Comparison of an Online Mindfulness-based Cognitive Therapy Intervention With Online Pain Management Psychoeducation A Randomized Controlled Study
Comparison of an Online Mindfulness-based Cognitive Therapy Intervention With Online Pain Management Psychoeducation A Randomized Controlled Study
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DOI：
10.1097/ajp.0000000000000201
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发表时间：
2015-06-01
影响因子：
2.9
通讯作者：
Zautra, Alex J.
中科院分区：
文献类型：
--
作者：
Dowd, Haulie;Hogan, Michael J.;Zautra, Alex J.
背景资料：本研究在一项随机研究中测试了计算机化正念认知治疗干预与计算机化疼痛管理心理教育的有效性。方法：使用意向治疗方法，124名报告经历与癌症无关的疼痛并且持续时间至少6个月的成年参与者被随机分配到基于计算机正念的认知疗法（“正念在行动”[MIA]）或疼痛管理心理教育计划。数据收集之前和之后的干预，并在6个月follow-up.Results：两组参与者表现出等效的变化和显着改善措施的疼痛干扰，疼痛的接受，和灾难化从治疗前到治疗后，并保持在后续的改善。两组的平均疼痛强度也从基线到治疗后降低，但在随访时没有保持。两组的参与者都报告了主观幸福感的增加，这些在MIA中比疼痛管理心理教育组更明显。MIA组的参与者还报告说，“现在”的疼痛减轻了很多，并且在干预完成后，他们管理情绪、管理压力和享受愉快事件的能力有所提高。在管理情绪和压力事件的能力的变化保持在follow-up.Conclusions：研究结果提供的证据表明，虽然有兴趣的参与者在这两种条件下随着时间的推移，跨结果的等效变化，MIA程序显示了一些独特的好处。然而，研究中参与者的流失程度强调了需要进一步关注参与者参与在线慢性疼痛计划的情况。
Background: This study tested the effectiveness of a computerized mindfulness-based cognitive therapy intervention compared with computerized pain management psychoeducation in a randomized study.Methods: Using an intention-to-treat approach, 124 adult participants who reported experiencing pain that was unrelated to cancer and of at least 6 months duration were randomly assigned to computerized mindfulness-based cognitive therapy ("Mindfulness in Action" [MIA]) or pain management psychoeducation programs. Data were collected before and after the intervention and at 6-month follow-up.Results: Participants in both groups showed equivalent change and significant improvements on measures of pain interference, pain acceptance, and catastrophizing from pretreatment to posttreatment and the improvements were maintained at follow-up. Average pain intensity also reduced from baseline to posttreatment for both groups, but was not maintained at follow-up. Participants in both groups reported increases in subjective well-being, these were more pronounced in the MIA than the pain management psychoeducation group. Participants in the MIA group also reported a greater reduction in pain "right now," and increases in their ability to manage emotions, manage stress, and enjoy pleasant events on completion of the intervention. The changes in ability to manage emotions and stressful events were maintained at follow-up.Conclusions: The results of the study provide evidence that although there were equivalent changes across outcomes of interest for participants in both conditions over time, the MIA program showed a number of unique benefits. However, the level of participant attrition in the study highlighted a need for further attention to participant engagement with online chronic pain programs.