慈心禅对慢性疼痛患者的干预效果研究

发布时间：2018-07-03 00:47

本文选题：慈心禅 + 慢性疼痛　；参考：《苏州大学》2014年硕士论文

【摘要】：疼痛是由实际或潜在的组织损伤,或对此损伤的描述,所引发的一种不愉快的感觉和情感经历。急性疼痛对人类的生存具有重要的意义,而慢性疼痛已失去了它的信号意义,带给人们的往往是痛苦,给患者带来沉重的负面心理问题,最终使得慢性疼痛与心理情绪障碍的共病率大大提高。随着正念在西方心理学界的流行,慈心禅作为另一种颇具应用潜力的传统佛教禅修方式,正受到越来越多心理学家的关注。系统的慈心禅训练可视为一种情绪调节策略,用来培养积极情绪,缓解消极的情绪反应,提升自我同情,培养对他人的共情能力和积极态度,辅助某些疾病的治疗。在国内,对慈心禅的研究还处于起步阶段,对其之研究几乎处于空白状态。因此,本研究的目的在于探讨慢性疼痛的心理机制,尝试采用慈心禅训练对慢性疼痛患者进行心理干预。本研究采用应对方式问卷(CSQ)、艾森克人格问卷(EPQ)、症状自评量表(SCL-90)对30名慢性疼痛患者及30名健康者进行量表测查,了解慢性疼痛患者在人格特征、认知特点、应对方式、心理健康水平上的特征。之后,采用实验组对照组前测后测实验设计,10名实验组被试除常规护理外进行为期六周,每周一次的慈心禅干预训练,另外10名对照组被试只进行常规护理,以探讨慈心禅训练对患者疼痛程度、情绪及心理健康水平的改善效果。研究结果表明,与健康人群相比,慢性疼痛患者有其特有的心理特征,表现为：易采用自责、幻想、合理化应对方式来面对问题；人格更为内倾及神经质；精神症状虽无明显异常,但在躯体化、强迫、抑郁、焦虑、恐怖、精神病性及睡眠、饮食等其他项目上得分较高。另外,经过六次慈心禅训练,慢性疼痛患者的疼痛、情绪状态、心理健康水平得到一定改善,说明慈心禅对临床慢性疼痛患者的治疗有辅助效果,可增加物理治疗的效果。
[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 .
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：B842

【参考文献】