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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Results from 10 Years of a CBT Pain Self-Management Outpatient Program for Complex Chronic Conditions
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Results from 10 Years of a CBT Pain Self-Management Outpatient Program for Complex Chronic Conditions

机译：复杂慢性病CBT疼痛自我管理门诊项目10年的结果

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Background. Traditional unimodal interventions may be insufficient for treating complex pain, as they do not address cognitive and behavioural contributors to pain. Cognitive Behavioural Therapy (CBT) and physical exercise (PE) are empirically supported treatments that can reduce pain and improve quality of life. Objectives. To examine the outcomes of a pain self-management outpatient program based on CBT and PE at a rehabilitation hospital in Toronto, Ontario. Methods. The pain management group (PMG) consisted of 20 sessions over 10 weeks. The intervention consisted of four components: education, cognitive behavioural skills, exercise, and self-management strategies. Outcome measures included the sensory, affective, and intensity of pain experience, depression, anxiety, pain disability, active and passive coping style, and general health functioning. Results. From 2002 to 2011, 36 PMGs were run. In total, 311 patients entered the program and 214 completed it. Paired t-tests showed significant pre- to posttreatment improvements in all outcomes measured. Patient outcomes did not differ according to the number or type of diagnoses. Both before and after treatment, women reported more active coping than men. Discussion. The PMGs improved pain self-management for patients with complex pain. Future research should use a randomized controlled design to better understand the outcomes of PMGs.
机译：背景。传统的单峰干预措施可能不足以治疗复杂的疼痛，因为它们无法解决导致疼痛的认知和行为因素。经验行为支持的认知行为疗法（CBT）和体育锻炼（PE）可以减轻疼痛并改善生活质量。目标。在安大略省多伦多的一家康复医院检查基于CBT和PE的疼痛自我管理门诊计划的结果。方法。疼痛管理小组（PMG）历时10周，共20次。干预包括四个部分：教育，认知行为技能，锻炼和自我管理策略。结果指标包括疼痛经历，抑郁，焦虑，疼痛残疾，主动和被动应对方式以及总体健康功能的感觉，情感和强度。结果。从2002年到2011年，共运行了36个PMG。共有311位患者参加了该计划，其中214位患者完成了该计划。配对的t检验显示，所有测得的结果均显着改善了治疗前后。根据诊断的数量或类型，患者的预后没有差异。在治疗前后，女性都比男性更积极地应对。讨论。 PMG改善了复杂疼痛患者的疼痛自我管理。未来的研究应使用随机对照设计以更好地了解PMG的结果。

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