THE POTENTIAL OF PSYCHOLOGICAL INTERVENTIONS TO IMPROVE QUALITY OF LIFE AND MOOD IN MUSCLE DISORDERS

THE POTENTIAL OF PSYCHOLOGICAL INTERVENTIONS TO IMPROVE QUALITY OF LIFE AND MOOD IN MUSCLE DISORDERS
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DOI:
10.1002/mus.24487
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发表时间:
2015-07-01
期刊:
影响因子:
3.4
通讯作者:
Rose, Michael R.
Rose, Michael R.
中科院分区:
医学3区
文献类型:
--
作者:
Graham, Christopher D.;Simmons, Zachary;Rose, Michael R.

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许多肌肉疾病患者的生活质量和情绪都会下降。心理变量似乎对生活质量和情绪都有影响,这表明心理干预可以改善这些结果,但这一领域的研究很少。我们回顾了心理变量、环境和疾病严重程度在解释生存质量中的作用。讨论了以接受为核心的疾病自我管理的认知-行为模型。然后,这个模型被用来描述认知行为疗法(CBT),特别是接受和承诺疗法(ACT)衍生的心理干预如何应用于解决肌肉疾病患者的痛苦、不坚持治疗、疼痛和疲劳等问题。
Quality of life (QoL) and mood are reduced in many patients with muscle disorders. Psychological variables appear to be contributors to both QoL and mood, suggesting that psychological interventions could improve these outcomes, yet research in this area is sparse. We review the roles of psychological variables, plus context and disease severity, in explaining QoL. A cognitive-behavioral model of disease self-management, with acceptance as the central component, is discussed. This model is then used to describe how psychological interventions derived from cognitive behavioral therapy (CBT), in particular Acceptance and Commitment Therapy (ACT), might be applied to address the issues of distress, nonadherence to treatments, pain, and fatigue in people with muscle disorders.