Scholten Saskia, Glombiewski Julia Anna
Pain and Psychotherapy Research Lab, Department of Psychology, University of Kaiserslautern-Landau, Germany.
Pain and Psychotherapy Research Lab, Department of Psychology, University of Kaiserslautern-Landau, Germany.
Curr Opin Psychol. 2025 Apr;62:101958. doi: 10.1016/j.copsyc.2024.101958. Epub 2024 Dec 2.
The heterogeneity of chronic pain and stagnating improvements in treatment effectiveness have prompted calls for a shift toward personalized and process-based approaches to the assessment and treatment of chronic pain. As this opens a new line of research, several fundamental questions arise. We begin by defining key terms and reviewing attempts to personalize treatment to date. Despite progress in personalization, long-term effects remain unclear. Existing studies are limited by group-based approaches that overlook individual variability. Future research should use idiographic methods and process-based therapy to tailor interventions to individual needs. A person- and process-oriented research agenda is needed that combines ambulatory assessment, network modeling, and single-case designs to advance personalized treatments for chronic pain and improve clinical decision-making.
慢性疼痛的异质性以及治疗效果的停滞不前促使人们呼吁转向以个性化和基于过程的方法来评估和治疗慢性疼痛。随着这开启了一条新的研究路线，出现了几个基本问题。我们首先定义关键术语并回顾迄今为止使治疗个性化的尝试。尽管在个性化方面取得了进展，但长期效果仍不明确。现有研究受到基于群体的方法的限制，这些方法忽视了个体差异。未来的研究应使用个案法和基于过程的疗法，根据个体需求调整干预措施。需要一个以人为本和以过程为导向的研究议程，将动态评估、网络建模和单病例设计结合起来，以推进慢性疼痛的个性化治疗并改善临床决策。
