Measure of Body Awareness

身体意识的测量

• 批准号: 8123640
• 负责人: WOLF E MEHLING
• 金额: $ 2.52万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8123640
• 关键词: Awareness; Body measure procedure

DESCRIPTION (provided by applicant): Improving body awareness has been proposed as a novel non-pharmacological approach for the treatment of pain. It has been proposed as a mechanism of action for the health benefits obtained from therapeutic approaches characterized as mind-body and/or manual therapies, such as Yoga, Tai Chi, massage, mindfulness- based therapies, and Feldenkrais. These approaches enjoy a growing popularity among patients with painful condition. The hypothesis, that improving body awareness might help patients with pain, is supported by recent neuroscientific findings and needs to be subjected to rigorous clinical research. The study of body awareness, however, has been hampered by the poor definition and ambiguity of its construct. In studies of anxiety, the term body awareness has been used to describe an exaggerated patient focus on physical symptoms and is mostly seen as maladaptive for pain. Mind-body and manual therapies claim to improve pain by enhancing a particular type of body awareness characterized by non-judgmental mindfulness and a sense of embodiment. Confusion persists as to whether the patient's attention should be distracted away from or directed towards pain. There is great need to study these approaches to the treatment of pain, but a recently completed systematic review concluded that existing instruments measuring body awareness are inappropriate or limited. We propose to develop a new body awareness instrument to better understand the complex interactions of psychological factors with pain and to develop a measurement for pain research that is needed for intervention studies of mind-body and manual therapies. We refine the body awareness construct and develop a survey instrument by the following steps: 1) focus groups with providers and patients of above therapeutic approaches; 2) qualitative methods for construct refinement and item collection; 3) questionnaire assembly from item pool; 4) in-depth cognitive testing; 5) field testing the questionnaire in pain patients (n=250) using factor analysis for final item selection; 6) examine internal consistency in data from field test, test-retest reliability in a patient sample (n=100). We test the final instrument in a separately funded trial (n = 50) and a therapeutic group (n = 50) with patients in body awareness training to collect pilot data for predictive and discriminant validity. This measurement study will develop an instrument for pain research that is needed to understand how differences in body awareness affect the trajectory of pain. It will provide new directions for pain research and may change the conventional paradigms associated with the treatment of acute and chronic pain.

描述（由申请人提供）：已提出改善身体意识作为治疗疼痛的新型非药物方法。它已被提出作为从治疗方法获得健康益处的作用机制，所述治疗方法的特征为身心和/或手动疗法，例如瑜伽、太极、按摩、基于正念的疗法和Feldenkrais。这些方法在患有疼痛的患者中越来越受欢迎。这一假说认为，提高身体意识可能有助于疼痛患者，这一假说得到了最近神经科学研究结果的支持，需要进行严格的临床研究。然而，身体意识的研究一直受到其结构的定义和模糊性的阻碍。在焦虑的研究中，身体意识这个词被用来描述病人对身体症状的过度关注，并且大多被视为对疼痛的适应不良。身心疗法和手工疗法声称通过增强一种特殊类型的身体意识来改善疼痛，这种身体意识的特点是非判断性的正念和一种体现感。对于病人的注意力是应该从疼痛上转移还是应该集中在疼痛上，仍然存在困惑。有很大的需要研究这些方法来治疗疼痛，但最近完成的系统性审查的结论是，现有的仪器测量身体意识是不适当的或有限的。我们建议开发一种新的身体意识工具，以更好地了解心理因素与疼痛的复杂相互作用，并开发一种测量疼痛的研究，需要的身心和手动治疗的干预研究。本研究通过以下步骤改进身体意识结构并开发了一个调查工具：1）与上述治疗方法的提供者和患者的焦点小组; 2）结构改进和项目收集的定性方法; 3）从项目池中收集问卷; 4）深度认知测试; 5）对疼痛患者（n=250）进行现场测试，使用因素分析进行最终项目选择; 6）检验现场测试数据的内部一致性，在一个病人样本中的重测信度（n=100）。我们在一项单独资助的试验（n = 50）和一个治疗组（n = 50）中测试了最终的仪器，其中患者接受了身体意识训练，以收集预测和判别有效性的试点数据。这项测量研究将开发一种用于疼痛研究的工具，以了解身体意识的差异如何影响疼痛的轨迹。它将为疼痛研究提供新的方向，并可能改变与急性和慢性疼痛治疗相关的传统范式。