慈心禪對(duì)慢性疼痛患者的干預(yù)效果研究
發(fā)布時(shí)間:2018-07-03 00:47
本文選題:慈心禪 + 慢性疼痛; 參考:《蘇州大學(xué)》2014年碩士論文
【摘要】:疼痛是由實(shí)際或潛在的組織損傷,或?qū)Υ藫p傷的描述,所引發(fā)的一種不愉快的感覺和情感經(jīng)歷。急性疼痛對(duì)人類的生存具有重要的意義,而慢性疼痛已失去了它的信號(hào)意義,帶給人們的往往是痛苦,給患者帶來沉重的負(fù)面心理問題,最終使得慢性疼痛與心理情緒障礙的共病率大大提高。 隨著正念在西方心理學(xué)界的流行,慈心禪作為另一種頗具應(yīng)用潛力的傳統(tǒng)佛教禪修方式,正受到越來越多心理學(xué)家的關(guān)注。系統(tǒng)的慈心禪訓(xùn)練可視為一種情緒調(diào)節(jié)策略,用來培養(yǎng)積極情緒,緩解消極的情緒反應(yīng),提升自我同情,培養(yǎng)對(duì)他人的共情能力和積極態(tài)度,輔助某些疾病的治療。在國內(nèi),對(duì)慈心禪的研究還處于起步階段,對(duì)其之研究幾乎處于空白狀態(tài)。因此,本研究的目的在于探討慢性疼痛的心理機(jī)制,嘗試采用慈心禪訓(xùn)練對(duì)慢性疼痛患者進(jìn)行心理干預(yù)。 本研究采用應(yīng)對(duì)方式問卷(CSQ)、艾森克人格問卷(EPQ)、癥狀自評(píng)量表(SCL-90)對(duì)30名慢性疼痛患者及30名健康者進(jìn)行量表測查,了解慢性疼痛患者在人格特征、認(rèn)知特點(diǎn)、應(yīng)對(duì)方式、心理健康水平上的特征。之后,采用實(shí)驗(yàn)組對(duì)照組前測后測實(shí)驗(yàn)設(shè)計(jì),10名實(shí)驗(yàn)組被試除常規(guī)護(hù)理外進(jìn)行為期六周,每周一次的慈心禪干預(yù)訓(xùn)練,另外10名對(duì)照組被試只進(jìn)行常規(guī)護(hù)理,以探討慈心禪訓(xùn)練對(duì)患者疼痛程度、情緒及心理健康水平的改善效果。 研究結(jié)果表明,與健康人群相比,慢性疼痛患者有其特有的心理特征,表現(xiàn)為:易采用自責(zé)、幻想、合理化應(yīng)對(duì)方式來面對(duì)問題;人格更為內(nèi)傾及神經(jīng)質(zhì);精神癥狀雖無明顯異常,但在軀體化、強(qiáng)迫、抑郁、焦慮、恐怖、精神病性及睡眠、飲食等其他項(xiàng)目上得分較高。另外,經(jīng)過六次慈心禪訓(xùn)練,慢性疼痛患者的疼痛、情緒狀態(tài)、心理健康水平得到一定改善,說明慈心禪對(duì)臨床慢性疼痛患者的治療有輔助效果,可增加物理治療的效果。
[Abstract]:Pain is an unpleasant feeling and emotional experience caused by actual or potential tissue damage , or a description of this injury . Acute pain has an important meaning for the survival of humans , and chronic pain has lost its signal meaning , which often leads to a severe negative psychological problem for the patient and ultimately leads to a significant improvement in the co - morbidity rate of chronic pain and psychological mood disorders .
As mindfulness is popular in western psychology , Tzu Chi Chan is being paid more and more attention by more and more psychologists . The system ' s compassion training can be regarded as an emotion regulation strategy , which can be used to cultivate positive emotions , relieve negative emotional responses , promote self - compassion , cultivate the empathy ability and positive attitude towards others , and assist in the treatment of certain diseases .
In this study , 30 patients with chronic pain and 30 healthy subjects were measured by Symptom Checklist 90 ( SCL - 90 ) , and the characteristics of personality , cognitive characteristics , coping styles and mental health were studied .
The results show that the patients with chronic pain have their own psychological characteristics compared with the healthy population .
Personality is more introverted and neuroticism ;
Although there was no obvious abnormality in the mental symptoms , the scores were higher in somatization , compulsion , depression , anxiety , terror , psychosis , sleep , diet and so on .
【學(xué)位授予單位】:蘇州大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2014
【分類號(hào)】:B842
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相關(guān)期刊論文 前10條
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