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Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023.2023年美国成年人中的慢性疼痛和高强度慢性疼痛
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Mindfulness-Oriented Recovery Enhancement vs Supportive Group Therapy for Co-occurring Opioid Misuse and Chronic Pain in Primary Care: A Randomized Clinical Trial.正念导向康复强化治疗与支持性团体心理治疗对初级保健中并存阿片类药物滥用和慢性疼痛的随机临床试验。
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Clinical Effectiveness and Cost-effectiveness of Videoconference-Based Integrated Cognitive Behavioral Therapy for Chronic Pain: Randomized Controlled Trial.基于视频会议的综合认知行为疗法治疗慢性疼痛的临床效果和成本效益:随机对照试验。
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Psychological therapies for the management of chronic pain (excluding headache) in adults.用于成人慢性疼痛(不包括头痛)管理的心理疗法。
Cochrane Database Syst Rev. 2020 Aug 12;8(8):CD007407. doi: 10.1002/14651858.CD007407.pub4.
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The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.修订后的国际疼痛研究协会疼痛定义:概念、挑战和妥协。
Pain. 2020 Sep 1;161(9):1976-1982. doi: 10.1097/j.pain.0000000000001939.
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Effectiveness of a Guided Web-Based Self-help Intervention to Prevent Depression in Patients With Persistent Back Pain: The PROD-BP Randomized Clinical Trial.基于网络的有指导的自助干预预防持续性背痛患者抑郁的效果:PROD-BP 随机临床试验。
JAMA Psychiatry. 2020 Oct 1;77(10):1001-1011. doi: 10.1001/jamapsychiatry.2020.1021.
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Online group pain management for chronic pain: Preliminary results of a novel treatment approach to teletherapy.慢性疼痛的在线团体疼痛管理:远程治疗新方法的初步结果
J Telemed Telecare. 2021 May;27(4):209-216. doi: 10.1177/1357633X19870369. Epub 2019 Aug 20.
8
Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis.基于群组的正念减压疗法和认知行为疗法治疗和管理慢性疼痛的比较评价:系统评价和网络荟萃分析。
Evid Based Ment Health. 2019 Feb;22(1):26-35. doi: 10.1136/ebmental-2018-300062.
9
The Pain Course: 12- and 24-Month Outcomes From a Randomized Controlled Trial of an Internet-Delivered Pain Management Program Provided With Different Levels of Clinician Support.疼痛课程:一项互联网提供的疼痛管理项目的随机对照试验的 12 个月和 24 个月结果,该项目提供不同水平的临床医生支持。
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10
Changes in resting-state brain networks after cognitive-behavioral therapy for chronic pain.慢性疼痛认知行为治疗后静息态脑网络的变化。
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慢性疼痛综合远程医疗小组干预的试点研究。

Pilot study of an integrative telehealth group intervention for chronic pain.

作者信息

Priorello Laura Jean, Sperry Jeannie Anne, Yee Claire Ida, Kapoor Shweta, Patchett David Clarence, Townsend Cynthia Oswald

机构信息

Department of Psychiatry and Psychology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.

出版信息

Medicine (Baltimore). 2025 Mar 21;104(12):e41952. doi: 10.1097/MD.0000000000041952.

DOI:10.1097/MD.0000000000041952
PMID:40128049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11936548/
Abstract

The effectiveness of in-person psychological interventions for chronic pain populations has been widely studied. The current retrospective pilot study evaluates the effectiveness of a 10-week integrative telehealth pain group intervention consisting of cognitive, behavioral, mindfulness, and lifestyle strategies on anxiety, depression, pain catastrophizing, pain interference, and pain intensity. Participants at a large multidisciplinary hospital are referred internally from various medical departments within the hospital. The present study consists of data from 9 group cohorts from October 2020 to June 2022. The study included 86 patients, with 52 completing all 10 weeks of the intervention with post-questionnaire data available. Measures assessing anxiety, depression, pain catastrophizing, pain interference, and pain intensity at baseline and at the completion of the intervention. A series of paired samples t-tests were used to assess change in each outcome measure from baseline to after completion of the program. All the outcome variables including anxiety, depression, pain interference, pain intensity, and pain catastrophizing showed statistically significant reductions after the intervention compared to baseline assessments. There were no significant differences in any of the demographic variables (age, gender, ethnicity, education level) or chronic pain condition between participants who did and did not complete the program. Preliminary data suggest that this 10-week integrative telehealth pain group intervention significantly lowered anxiety, depression, pain catastrophizing, pain interference, and pain intensity from pre- to post-intervention. Larger, randomized controlled studies are needed to validate these results.

摘要

针对慢性疼痛人群的面对面心理干预的有效性已得到广泛研究。当前这项回顾性试点研究评估了一项为期10周的综合远程医疗疼痛小组干预措施的有效性,该干预措施包括认知、行为、正念和生活方式策略,旨在改善焦虑、抑郁、疼痛灾难化、疼痛干扰和疼痛强度。一家大型多学科医院的参与者是从医院内部各个医疗科室转诊而来的。本研究包含了2020年10月至2022年6月期间9个小组队列的数据。该研究纳入了86名患者,其中52名完成了全部10周的干预,并提供了干预后的问卷调查数据。在基线和干预结束时评估焦虑、抑郁、疼痛灾难化、疼痛干扰和疼痛强度的指标。使用一系列配对样本t检验来评估从基线到项目完成后每个结果指标的变化。与基线评估相比,所有结果变量,包括焦虑、抑郁、疼痛干扰、疼痛强度和疼痛灾难化,在干预后均显示出统计学上的显著降低。完成和未完成该项目的参与者在任何人口统计学变量(年龄、性别、种族、教育水平)或慢性疼痛状况方面均无显著差异。初步数据表明,这项为期10周的综合远程医疗疼痛小组干预措施在干预前后显著降低了焦虑、抑郁、疼痛灾难化、疼痛干扰和疼痛强度。需要开展更大规模的随机对照研究来验证这些结果。