A Pilot Investigation of Nonpharmacological Pain Management Intervention Groups in Methadone Maintenance Treatment.
A Pilot Investigation of Nonpharmacological Pain Management Intervention Groups in Methadone Maintenance Treatment.
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DOI：
10.1097/adm.0000000000000877
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发表时间：
2022-03-01
影响因子：
5.5
通讯作者：
Barry DT
中科院分区：
文献类型：
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作者：
DiMeola KA;Haynes J;Barone M;Beitel M;Madden LM;Cutter CJ;Raso A;Gaeta M;Zheng X;Barry DT
我们研究了在美沙酮维持治疗(MMT)中进行三个辅导员提供的非药物疼痛管理干预(NPMI)组的可行性(即，单次会议参加)：1)应对疼痛，基于认知-行为疗法的干预；2)Wii-Covery，促进锻炼的游戏干预；以及3)杂耍小组，促进社会包容和减轻压力的干预。我们检查了会后疼痛和情绪的变化与集体出席的关系。在一家有1800名患者的MMT诊所里，一个多月的时间里，每个NPMI组每天提供周一至周五的服务，周六提供一个。一项标准化但未经验证的测量在治疗前后进行，以评估当前疼痛强度和情绪状态的急性变化。对每个NPMI组进行带Bonferroni校正的配对t检验(p<；.0007[.05/7])。452名患者(67%男性，84%白人，平均年龄40岁)参加了至少一个NPMI组。57%的患者表示目前存在慢性疼痛。参加任何NPMI组(整个样本和患有慢性疼痛的子组)与当前疼痛强度、焦虑、抑郁和压力的急剧减少以及当前能量和幸福感的急剧增加显著相关。参加应对疼痛和杂耍小组也与同情心的急剧增加有关。应对疼痛、Wii-Covery和杂耍小组在MMT中进行是可行的，当前疼痛强度和与单次参加会议相关的特定情绪状态的急剧改善表明，系统地检查这些和其他NPMI在MMT中的有效性是重要的。
We examined the feasibility (i.e., single session attendance) of conducting three counselor-delivered nonpharmacological pain management intervention (NPMI) groups in methadone maintenance treatment (MMT): 1) Coping with Pain, an intervention based on cognitive-behavioral therapy, 2) Wii-Covery, an exergame intervention to facilitate exercise, and 3) Juggling Group, an intervention to promote social inclusion and reduce stress. We examined pre-post session changes in pain and mood associated with group attendance. Over one month at a MMT clinic with 1,800 patients, each NPMI group was offered daily Monday-Friday and one was offered on Saturdays. A standardized but unvalidated measure was administered before and after sessions to assess acute changes in current pain intensity and mood states. Paired t-tests with Bonferroni corrections were performed for each NPMI group (p < .0007 [.05/7]). 452 patients (67% male, 84% White, mean age, 40) attended at least one NPMI group. 57% reported current chronic pain. Attendance at any NPMI group (for the whole sample and the subset with chronic pain) was significantly associated with acute reductions in current pain intensity, anxiety, depression, and stress, and acute increases in current energy and happiness. Attendance at Coping with Pain and Juggling Group was also associated with acute increases in compassion. Coping with Pain, Wii-Covery, and Juggling Group are feasible to conduct in MMT, and acute improvements in current pain intensity and specific mood states associated with a single session attendance point to the importance of examining systematically the efficacy of these and other NPMIs in MMT.
DOI：
10.1111/j.1521-0391.2012.00293.x
发表时间：
2012-11
期刊：
The American journal on addictions
影响因子：
--
作者：
Beitel M;Savant JD;Cutter CJ;Peters S;Belisle N;Barry DT
通讯作者：
Barry DT