Abstract

INTRODUCTION

Fibromyalgia (FM) is a disorder characterized by chronic pain, with significant medical, psychological, and socio-economic implications. Although there is limited evidence, cognitive-behavioral therapy (CBT) has shown to be effective in improving FM symptoms. An alternative to enhance CBT effectiveness is to incorporate digital therapeutics (DTx).

AIM

We conducted a pilot study to investigate whether the addition of a DTx intervention () to cognitive-behavioral group therapy (CBGT) can reduce pain perception and associated symptoms in patients with FM.

METHOD

Ten patients with FM were initially recruited from a public hospital in Barcelona. The treatment consisted of 6 weeks of group sessions and 16 weeks of CBGT. Measures of catastrophizing, self-efficacy, and coping were recorded before, during, and after the protocol. In the DTx sessions, pain intensity was recorded before and after each session.

RESULTS

The program (DTx and CBGT) showed a significant improvement in pain-related self-efficacy and relaxation measures. Improvement in pain perception was observed only after the DTx intervention.

CONCLUSIONS

This study provides preliminary results regarding the added value of DTx () as part of a CBGT for FM. The use of the program has facilitated a significant reduction in pain perception in each of the sessions, which provides further evidence of how this technology can be beneficial for improving FM treatments.

摘要

引言

纤维肌痛(FM)是一种以慢性疼痛为特征的疾病,具有重大的医学、心理和社会经济影响。尽管证据有限,但认知行为疗法(CBT)已被证明对改善纤维肌痛症状有效。提高CBT有效性的一种替代方法是纳入数字疗法(DTx)。

目的

我们进行了一项试点研究,以调查在认知行为团体治疗(CBGT)中加入DTx干预()是否能减轻纤维肌痛患者的疼痛感知及相关症状。

方法

最初从巴塞罗那的一家公立医院招募了10名纤维肌痛患者。治疗包括6周的团体治疗和16周的CBGT。在治疗方案实施前、期间和之后记录灾难化、自我效能感和应对方式的测量结果。在DTx治疗期间,记录每次治疗前后的疼痛强度。

结果

该方案(DTx和CBGT)在与疼痛相关的自我效能感和放松措施方面有显著改善。仅在DTx干预后观察到疼痛感知有所改善。

结论

本研究提供了关于DTx()作为纤维肌痛CBGT一部分的附加价值的初步结果。该方案的使用在每次治疗中都显著降低了疼痛感知,这进一步证明了这项技术对改善纤维肌痛治疗的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ea/10964857/6cc7b0dca387/10.1177_20494637231210391-fig1.jpg

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