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Research Findings Using Mindfulness-Based Interventions for Chronic Pain

机译:使用基于正念的干预治疗慢性疼痛的研究结果

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摘要

Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.
机译:慢性疼痛是一种复杂的疾病,对身心健康非常不利。它带有严重的残疾和经济负担。疼痛患者经常会遇到合并性精神疾病(例如抑郁症,焦虑症,PTSD,失眠症),除了药物管理外,还经常需要心理治疗干预。基于正念的干预措施(MBI)已经成为治疗多种慢性疾病(例如慢性疼痛,抑郁,焦虑,药物滥用,压力,失眠)的一种手段。这篇综述的目的是评估在慢性疼痛治疗中使用MBI的当前研究。尽管有几项关于在慢性疼痛治疗中使用MBI的对照试验,但只有少数研究表明对疼痛强度,生活质量以及身体和心理功能有显着影响。因此,目前的证据好坏参半,尚无足够的数据来明确证实使用MBI在慢性疼痛状况(如纤维肌痛,慢性下背痛,类风湿性关节炎和慢性肌肉骨骼疼痛)中的全部影响。目前缺乏有说服力的证据表明该领域需要更高质量的调查。研究MBI和伴随的CBT可能对增效和加强患者预后具有重要价值。

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