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心理治疗与慢性疼痛管理:一项评估心理治疗对慢性病患者生活质量和治疗依从性贡献的定量研究。

Psychotherapy and chronic pain management: a quantitative study evaluating the contribution of psychotherapy to quality of life and treatment compliance in chronic disease patients.

作者信息

Dourouka Venetia, Vlastos Dimitris D, Theofilou Paraskevi

机构信息

Department of Psychology, Scientific College of Greece (SCG), Athens, Greece.

SCG Lab of Experimental and Applied Psychology, Athens, Greece.

出版信息

Health Psychol Rep. 2023 Oct 13;12(3):209-218. doi: 10.5114/hpr/171847. eCollection 2024.

Abstract

BACKGROUND

The psychology of pain is an important field of study that focuses on understanding the psychological factors associated with pain and developing effective approaches to its management. Pain is a complex sensation that affects a person's physical and mental well-being, and psychological factors can have a significant impact on the perception, response and coping with pain. This research study examines the contribution of psychotherapy in managing chronic pain and improving quality of life and treatment adherence.

PARTICIPANTS AND PROCEDURE

The sample consisted of 87 participants who completed the McGill Pain Assessment Questionnaire, SF-36 Quality of Life questionnaire, and the Morisky Medication Adherence Scale (MMAS-8) questionnaire. Two groups were created: one group received psychotherapy to manage pain and illness, while the other group either did not receive psychotherapy or had no contact with this therapeutic method.

RESULTS

The results showed that patients who received psychotherapy had higher scores in the dimensions of mental health, vitality, general health, physical pain, physical functioning, and social functioning compared to patients who did not receive psychotherapy. Statistical analysis confirmed significant differences between the two groups. Additionally, psychotherapy was associated with higher treatment adherence, as indicated by the mean scores of patients receiving psychotherapy compared to those who did not.

CONCLUSIONS

This suggests that psychotherapy can contribute to increased treatment adherence. The results clearly show that patients who received psychotherapy have significantly higher levels of mental health, vitality, general health and functioning compared to patients who did not receive psychotherapy.

摘要

背景

疼痛心理学是一个重要的研究领域,专注于理解与疼痛相关的心理因素,并开发有效的疼痛管理方法。疼痛是一种复杂的感觉,会影响一个人的身心健康,心理因素会对疼痛的感知、反应和应对产生重大影响。本研究探讨心理治疗在管理慢性疼痛、改善生活质量和治疗依从性方面的作用。

参与者与程序

样本包括87名参与者,他们完成了麦吉尔疼痛评估问卷、SF-36生活质量问卷和莫里isky药物依从性量表(MMAS-8)问卷。创建了两组:一组接受心理治疗以管理疼痛和疾病,而另一组要么没有接受心理治疗,要么没有接触过这种治疗方法。

结果

结果显示,与未接受心理治疗的患者相比,接受心理治疗的患者在心理健康、活力、总体健康、身体疼痛、身体功能和社会功能等维度上得分更高。统计分析证实了两组之间存在显著差异。此外,心理治疗与更高的治疗依从性相关,接受心理治疗的患者的平均得分表明了这一点,与未接受心理治疗的患者相比。

结论

这表明心理治疗有助于提高治疗依从性。结果清楚地表明,与未接受心理治疗的患者相比,接受心理治疗的患者在心理健康、活力、总体健康和功能方面的水平显著更高。

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