| Item type |
文献 / Documents(1) |
| 公開日 |
2020-09-17 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
関連識別子 |
https://doi.org/10.1186/s13030-020-00176-w |
|
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関連名称 |
10.1186/s13030-020-00176-w |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Pilot study of a basic individualized cognitive behavioral therapy program for chronic pain in Japan |
| 著者 |
ホソゴシ, ヒロキ
イワサ, カズノリ
福森, 崇貴
タカギシ, ユリコ
タケバヤシ, ヨシタケ
アダチ, トモノリ
オオエ, ユウキ
タイラコ, ユキノ
タカオ, ユミコ
ニシエ, ヒロユキ
カニエ, アヤコ
キタハラ, マサキ
エノモト, キヨカ
イシイ, ヒロノ
シンメイ, イッセイ
ホリコシ, マサル
シバタ, マサヒコ
|
| 抄録 |
|
|
内容記述 |
Background: Chronic pain is a major health problem, and cognitive behavioral therapy (CBT) is its recommended treatment; however, efforts to develop CBT programs for chronic pain and assess their feasibility are remarkably delayed in Asia. Therefore, we conducted this pilot study to develop a basic individualized CBT for chronic pain (CBT-CP) and assessed its feasibility for use in Japan.
Methods: Our study was an open-labeled before–after trial without a control group conducted cooperatively in five Japanese tertiary care hospitals. Of 24 outpatients, 15, age 20–80, who experienced chronic pain for at least three months were eligible. They underwent an eight-session CBT-CP consisting of relaxation via a breathing method and progressive muscle relaxation, behavioral modification via activity pacing, and cognitive modification via cognitive reconstruction. The EuroQol five-dimensional questionnaire five level (EQ5D-5 L) assessment as the primary outcome and quality of life (QOL), pain severity, disability, catastrophizing, self-efficacy, and depressive symptoms as secondary outcomes were measured using self-administered questionnaires at baseline, post-treatment, and 3-month follow-up. Intention-to-treat analyses were conducted.
Results: Effect size for EQ5D-5 L score was medium from baseline to post-treatment (Hedge’s g = − 0.72, 90% confidence interval = − 1.38 to − 0.05) and up to the 3-month follow-up (g = − 0.60, CI = − 1.22 to 0.02). Effect sizes for mental and role/social QOL, disability, catastrophizing, self-efficacy, and depressive symptoms were medium to large, although those for pain severity and physical QOL were small. The dropout rate was acceptably low at 14%. No severe adverse events occurred.
Conclusion: The findings suggest that CBT-CP warrants a randomized controlled trial in Japan. |
| キーワード |
|
|
主題 |
Chronic pain |
| キーワード |
|
|
主題 |
Cognitive behavioral therapy |
| キーワード |
|
|
主題 |
Psychotherapy |
| キーワード |
|
|
主題 |
Multidisciplinary treatment |
| キーワード |
|
|
主題 |
Quality of life (QOL) |
| キーワード |
|
|
主題 |
Japanese |
| キーワード |
|
|
主題 |
Asia |
| キーワード |
|
|
主題 |
Feasibility |
| 書誌情報 |
en : BioPsychoSocial Medicine
巻 14,
p. 6,
発行日 2020-03-10
|
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
17510759 |
| 出版者 |
|
|
出版者 |
Springer Nature |
| 出版者 |
|
|
出版者 |
BioMed Central |
| 権利情報 |
|
|
権利情報 |
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| EID |
|
|
識別子 |
366213 |
| 言語 |
|
|
言語 |
eng |
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