A Mixed-Methods Pilot Study of Mindfulness-Based Stress Reduction for HIV-Associated Chronic Pain
A Mixed-Methods Pilot Study of Mindfulness-Based Stress Reduction for HIV-Associated Chronic Pain
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DOI：
10.1080/08964289.2015.1107525
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发表时间：
2017-01-01
影响因子：
2.3
通讯作者：
Robinson-Papp, Jessica
中科院分区：
文献类型：
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作者：
George, Mary Catherine;Wongmek, Arada;Robinson-Papp, Jessica
慢性疼痛的治疗指南建议将非药物治疗方法作为综合管理计划的一部分。慢性疼痛在艾滋病毒/艾滋病患者中很常见，但在这个复杂的人群中，几乎没有数据来指导非药物治疗的选择。我们对32名市中心HIV感染的参与者进行了基于正念的压力减轻(MBSR)和健康教育对照的混合方法可行性研究。结果测量包括：短暂疼痛问卷、感知压力量表、HIV症状指数、自主神经功能测试和录音焦点小组。干预后，参与者报告疼痛测量和感觉到的压力有轻微的改善，但没有观察到分组分配的效果。在3个月的随访中，79%的MBSR参与者仍在练习，疼痛强度有所改善，而对照组的疼痛强度有所恶化。定性分析显示，两组患者都有很强的社区意识，但只有MBSR被认为对放松和缓解疼痛有效。
Treatment guidelines for chronic pain recommend nonpharmacologic modalities as part of a comprehensive management plan. Chronic pain is common among people living with HIV/AIDS, but there is little data to guide the choice of nonpharmacologic therapies in this complex population. We performed a mixed-methods feasibility study of Mindfulness-Based Stress Reduction (MBSR) versus health education control with 32 inner city, HIV-infected participants. Outcome measures included: the Brief Pain Inventory, Perceived Stress Scale, HIV Symptoms Index, autonomic function testing, and audiotaped focus groups. Post-intervention, participants reported modest improvements in pain measures and perceived stress, but no effect of group assignment was observed. At 3-month follow-up, 79% of MBSR participants were still practicing, and pain intensity was improved, whereas in the control group pain intensity had worsened. Qualitative analysis revealed a strong sense of community in both groups, but only MBSR was perceived as useful for relaxation and pain relief.