Yoshino Atsuo, Yokoyama Satoshi, Kurata Akiko, Nakamura Ryuji, Nagami Tatsuro, Taguchi Shima, Yamawaki Shigeto
Health Service Center Hiroshima University Hiroshima Japan.
Center for Brain, Mind and KANSEI Sciences Research Hiroshima University Hiroshima Japan.
Health Sci Rep. 2024 May 23;7(5):e2141. doi: 10.1002/hsr2.2141. eCollection 2024 May.
Research suggests that various psychosocial factors influence chronic pain, with psychotherapies like cognitive behavioral therapy proving effective. However, the limited availability and accessibility have prolonged suffering among patients with chronic pain. This challenge has led to a growing demand for accessible online interventions. We developed an online cognitive behavioral group therapy (CBGT) program, building upon our existing face-to-face CBGT program. We compared the scores obtained by patients during the treatment-as-usual (TAU) period with those collected at the beginning and at the end of the intervention.
Patients with chronic pain ( = 22) agreed to participate in the online CBGT program, which was conducted once a week for 12 sessions. The sample size was decided based on the effect sizes of our past face-to-face CBGT. We assessed pain intensity [Visual Analogue Scale (VAS)], pain catastrophizing [pain catastrophizing scale (PCS)] and psychiatric assessment [Beck Depression Inventory-Second Edition (BDI)-II], State-Trait-Anxiety Inventory (STAI), and Short Form Health Survey (SF-36) at three points: entry, pretreatment, and posttreatment. We also evaluated the participants' therapeutic alliance with the treatment staff [short-form version of the Working Alliance Inventory (WAI-S)]. We utilized analyses of variance, Friedman test, paired -tests, Wilcoxon signed-rank test, and Pearson correlation analysis for data evaluation.
Results indicated a significant posttreatment improvement in VAS, PCS, and BDI-II scores compared to the TAU period. Furthermore, posttreatment WAI-S scores increased significantly compared to pretreatment scores. Also, positive correlations were observed among pre- and posttreatment changes in WAI-S, pain intensity, and pain catastrophizing scores.
There is a possibility that a therapeutic alliance can be established, and therapeutic effects achieved through an online CBGT intervention; however, additional research is required to substantiate this potential. We have registered this clinical trial in UMIN-CTR on 04/21/2021 with the number UMIN000043982.
研究表明，多种社会心理因素会影响慢性疼痛，认知行为疗法等心理治疗方法已被证明有效。然而，其可用性和可及性有限，延长了慢性疼痛患者的痛苦。这一挑战导致对可及的在线干预措施的需求不断增加。我们在现有的面对面认知行为团体治疗（CBGT）项目基础上，开发了一个在线CBGT项目。我们比较了患者在常规治疗（TAU）期间获得的分数与干预开始时和结束时收集的分数。
22名慢性疼痛患者同意参与在线CBGT项目，该项目每周进行一次，共12节。样本量根据我们过去面对面CBGT的效应量确定。我们在三个时间点评估疼痛强度[视觉模拟量表（VAS）]、疼痛灾难化[疼痛灾难化量表（PCS）]和精神评估[贝克抑郁量表第二版（BDI-II）]、状态-特质焦虑量表（STAI）和简短健康调查问卷（SF-36）：入组时、治疗前和治疗后。我们还评估了参与者与治疗人员的治疗联盟[工作联盟量表简版（WAI-S）]。我们使用方差分析、弗里德曼检验、配对t检验、威尔科克森符号秩检验和皮尔逊相关分析进行数据评估。
结果表明，与TAU期间相比，治疗后VAS、PCS和BDI-II分数有显著改善。此外，与治疗前分数相比，治疗后WAI-S分数显著增加。此外，在WAI-S、疼痛强度和疼痛灾难化分数的治疗前后变化之间观察到正相关。
通过在线CBGT干预有可能建立治疗联盟并取得治疗效果；然而，需要更多研究来证实这一潜力。我们于2021年4月21日在UMIN-CTR注册了该临床试验，编号为UMIN000043982。
