Carrubba Aakriti R, Lothman Kristin A, Ball Colleen S, Mongan Amy L, Perlman Adam I, Chen Anita
Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, USA.
Integrative Medicine, Mayo Clinic, Jacksonville, USA.
Cureus. 2024 Jun 14;16(6):e62376. doi: 10.7759/cureus.62376. eCollection 2024 Jun.
Background Recent research has suggested a role for mindfulness-based therapy for patients with chronic medical conditions, but there is limited data on pelvic pain. We aim to determine if mindfulness improves patient-reported outcomes in pelvic pain and to determine the feasibility of implementation of this program. Methodology This is a pilot feasibility trial consisting of women with chronic pelvic pain at a single academic tertiary referral clinic. A convenience sample of 15 subjects was enrolled. Subjects were scheduled for three 60-minute virtual mind-body sessions with a certified counselor. Baseline scores were obtained using the Patient-Reported Outcomes Measurement Information System-Computer Adaptive Testing (PROMIS-CAT) platform. They were repeated three months and six months after enrollment. Descriptive statistics were performed. Results A total of 15 patients were enrolled in the study. Among the 13 patients who completed the three-month PROMIS-CAT scores, seven had a clinically significant 5-point improvement in sleep disturbance T-score. At least a 5-point improvement in fatigue, pain interference, and ability to participate in social roles and activities T-scores were observed in six patients each. There was a 40% dropout rate. Conclusions A formal mind-body counseling program can support patients with chronic pelvic pain. Our trial demonstrated the feasibility of establishing a program and modest improvement in patient-reported quality of life.
背景 近期研究表明基于正念的疗法对患有慢性疾病的患者有作用，但关于盆腔疼痛的数据有限。我们旨在确定正念是否能改善盆腔疼痛患者报告的结局，并确定实施该项目的可行性。方法 这是一项在一家学术三级转诊诊所对患有慢性盆腔疼痛的女性进行的试点可行性试验。招募了15名受试者的便利样本。受试者安排与一名认证咨询师进行三次60分钟的虚拟身心治疗课程。使用患者报告结局测量信息系统-计算机自适应测试（PROMIS-CAT）平台获得基线分数。在入组后三个月和六个月重复测量。进行描述性统计。结果 共有15名患者入组该研究。在完成三个月PROMIS-CAT评分的13名患者中，7名患者的睡眠障碍T评分有临床上显著的5分改善。6名患者的疲劳、疼痛干扰以及参与社会角色和活动的能力T评分至少有5分改善。脱落率为40%。结论 正式的身心咨询项目可以帮助慢性盆腔疼痛患者。我们的试验证明了建立一个项目的可行性以及患者报告的生活质量有适度改善。
