Bartley Emily J, Ofri Ben L, Vasilopoulos Terrie, Palit Shreela, Torres Calia A, Sibille Kimberly T
College of Dentistry, University of Florida, Gainesville, FL, USA.
College of Medicine, University of Florida, Gainesville, FL, USA.
Health Psychol Behav Med. 2024 Dec 5;12(1):2434711. doi: 10.1080/21642850.2024.2434711. eCollection 2024.
Chronic low back pain (cLBP) is a global public health problem and a leading cause of disability among older adults. Recent years have seen a burgeoning interest in promoting resilience in individuals with chronic pain; however, therapeutic strategies that focus on positive psychological resources and individual strengths are understudied among older adult populations. The aim of this study was to examine the feasibility and acceptability of a resilience-promoting intervention among older adults with cLBP, and to assess preliminary treatment effects on pain severity, pain interference, and quality of life.
Participants included 50 adults, ages ≥50 years, with back pain rated (at minimum) of moderate intensity and having a significant impact on daily activities. This single-arm trial included seven weekly group sessions targeting positive psychology concepts and techniques that have established benefits in pain management.
Results suggest high credibility and engagement in the intervention program. Participants found the weekly session content to be beneficial and global treatment satisfaction was high. Pain intensity (-4.3 [-6.14, -2.54]), pain interference (-3.3 [-4.83, -1.80]), depression (-1.6 [-3.16, -0.04]) and QoL-health satisfaction (0.3 [0.01, 0.55]) improved from pre- to post-intervention. At the 3-month follow-up, improvements were also observed for pain intensity (-2.1 [-9.29, -5.04]), pain interference (-5.3 [-6.54, -2.86]), and QoL-physical health (0.9 [0.11, 1.74]).
Results support the feasibility, acceptability, and potential efficacy of a resilience intervention for older adults with cLBP. These findings may be a step toward the advancement of therapeutic pain modalities and provide a foundation for future research on resilience-promoting interventions for aging populations with chronic pain.
慢性下腰痛（cLBP）是一个全球性的公共卫生问题，也是老年人残疾的主要原因。近年来，人们对提高慢性疼痛患者的心理韧性越来越感兴趣；然而，针对老年人群体，关注积极心理资源和个人优势的治疗策略研究较少。本研究的目的是检验一项提高心理韧性的干预措施在患有cLBP的老年人中的可行性和可接受性，并评估其对疼痛严重程度、疼痛干扰和生活质量的初步治疗效果。
参与者包括50名年龄≥50岁的成年人，其背痛程度至少为中度，且对日常活动有显著影响。这项单臂试验包括七次每周一次的小组会议，主题是积极心理学概念和技术，这些已被证实对疼痛管理有益。
结果表明该干预项目具有很高的可信度和参与度。参与者发现每周的会议内容有益，总体治疗满意度较高。干预前至干预后，疼痛强度（-4.3 [-6.14, -2.54]）、疼痛干扰（-3.3 [-4.83, -1.80]）、抑郁（-1.6 [-3.16, -0.04]）和生活质量-健康满意度（0.3 [0.01, 0.55]）均有所改善。在3个月的随访中，疼痛强度（-2.1 [-9.29, -5.04]）、疼痛干扰（-5.3 [-6.54, -2.86]）和生活质量-身体健康（0.9 [0.11, 1.74]）也有改善。
结果支持了针对患有cLBP的老年人进行心理韧性干预的可行性、可接受性和潜在疗效。这些发现可能是朝着推进疼痛治疗模式迈出的一步，并为未来针对患有慢性疼痛的老年人群体进行提高心理韧性干预的研究奠定基础。
