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关于慢性疼痛状况下的痛苦:一项基于正念的干预对纤维肌痛和腰痛患者有效性的前后研究。

About Distress in Chronic Pain Conditions: A Pre-Post Study on the Effectiveness of a Mindfulness-Based Intervention for Fibromyalgia and Low Back Pain Patients.

机构信息

School of Advanced Studies, University of Camerino, 62032 Camerino, Italy.

Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.

出版信息

Int J Environ Res Public Health. 2024 Nov 13;21(11):1507. doi: 10.3390/ijerph21111507.

Abstract

Chronic pain (CP) affects about 30% of the global population and poses significant challenges to individuals and healthcare systems worldwide. The interactions between physiological, psychological, and social factors are crucial in the onset and development of CP conditions. This study aimed to evaluate the effectiveness of mindfulness-based intervention, examining its impact on perceived stress (PSS), depression and anxiety (BDI-II, PGWBI/DEP, SAS, STAI Y), sleep quality (PSQI), and mindfulness abilities (MAAS) in individuals with CP. Participants (N = 89, 84.3% female) underwent one of two diagnoses [fibromyalgia (FM) or low back pain (LBP)] and took part in an MBSR intervention. The mindfulness program proved effective in reducing PSQI scores (F = 11.97; < 0.01) over time, independently of the type of diagnosis. There was also a marginal increase in trait mindfulness as measured by MAAS (F = 3.25; = 0.07) in both groups. A significant difference between the two groups was found for the effect on PSS: F (1,87) = 6.46; < 0.05. Mindfulness practice also reduced anxiety in FM and depressive symptoms in LBP, indicating a reduction in psychological distress among participants. Our findings suggest that mindfulness-based interventions may offer promising avenues for personalized pain management in clinical settings.

摘要

慢性疼痛(CP)影响着全球约 30%的人口,给个人和全球医疗体系都带来了巨大的挑战。生理、心理和社会因素之间的相互作用在 CP 病症的发生和发展中起着至关重要的作用。本研究旨在评估基于正念的干预对感知压力(PSS)、抑郁和焦虑(BDI-II、PGWBI/DEP、SAS、STAI Y)、睡眠质量(PSQI)和正念能力(MAAS)的影响,以评估其在 CP 个体中的有效性。参与者(N=89,84.3%为女性)接受了两种诊断之一[纤维肌痛(FM)或下腰痛(LBP)],并参加了 MBSR 干预。正念计划在时间上证明了对 PSQI 评分的有效性(F=11.97;<0.01),而与诊断类型无关。MAAS 测量的特质正念也有轻微增加(F=3.25;=0.07),两组均如此。两组之间在 PSS 影响方面存在显著差异:F(1,87)=6.46;<0.05。正念练习还降低了 FM 中的焦虑和 LBP 中的抑郁症状,表明参与者的心理困扰有所减轻。我们的研究结果表明,基于正念的干预可能为临床环境中的个性化疼痛管理提供有前途的途径。

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