■研究表明,各种社会心理因素会影响慢性疼痛,认知行为疗法等心理治疗被证明是有效的。然而,有限的可用性和可及性延长了慢性疼痛患者的痛苦。这一挑战导致对可访问的在线干预的需求日益增长。我们开发了一个在线认知行为团体治疗(CBGT)程序,建立在我们现有的面对面CBGT计划的基础上。我们将患者在照常治疗(TAU)期间获得的得分与在干预开始和结束时收集的得分进行了比较。
■慢性疼痛患者(N=22)同意参加在线CBGT计划,每周进行一次,共12次。样本量是根据我们过去面对面CBGT的效果大小决定的。我们评估疼痛强度[视觉模拟评分(VAS)],疼痛灾难化[疼痛灾难化量表(PCS)]和精神病学评估[贝克抑郁量表-第二版(BDI)-II],状态-特质焦虑量表(STAI),和简短形式的健康调查(SF-36)在三个点:入口,预处理,和后处理。我们还评估了参与者与治疗人员的治疗联盟[工作联盟清单的简短版本(WAI-S)]。我们利用了方差分析,弗里德曼测试,配对t检验,Wilcoxon符号秩检验,和Pearson相关性分析进行数据评价。
■结果表明治疗后VAS有显著改善,PCS,与TAU期间相比,BDI-II得分。此外,与治疗前评分相比,治疗后WAI-S评分显著增加.此外,WAI-S治疗前后变化呈正相关,疼痛强度,和痛苦灾难的分数。
■有可能建立治疗联盟,以及通过在线CBGT干预实现的治疗效果;然而,需要更多的研究来证实这种潜力。我们已于2021年4月21日在UMIN-CTR注册了这项临床试验,编号为UMIN000043982。
UNASSIGNED: Research suggests that various psychosocial factors influence chronic pain, with psychotherapies like cognitive behavioral therapy proving effective. However, the limited availability and accessibility have prolonged suffering among patients with chronic pain. This challenge has led to a growing demand for accessible online interventions. We developed an online cognitive behavioral group therapy (CBGT) program, building upon our existing face-to-face CBGT program. We compared the scores obtained by patients during the treatment-as-usual (TAU) period with those collected at the beginning and at the end of the intervention.
UNASSIGNED: Patients with chronic pain (N = 22) agreed to participate in the online CBGT program, which was conducted once a week for 12 sessions. The sample size was decided based on the effect sizes of our past face-to-face CBGT. We assessed pain intensity [Visual Analogue Scale (VAS)], pain catastrophizing [pain catastrophizing scale (PCS)] and psychiatric assessment [Beck Depression Inventory-Second Edition (BDI)-II], State-Trait-Anxiety Inventory (STAI), and Short Form Health Survey (SF-36) at three points: entry, pretreatment, and posttreatment. We also evaluated the participants\' therapeutic alliance with the treatment staff [short-form version of the Working Alliance Inventory (WAI-S)]. We utilized analyses of variance, Friedman test, paired t-tests, Wilcoxon signed-rank test, and Pearson correlation analysis for data evaluation.
UNASSIGNED: Results indicated a significant posttreatment improvement in VAS, PCS, and BDI-II scores compared to the TAU period. Furthermore, posttreatment WAI-S scores increased significantly compared to pretreatment scores. Also, positive correlations were observed among pre- and posttreatment changes in WAI-S, pain intensity, and pain catastrophizing scores.
UNASSIGNED: There is a possibility that a therapeutic alliance can be established, and therapeutic effects achieved through an online CBGT intervention; however, additional research is required to substantiate this potential. We have registered this clinical trial in UMIN-CTR on 04/21/2021 with the number UMIN000043982.