Priorello Laura Jean, Sperry Jeannie Anne, Yee Claire Ida, Kapoor Shweta, Patchett David Clarence, Townsend Cynthia Oswald
Department of Psychiatry and Psychology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.
Medicine (Baltimore). 2025 Mar 21;104(12):e41952. doi: 10.1097/MD.0000000000041952.
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.
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。