HRV Biofeedback in Pain Patients: Pilot Intervention for Pain, Fatigue & Sleep

疼痛患者的 HRV 生物反馈：针对疼痛、疲劳的试点干预

• 批准号: 9337255
• 负责人: James Burch
• 金额: --
• 依托单位: VETERANS HEALTH ADMINISTRATION
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9337255
• 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; Circadian Rhythms; Clinical; Cognition; Cognitive; Computers; Data; Data Analyses; Devices; Diagnosis; Disease; Effectiveness; Equilibrium; Equipment and supply inventories; Fatigue; Fostering; Frequencies; Home environment; Hour; 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; cognitive function; follow up assessment; follow-up; heart rate variability; improved; indexing; instrument; interdisciplinary approach; interest; neuromusculoskeletal; new therapeutic target; novel; opioid use; portability; public health relevance; social; social movement; treatment group; vigilance

 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.

 描述（由申请人提供）： 科学文献为慢性疼痛患者的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护理的最常见原因之一，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疗问题。许多慢性疼痛的退伍军人使用回避策略来减轻疼痛的强度，这在社会行为和运动中经常看到。尽管VA强调疼痛管理的跨学科方法，但慢性疼痛的标准治疗仍然严重依赖于阿片类药物的使用。因此，一种有效的非药物疼痛治疗，减少疼痛的影响和阿片类药物的使用将是一个显着的好处，所有慢性疼痛患者。心率变异性生物反馈是一种补充性的、非药物性的技术，用于改善自主神经功能，我们在本研究中提出，它将降低疼痛评分，改善退伍军人疼痛患者的睡眠、活动、认知和生活质量。