Effects of a stress-reduction program on psychological function, pain, and physical function of systemic lupus erythematosus patients: A randomized controlled trial
Effects of a stress-reduction program on psychological function, pain, and physical function of systemic lupus erythematosus patients: A randomized controlled trial
复制标题
DOI：
10.1002/art.20533
复制
发表时间：
2004-08-15
期刊：
影响因子：
--
通讯作者：
Manzi, S
中科院分区：
文献类型：
--
作者：
Greco, CM;Rudy, TE;Manzi, S
Objective.评估减压计划对经历疼痛的系统性红斑狼疮（SLE）患者的疼痛、心理功能和身体功能的影响。92例SLE患者随机分为3组，分别接受生物反馈辅助认知行为治疗（BF/CBT）、情绪监测支持（SMS）干预和常规医疗护理（UC）。BF/CBT参与者与SMS组（疼痛，P = 0.044;心理功能，P < 0.001）和UC组（疼痛，P = 0.028;心理功能，P < 0.001）相比，疼痛和心理功能障碍的减少明显更大。与UC相比，BF/CBT在感知身体功能方面的改善显著更大（P = 0.035），相对于SMS的改善略显着（P = 0.097）。在9个月的随访评估中，BF/CBT在心理功能方面继续表现出与UC相比的相对益处（P = 0.023）。这项研究支持了一个简短的压力管理程序的效用，短期改善疼痛，心理功能和感知的身体功能与SLE患者谁经历的疼痛。
Objective. To assess the effects of a stress-reduction program on pain, psychological function, and physical function in persons with systemic lupus erythematosus (SLE) who experience pain.Methods. Ninety-two SLE patients were assigned randomly to receive either biofeedback-assisted cognitive-behavioral treatment (BF/CBT), a symptom-monitoring support (SMS) intervention, or usual medical care (UC) alone.Results. BF/CBT participants had significantly greater reductions in pain and psychological dysfunction compared with the SMS group (pain, P = 0.044; psychological functioning, P < 0.001) and the UC group (pain, P = 0.028; psychological functioning, P < 0.001). BF/CBT had significantly greater improvement in perceived physical function compared with UC (P = 0.035), and improvement relative to SMS was marginally significant (P = 0.097). At a 9-month followup evaluation, BF/CBT continued to exhibit relative benefit compared with UC in psychological functioning (P = 0.023).Conclusion. This study supports the utility of a brief stress management program for short-term improvement in pain, psychological function, and perceived physical function among persons with SLE who experience pain.