PAIN BELIEFS AND CHRONIC PAIN TREATMENT

产品说明： 这一建议是第一步， 为长期方案研究奠定基础， 疼痛信念 使用随机治疗设计， 提出 一项研究比较了认知行为干预和标准 确定疼痛信念是否易于改变的医疗护理 通过标准的慢性疼痛治疗。 本研究还 研究了改变疼痛信念对短期和长期的影响， 疼痛、功能、依从性和医疗保健使用的测量。 的 这项研究还探讨了个人对疼痛的看法是如何形成的。 在个人更大的信仰体系中。 的 研究将扩大试点研究，表明信仰系统的复杂性 对同时进行的物理和 与慢性病相关的心理困扰。 使用 相同的随机治疗设计，本研究评估是否 认知复杂性可以是 标准治疗增加 以帮助真正的疼痛患者认识到， 模拟研究中报告的缓冲益处。 有三个具体的 旨在提出这一建议。 第一个目标是评估是否 适应不良的疼痛信念可以通过两种标准形式的疼痛来改变 管理 第二个目的是评估信仰体系是否 通过两种疼痛管理策略， 上面提到的。 本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 管理干预组或标准医疗对照组。 第三 目的是分析疼痛信念的变化与 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).