The efficacy of a multidisciplinary group program for patients with refractory chronic pain
The efficacy of a multidisciplinary group program for patients with refractory chronic pain
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DOI：
10.1155/2014/728063
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发表时间：
2014-11-01
影响因子：
2.9
通讯作者：
Ushida, Takahiro
中科院分区：
文献类型：
--
作者：
Inoue, Masayuki;Inoue, Shinsuke;Ushida, Takahiro
背景：慢性疼痛是一个主要问题，因为它不仅会导致日常生活活动和生活质量的减少，而且还需要开始社会援助。仅仅寻求消除痛苦本身似乎是一个过于狭隘的目标，而且往往是无法实现的；因此，需要采取具有多个目标的多方面综合办法。目的：描述日本一个项目（“慢性疼痛类”）对一小群难治性慢性疼痛患者提供认知行为疗法的效果。锻炼是这个项目的一个重要特点。方法：共有46例经历治疗困难和活动减少的患者参加了该计划。这些项目以五到七名患者为一组，每周会面九周。每周的课程时长约为2小时，授课与锻炼相结合。在项目开始和结束时，对疼痛和身体功能进行了一些测量。结果：9名患者在项目期间退出。许多测量（如疼痛强度、残疾、灾难化想法）在干预后显示出显著的改善(P
BACKGROUND: Chronic pain is a major problem because it can result in not only a reduction in activities of daily living and quality of life but also requires initiation of social assistance. Seeking only to eliminate pain itself would appear to be too narrow an objective, in addition to often being unachievable; therefore, a multifaceted, comprehensive approach with multiple objectives is needed.OBJECTIVE: To describe the effects of a program (the 'Chronic Pain Class') offering cognitive behavioural therapy to small groups of individuals with refractory chronic pain in Japan. Exercise was an important feature of the program.METHODS: A total of 46 patients who were experiencing treatment difficulties and decreased activity participated in the program. The programs were conducted in groups of five to seven patients who met weekly for nine weeks. Weekly sessions, which were approximately 2 h in duration, combined lectures with exercise. Several measures related to pain and physical function were administered at the beginning and the conclusion of the program.RESULTS: Nine patients dropped out during the program. A number of measures (eg, pain intensity, disability, catastrophizing thoughts) showed significant improvements after intervention (P