PAIN BELIEFS AND CHRONIC PAIN TREATMENT

描述：这项提议是#年的第一步 为长期规划研究奠定基础 痛苦的信念。采用随机处理设计，建议的 一项研究比较了认知行为干预和标准干预 医疗保健在确定疼痛信念是否可以改变中的作用 通过对慢性疼痛的标准治疗。这项研究还 研究改变疼痛观念对短期和长期的影响 衡量疼痛、功能、依从性和医疗保健使用情况。这个 研究还探索了个体对疼痛的信念是如何被持有的 在个人更大的信仰系统的背景下。这个 研究将扩展到暗示信仰系统复杂性的先导研究 对物理和数据的并发度量起到缓冲作用 与慢性病相关的心理困扰。使用 同样的随机治疗设计，这项研究评估 使用标准治疗可以增加认知复杂性 从而帮助实际疼痛患者认识到 在模拟研究中报告的缓冲好处。有三个具体的 旨在提出这一建议。第一个目标是评估 疼痛的两种标准形式可以改变不适应的疼痛观念 管理层。第二个目标是评估信仰系统是否 通过两种疼痛管理策略可以增加复杂性 如上所述。这项研究将评估信念系统的复杂性 在认知-行为疼痛之前和之后 管理干预或标准医疗对照组。第三 目的是分析疼痛信念和疼痛变化之间的联系 随着疼痛和疼痛的改善，信念系统复杂性的变化 短期(3周)和长期(12个月)的功能状态。

DESCRIPTION: This proposal represents the first step in establishing the foundation for a long-term programmatic study of pain beliefs. Using a randomized treatment design, the proposed study compares a cognitive- behavioral intervention with standard medical care in determining whether pain beliefs are amenable to change through standard treatments for chronic pain. This study also examines the impact of changing pain beliefs on short and long-term measures of pain, functioning, adherence, and health care use. The study also explores how individual beliefs about pain are held within the context of the larger belief system of the individual. The study will expand on pilot studies that suggest belief system complexity plays a buffering role on concurrent measures of physical and psychological distress associated with chronic conditions. Using the same randomized treatment design, this study assesses whether cognitive complexity can be increased with standard treatments for chronic pain so as to help actual pain patients realize the buffering benefits reported in analog studies. There are three specific aims to this proposal. The first aim is to evaluate whether maladaptive pain beliefs can be altered by two standard forms of pain management. The second aim is to evaluate whether belief system complexity can be increased through the two pain management strategies mentioned above. This study will assess belief system complexity prior to and following either the cognitive- behavioral pain management intervention or the standard medical control group. The third aim is to analyze the association of changes in pain beliefs and changes in belief system complexity with improvements in pain and functional status both short term (3 weeks) and long term (12 months).