疼痛患者的 HRV 生物反馈：针对疼痛、疲劳的试点干预-猫眼课题宝

疼痛患者的 HRV 生物反馈：针对疼痛、疲劳的试点干预

批准号：

9984927

负责人：

James Burch

金额：

$0.0万

依托单位：

VETERANS HEALTH ADMINISTRATION

依托单位国家：

美国

项目类别：

财政年份：

2015

资助国家：

美国

项目状态：

已结题

起止时间：

2015-07-01 至 2019-12-31

来源：

https://reporter.nih.gov/project-details/9984927

关键词：

Advisory Committees Age Attention Auditory Autonomic Dysfunction Autonomic nervous system Beck depression inventory Behavior Therapy Behavioral Biofeedback Brief Pain Inventory Cardiac Output Chronic Chronic stress Clinical Cognition Cognitive Computers Data Data Analyses Devices Diagnosis Disease Effectiveness Equilibrium Equipment and supply inventories Fatigue Fostering Frequencies Home environment Hour Integrative Therapy Intervention Intervention Trial Literature Measures Medical Mental Depression Mental Fatigue Modeling Monitor Motivation Nature Non-Malignant Opioid Outcome Output Pain Pain Clinics Pain intensity Pain management Parasympathetic Nervous System Patient Self-Report Patients Pharmaceutical Preparations Physical Function Physiologic pulse Pilot Projects Placebos Procedures Protocols documentation Quality of life Questionnaires Randomized Reaction Time Recommendation Respiration Rest Side Sleep Sleeplessness Social Behavior Social Functioning Standardization Stress Symptoms Techniques Testing Time Training Verbal Learning Veterans War Wrist actigraphy base biobehavior biological adaptation to stress care seeking chronic pain chronic pain patient circadian cognitive function follow up assessment follow-up heart rate variability improved indexing instrument interdisciplinary approach interest neuromusculoskeletal new therapeutic target novel pain patient pain reduction pain relief perceived stress portability prescription opioid primary endpoint public health relevance secondary endpoint social social movement treatment group vigilance

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中文摘要

翻译

描述(由申请人提供)：科学文献为慢性疼痛患者行为治疗的重要性提供了证据。疼痛是所有战争中退伍军人寻求治疗的最常见原因之一，而在所有退伍军人中，慢性、非恶性神经肌肉骨骼疼痛是最常见的诊断医学问题。许多患有慢性疼痛的退伍军人使用回避策略来抑制疼痛的强度，这在社会行为和运动中经常可以看到。尽管退伍军人事务部强调跨学科的疼痛管理方法，但慢性疼痛的标准治疗仍然严重依赖阿片类药物的使用。因此，一种有效的非药物疼痛疗法，减少疼痛的影响和阿片类药物的使用，将是对所有慢性疼痛患者的重大好处。心率变异性生物反馈是一种补充的、非药物的改善自主神经功能的技术，我们在这项研究中提出，这将降低疼痛分级，并改善老年疼痛患者的睡眠、活动、认知和生活质量。

英文摘要

DESCRIPTION (provided by applicant): Scientific literature provides evidence for the importance of behavioral treatments for chronic pain patients. Pain is one of the most common reasons for seeking care among Veterans of all wars, and among all Veterans, chronic, non-malignant neuromusculoskeletal pain is the most commonly diagnosed medical problem. Many Veterans in chronic pain use avoidance strategies to dampen the intensity of pain, as is often seen in social behaviors and movement. Although the VA stresses the interdisciplinary approach to pain management, standard therapy for chronic pain still relies heavily on the use of opioids. Thus, an effective non-pharmacological pain therapy that reduces the effects of pain and the usage of opioid medications would be a significant benefit to all chronic pain patients. Heart Rate Variability Biofeedback is a complementary, non-pharmacological technique for improvement autonomic function that we propose in this study will reduce pain ratings and improve sleep, activity, cognition, and quality of life for Veteran pain patients.

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