背景:经常为持续性疼痛患者提供疼痛管理计划(PMP)作为其护理计划的一部分。认知行为疗法(CBT)原则通常是PMPs的基础,并且具有良好的证据基础;尽管如此,最近的系统审查表明,其有效性是有限的。以同情为中心的治疗(CFT)是“第三波CBT”的一种形式,提供了一种替代和补充的疼痛观点,鼓励这个人与他们的痛苦经历并驾齐驱,并利用他们所学到的同情技能来应对痛苦。
方法:当前的研究探索了12周CFT治疗持续疼痛患者的有效性。研究访谈探讨了CFT小组的CFT成员的经验。反馈是关于主持人运行小组的经验和问卷调查数据收集的参与者的情绪,疼痛残疾,接受慢性疼痛和自我批评和自我保证的水平。
结果:使用解释性现象学分析对访谈进行了分析,该分析揭示了所有访谈中具有代表性的五个主要上级主题。然后用问卷和促进者反馈的数据对这些数据进行三角测量。
结论:在持续疼痛由显著心理因素加重的人群中,CFT小组方法有助于减少孤立感,提高自我自信的能力,学习新的应对方式,并逐渐接受与痛苦相关的局限性。考虑了对未来临床实践的可能影响。
BACKGROUND: People with persistent pain are frequently offered a pain management programme (PMP) as part of their care plan. Cognitive behavioural therapy (CBT) principles often underpin PMPs and has a good evidence base; nevertheless, more recent systematic reviews have suggested that its effectiveness is limited. Compassion-focused therapy (CFT) is a form of \'third-wave CBT\' that offers an alternative and complementary view of pain, encouraging the person to be alongside their experience of pain and respond to it using skills of compassion they have learnt.
METHODS: The current research explored the effectiveness of a 12-week CFT group for people who experience persistent pain. Research interviews explored CFT members\' experiences of the CFT group. Feedback was collected on the facilitators\' experience of running the group and questionnaire data collected on participants\' mood, pain disability, acceptance of chronic pain and levels of self-criticism and self-reassurance.
RESULTS: Interviews were analysed using interpretative phenomenological analysis that revealed five master superordinate themes representative across all interviews. These were then triangulated with data from the questionnaires and facilitator feedback.
CONCLUSIONS: In people whose persistent pain was compounded by a significant psychological component, a CFT group approach helped reduce feelings of isolation, improve ability to self-reassure, learn new ways of coping and develop a growing acceptance of the limitations associated with their pain. The possible implications for future clinical practice are considered.