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Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20

机译：AFS对慢性良性疼痛患者的治疗表明使用TAS-20改善了运动障碍评估

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Background Alexithymia is a disturbance associated with psychosomatic disorders, pain syndromes, and a variety of psychiatric disorders. The Affect School (AS) based on Tomkins Affect Theory is a therapy focusing on innate affects and their physiological expressions, feelings, emotions and scripts. In this pilot study we tried the AS-intervention method in patients with chronic benign pain. Methods The AS-intervention, with 8 weekly group sessions and 10 individual sessions, was offered to 59 patients with chronic non-malignant pain at a pain rehabilitation clinic in Sweden 2004-2005. Pre and post intervention assessments were done with the Hospital Anxiety and Depression scale (HAD), the Toronto Alexithymia Scale-20 (TAS-20), the Visual Analogue Scale for pain assessment (VAS-pain), the European Quality of Life health barometer (EQoL) and the Stress and Crisis Inventory-93 (SCI-93). After the group sessions we used Bergdahl's Questionnaire for assessing changes in interpersonal relations, general well-being and evaluation of AS. Results The AS intervention was completed by 54 out of 59 (92%) patients. Significant reductions in total TAS-20 post-test scores (p = 0.0006) as well as TAS-20 DIF and DDF factors (Difficulties Identifying Feelings, and Difficulties Describing Feelings) were seen (p = 0.0001, and p = 0.0008) while the EOT factor (Externally Oriented Thinking) did not change. Improvements of HAD-depression scores (p = 0.04), EQoL (p = 0.02) and self-assessed changes in relations to others (p Conclusions This pilot study involving 59 patients with chronic benign pain indicates that the alexithymia DIF and DDF, as well as depression, social relations and quality of life may be improved by the Affect School therapeutic intervention.
机译：背景技术言语障碍是与心身疾病，疼痛综合症和各种精神病有关的疾病。基于汤姆金斯情感理论的情感学校（AS）是一种针对先天情感及其生理表达，感觉，情感和文字的疗法。在这项初步研究中，我们尝试了对慢性良性疼痛患者进行AS干预方法。方法2004年至2005年，瑞典疼痛康复诊所为59例慢性非恶性疼痛患者提供了AS干预，每周8次，每组10次。干预前后的评估采用医院焦虑和抑郁量表（HAD），多伦多Alexithymia量表20（TAS-20），疼痛评估视觉模拟量表（VAS-pain），欧洲生活质量健康晴雨表（EQoL）和《压力与危机库存量》 93（SCI-93）。小组会议之后，我们使用了伯格达尔问卷调查表来评估人际关系的变化，总体幸福感和对AS的评估。结果59例患者中有54例（92％）完成了AS干预。观察到TAS-20测试后总成绩（p = 0.0006）以及TAS-20 DIF和DDF因子（识别困难的感觉，以及描述感觉的困难）显着降低（p = 0.0001，p = 0.0008）。 EOT因素（外部思维）没有改变。改善HAD抑郁评分（p = 0.04），EQoL（p = 0.02）以及自我评估与他人之间的关系变化（p结论）这项涉及59名慢性良性疼痛患者的初步研究表明，无力运动障碍DIF和DDF以及因为抑郁症，可以通过Affect School的治疗干预来改善社交关系和生活质量。

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