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Efficacy of Intensive Short-Term Dynamic Psychotherapy for Medically Unexplained Pain: A Pilot Three-Armed Randomized Controlled Trial Comparison with Mindfulness-Based Stress Reduction
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- 자료유형학술지논문
- 저자명Chavooshi, B.,Mohammadkhani, P.,Dolatshahee, B.
- 학회/출판사/기관명S. Karger AG
- 출판년도2016
- 언어영어
- 학술지명/학위논문주기Psychotherapy and psychosomatics
- 발행사항Vol.85No.2[2016]_x000D_
- ISBN/ISSN0033-3190
- 소개/요약Objective: Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with Medically Unexplained Pain (MUP). Understanding that not all patients with MUP have access to in-person ISTDP, this study aims to investigate the efficacy of an Internet-Delivered ISTDP (ID-ISTDP) for individuals with MUP using Skype™ in comparison with Treatment as Usual (TAU). Method: In this randomized controlled trial, 100 patients were randomly allocated into ID-ISTDP (n = 50) and TAU (n = 50) groups. Treatment intervention consisted of sixteen weekly, hour-long therapy sessions. The primary outcome was perceived pain assessed using the Numeric Pain Rating Scale (NPRS). The secondary outcome included Depression Anxiety Stress Scale-21 (DASS-21), Emotion Regulation Questionnaire (ERQ), Mindful Attention Awareness Scale (MAAS) and Quality of Life Inventory (QOLI). Blind assessments were conducted at the baseline, post-treatment and at a six-month follow-up. 2 Results: In the intention-to-treat analysis, pain symptoms in the intervention group were significantly reduced (p < 0.001), while a reduction was not observed in the TAU group (p = 0.651). Moreover, there were significant decreases in depression, anxiety and stress, as well as a greater increase in emotion regulation functioning, mindfulness and quality of life observed in the intervention group six-month after the treatment compared to the TAU condition. Conclusion: The results of this pilot trial demonstrates that sixteen weeks of ISTDP delivered by Skype™ can significantly improve pain intensity and clinical symptoms of MUP.
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