Psychological approaches to the management of arthritis pain.
Psychological approaches to the management of arthritis pain.
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治疗关节炎疼痛的心理学方法。
DOI：
10.1016/0277-9536(84)90024-8
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发表时间：
1984
影响因子：
5.4
通讯作者：
C. Agudelo
中科院分区：
文献类型：
--
作者：
L. Bradley;L. D. Young;K. Anderson;L. McDaniel;R. Turner;C. Agudelo
本综述审查了有关认知行为和其他自我控制干预措施在帮助关节炎患者减轻疼痛和功能障碍方面的功效的文献。证据表明，自我控制干预措施对类风湿性关节炎和血友病继发性关节炎患者的疼痛和功能障碍产生了显着且积极的变化。然而，文献在使用小受试者样本方面存在缺陷；控制程序和后续评估不充分；未能证明积极的结果与受试者的隐秘经历或生理变量控制的变化有关；以及对结果的自我报告衡量的依赖。该综述随后描述了一项多学科研究，该研究旨在研究生物反馈辅助的认知行为团体治疗方案对类风湿性关节炎患者的疗效，该研究的特点是相对于之前的研究有一些方法上的改进。初步结果数据显示，认知行为干预与疼痛行为以及疼痛和残疾自我报告的减少有关。结论是，尽管自我控制干预措施已显示出有希望的结果，但如果风湿病学家认为干预措施可信，心理学家必须在较长时间内在大量关节炎患者中证明积极且可靠的结果。
The present review examines the literature regarding the efficacy of cognitive-behavioral and other self-control interventions in helping arthritis patients reduce their pain and functional disabilities. The evidence indicates that self-control interventions have produced significant and positive changes in the pain and functional disabilities of patients with rheumatoid arthritis and arthritis secondary to hemophilia. However, the literature suffers from deficiencies with regard to the use of small subject samples; inadequate control procedures and follow-up assessments; failure to demonstrate that positive outcomes are related to changes in subjects' covert experiences or control of physiological variables; and reliance upon self-report measures of outcome. The review is followed by a description of a multidisciplinary study of the efficacy of a biofeedback-assisted, cognitive-behavioral group therapy program for rheumatoid arthritis patients that features several methodological improvements relative to previous investigations. The preliminary outcome data show that the cognitive-behavioral intervention is associated with reductions in pain behavior and self-reports of pain and disability. It is concluded that, although the self-control interventions have shown promising results, psychologists must demonstrate positive and reliable outcomes among large numbers of arthritis patients over extended periods of time if the interventions are to be viewed as credible by rheumatologists.