東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression./
作者:	Sylvia, Julia M.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	162 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
Contained By:	Dissertations Abstracts International83-02B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28491779
ISBN:	9798522999865

Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression.
Sylvia, Julia M.

Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 162 p.

Source: Dissertations Abstracts International, Volume: 83-02, Section: B.

Thesis (D.N.P.)--Salve Regina University, 2021.

This item must not be sold to any third party vendors.

Clinical Question: In adult individuals with a diagnosis of chronic non-cancer pain (CNCP) and depressive symptoms, do self-administered cognitive behavioral therapy (CBT) and mindfulness exercises decrease Numerical Pain Rating Scale (NPRS) scores?Purpose: CNCP negatively impacts quality of life, which is often exacerbated by a comorbid diagnosis of depression. The combination of chronic pain, depression, and low quality of life results in limited improvement when treating CNCP. Treatment methods for CNCP are typically focused on pharmacologic options that tend to carry higher treatment risks and negative outcomes. Despite evidence that psychological treatment options are beneficial for CNCP patients and depressed patients, there is a lack of access to these services. Focus must be directed on treating CNCP and depression together while simultaneously improving access to less utilized, safer treatment options such as CBT and mindfulness. Methods: A cross-sectional, single blind, randomized controlled study was conducted for CNCP adults with depressive symptoms. The independent variable of self-administered CBT and mindfulness techniques was performed for 8 weeks in the experimental group. The NPRS, Patient Health Questionnaire-9 (PHQ-9), and Quality of Life Scale (QOLS) were utilized in the control and experimental group to assess the dependent variables of pain severity, depression severity, and quality of life.Inclusion Criteria: Age 18 and older, diagnosis of CNCP, PHQ-9 score greater than or equal to 5, no thoughts of self-harm, access to a computer/smartphone, email address, ability to read and write in English. Analysis: SPSS and JMP software was utilized. A 2X2 mixed design ANOVA was run on each dependent variable. Homogeneity of covariances was tested with Levene's test. Significance was set at p < .05. There was a marginally significant change in the experimental group for pain, however after Tukey correction p = .059 for NPRS scores. Implications for Practice: Self-administered CBT and mindfulness interventions may be effective in improving clinical outcomes for CNCP and depression. Further research is needed on self-administered psychotherapy to determine efficacy of this intervention as an adjunct management tool for chronic pain. This study data confirms that all individuals with CNCP should be screened for depression with a validated screening tool, as it is evident CNCP and depression occur in conjunction.

ISBN: 9798522999865Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Chronic non-cancer pain

Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression.
LDR:03691nmm a2200397 4500 001 2346615
005 20220620110658.5
008 241004s2021 ||||||||||||||||| ||eng d
020 $a 9798522999865
035 $a (MiAaPQ)AAI28491779
035 $a AAI28491779
040 $a MiAaPQ $c MiAaPQ
100 1 $a Sylvia, Julia M. $3 3685745
245 1 0 $a Self-Administered Psychotherapy for Chronic Non-Cancer Pain and Depression.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 162 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
500 $a Advisor: Magriby, Elizabeth.
502 $a Thesis (D.N.P.)--Salve Regina University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Clinical Question: In adult individuals with a diagnosis of chronic non-cancer pain (CNCP) and depressive symptoms, do self-administered cognitive behavioral therapy (CBT) and mindfulness exercises decrease Numerical Pain Rating Scale (NPRS) scores?Purpose: CNCP negatively impacts quality of life, which is often exacerbated by a comorbid diagnosis of depression. The combination of chronic pain, depression, and low quality of life results in limited improvement when treating CNCP. Treatment methods for CNCP are typically focused on pharmacologic options that tend to carry higher treatment risks and negative outcomes. Despite evidence that psychological treatment options are beneficial for CNCP patients and depressed patients, there is a lack of access to these services. Focus must be directed on treating CNCP and depression together while simultaneously improving access to less utilized, safer treatment options such as CBT and mindfulness. Methods: A cross-sectional, single blind, randomized controlled study was conducted for CNCP adults with depressive symptoms. The independent variable of self-administered CBT and mindfulness techniques was performed for 8 weeks in the experimental group. The NPRS, Patient Health Questionnaire-9 (PHQ-9), and Quality of Life Scale (QOLS) were utilized in the control and experimental group to assess the dependent variables of pain severity, depression severity, and quality of life.Inclusion Criteria: Age 18 and older, diagnosis of CNCP, PHQ-9 score greater than or equal to 5, no thoughts of self-harm, access to a computer/smartphone, email address, ability to read and write in English. Analysis: SPSS and JMP software was utilized. A 2X2 mixed design ANOVA was run on each dependent variable. Homogeneity of covariances was tested with Levene's test. Significance was set at p < .05. There was a marginally significant change in the experimental group for pain, however after Tukey correction p = .059 for NPRS scores. Implications for Practice: Self-administered CBT and mindfulness interventions may be effective in improving clinical outcomes for CNCP and depression. Further research is needed on self-administered psychotherapy to determine efficacy of this intervention as an adjunct management tool for chronic pain. This study data confirms that all individuals with CNCP should be screened for depression with a validated screening tool, as it is evident CNCP and depression occur in conjunction.
590 $a School code: 1211.
650 4 $a Nursing. $3 528444
650 4 $a Mental health. $3 534751
650 4 $a Psychology. $3 519075
650 4 $a Health care access. $3 3541397
650 4 $a Physiology. $3 518431
650 4 $a Comorbidity. $3 838466
650 4 $a Pain management. $3 3562647
650 4 $a Drug abuse. $3 641670
650 4 $a Cancer therapies. $3 3557730
650 4 $a Intervention. $3 3435307
650 4 $a Mental disorders. $3 728624
650 4 $a Chronic illnesses. $3 3550688
650 4 $a Counseling. $3 518756
650 4 $a Drug dosages. $3 3557732
650 4 $a Research methodology. $3 3559994
650 4 $a Addictions. $3 3543867
650 4 $a Society. $3 700566
650 4 $a Psychotropic drugs. $3 564250
650 4 $a Medical research. $2 bicssc $3 1556686
650 4 $a Behavior modification. $3 519138
650 4 $a Primary care. $3 3681757
650 4 $a Mental depression. $3 3556007
650 4 $a Addictive behaviors. $3 3563047
650 4 $a Health services. $3 959271
650 4 $a Emotional disorders. $3 3685747
650 4 $a Substance abuse treatment. $3 3548266
653 $a Chronic non-cancer pain
653 $a Cognitive Behavioral Therapy
653 $a Depression
653 $a Mindfulness
653 $a Psychotherapy
653 $a Quality of life
690 $a 0569
690 $a 0347
690 $a 0621
690 $a 0719
710 2 $a Salve Regina University. $b Nursing. $3 3685746
773 0 $t Dissertations Abstracts International $g 83-02B.
790 $a 1211
791 $a D.N.P.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28491779