The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain
The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain
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DOI：
10.1590/s0004-282x2012001100008
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发表时间：
2012-11-01
影响因子：
1.4
通讯作者：
Lopes, Josiane
中科院分区：
文献类型：
--
作者：
Castro, Martha M. C.;Daltro, Carla;Lopes, Josiane
慢性疼痛会导致功能丧失，损害个人的情感、社会和经济生活。目的：探讨认知行为疗法(CBT)对慢性疼痛患者的疗效。方法：将93例慢性疼痛患者随机分为两组进行临床试验。48名患者接受了CBT，45名患者继续标准治疗。采用视觉模拟量表、医院焦虑抑郁量表和SF-36生活质量量表进行评定。在治疗前和治疗10周后对患者进行评估。结果：当对照组和儿童行为测试进行比较时，后者的抑郁症状减轻(p=0.031)，而在“身体限制”(p=0.012)、“一般健康状况”(p=0.045)和“情感限制”(p=0.025)方面有所改善。结论：CBT是有效的，治疗10周后，与对照组相比，它在更多的生活质量领域引起了改善。
Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. Objective: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. Methods: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. Results: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). Conclusions: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.