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Biofeedback for Pain Management in Traumatised Refugees

机译：生物反馈治疗创伤难民的疼痛

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Chronic pain (CP) and posttraumatic stress disorder (PTSD) are both frequent and often comorbid in refugees. To date, few controlled trials have studied the efficacy of treatments targeting this comorbidity; no treatment guidelines yet exist. The authors examined the feasibility and efficacy of short-term cognitive behavioural biofeedback (BF) addressing CP in traumatised refugees. The sample comprised 11 severely traumatised refugees with CP and PTSD (mean age = 36 years, SD = 6), who underwent assessment with the Mini International Neuropsychiatric Interview, Posttraumatic Diagnostic Scale, Pain Disability Index, and Visual Rating Scale. Additionally, coping with pain and psychotherapy tolerance were assessed. Acceptance of BF was high. Pre-post effects were small to medium for increased pain management and associated heart rate reactivity but large for coping with pain. The results encourage further research to confirm whether BF is indicated as a treatment component, but not a stand-alone treatment, for traumatised refugees with comorbid CP and PTSD.
机译：难民中慢性疼痛（CP）和创伤后应激障碍（PTSD）既常见又常见。迄今为止，很少有对照试验研究针对这种合并症的治疗功效。尚无治疗指南。作者研究了短期的认知行为生物反馈（BF）解决受难难民中CP的可行性和有效性。该样本包括11名患有CP和PTSD的严重创伤难民（平均年龄= 36岁，SD = 6），他们接受了迷你国际神经精神病学访谈，创伤后诊断量表，疼痛障碍指数和视觉评定量表的评估。此外，评估了疼痛和心理治疗耐受性。高炉的接受度很高。后期效果从小到中等，可以增加疼痛处理和相关的心率反应性，而对于缓解疼痛则大。结果鼓励进行进一步的研究，以确认对于患有CP和PTSD合并症的受难难民，BF是否被指定为治疗成分，而不是独立治疗。

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