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首页> 外文期刊>The Journal of Behavioral Health Services and Research >Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics
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Outcomes Associated with a Cognitive-Behavioral Chronic Pain Management Program Implemented in Three Public HIV Primary Care Clinics

机译：与在三个公共HIV基层医疗诊所实施的认知行为慢性疼痛管理计划相关的结果

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摘要

In patients with HIV/AIDS, chronic pain is common and analgesics pose serious risks. Cognitive-behavioral therapies (CBT) provide an alternative. This study evaluated feasibility and impact of a CBT-based pain management program in three public primary care clinics for HIV patients. The program included a workbook and 12-weeks of group CBT sessions. HIV-positive patients with chronic moderate to severe pain were invited to participate in the program and were assessed at enrollment, 6, 12, and 24 weeks. Despite only moderate group attendance, program enrollment was associated with significant improvements in pain intensity, pain-related functioning, anxiety and acceptance, and mental health. At 24 weeks, effect sizes for pain outcomes were −0.83 for pain intensity and −0.43 for functioning. The pattern of change in outcomes was consistent with predictions based on cognitive-behavioral theory. Effects were observed at all clinics. Adding CBT-based pain management into primary care may provide important benefits for patients with HIV/AIDS.
机译：在艾滋病毒/艾滋病患者中，慢性疼痛很常见，而止痛药构成严重风险。认知行为疗法（CBT）提供了另一种选择。这项研究评估了在三个针对艾滋病毒患者的公共初级保健诊所中基于CBT的疼痛管理计划的可行性和影响。该计划包括一本工作簿和12周的集体CBT课程。慢性中度至重度疼痛的HIV阳性患者被邀请参加该计划，并在入组后第6、12和24周进行评估。尽管小组参加人数不多，但计划入学与疼痛强度，疼痛相关的功能，焦虑和接纳以及心理健康方面的显着改善有关。在第24周，疼痛程度的效果大小对于疼痛强度而言为-0.83，对于功能而言为-0.43。结果变化的模式与基于认知行为理论的预测一致。在所有诊所均观察到效果。在初级保健中增加基于CBT的疼痛管理可能会为HIV / AIDS患者带来重要的好处。

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