研究动态
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艺术治疗及其在慢性疼痛管理中的意义:叙述性综述。

Arts Therapy and Its Implications in Chronic Pain Management: A Narrative Review.

发表日期:2023 Sep 21
作者: Jaroslava Raudenská, Veronika Šteinerová, Šárka Vodičková, Martin Raudenský, Marie Fulková, Ivan Urits, Omar Viswanath, Giustino Varrassi, Alena Javůrková
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

慢性非恶性疼痛被认为是一个复杂、动态的现象学相互作用,涉及到个体的生物学、心理学和社会因素。因此,其管理和治疗应该包括个体的生物心理社会方面,通常通过合作的跨学科/多学科多模式护理来解决,因为没有生物学的治疗方法。为了提高跨学科/多学科多模式护理,我们进行了艺术疗法作为一种心灵-身体干预及其在慢性疼痛患者群体中的功效的叙述性回顾。在注意力分散策略的语境下,还讨论了艺术疗法会话期间情绪和身体症状的变化,尤其是疼痛强度。我们对不同设计的16项研究进行了总结,并大多数研究报告了艺术疗法对患者慢性疼痛管理和疼痛、情绪、压力和生活质量的改进的有益效果。然而,结果不一致且不明确。研究发现,目前对慢性非恶性疼痛管理中艺术疗法影响的高质量研究匮乏。由于现有研究中艺术疗法的局限性、低效性和不确定性,需要进一步进行具有改进方法学标准的研究。© 2023. 作者。
Chronic nonmalignant pain is recognized as a complex, dynamic, phenomenological interplay between biological, psychological, and social factors that are individual to the person suffering from it. Therefore, its management and treatment ought to entail the individual's biopsychosocial aspects that are often addressed by collaborative, inter/multidisciplinary multimodal care, as there is no biologic treatment. In an effort to enhance inter/multidisciplinary multimodal care, a narrative review of arts therapy as a mind-body intervention and its efficacy in chronic pain populations has been conducted. Changes in emotional and physical symptoms, especially pain intensity, during arts therapy sessions have also been discussed in in the context of attention distraction strategy. Arts therapy (visual art, music, dance/movement therapy, etc.) have been investigated to summarize relevant findings and to highlight further potential benefits, limitations, and future directions in this area. We reviewed 16 studies of different design, and the majority reported beneficial effects of art therapy in patients' management of chronic pain and improvement in pain, mood, stress, and quality of life. However, the results are inconsistent and unclear. It was discovered that there is a limited amount of high-quality research available on the implications of arts therapy in chronic nonmalignant pain management. Due to the reported limitations, low effectiveness, and inconclusive findings of arts therapy in the studies conducted so far, further research with improved methodological standards is required.© 2023. The Author(s).