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수용-전념 치료가 만성 통증 환자의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석

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Author(s)
Kang, Hee-SookHwang, Sung-DongJun, Sang-Eun
Keimyung Author(s)
Jun, Sang Eun
Department
Dept. of Nursing (간호학)
Journal Title
정신간호학회지
Issued Date
2019
Volume
28
Issue
3
Keyword
Acceptance and commitment therapyChronic painEffectivenessSystematic reviewMeta-analysis수용전념 치료만성 통증불안우울삶의 질
Abstract
Purpose:
The aims of this study was to evaluate the effects of acceptance and commitment therapy (ACT) for chronic pain patients.

Methods:
Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses, we searched the Cochrane Library, CINAHL, EMBASE, OVID, PubMed and Korean databases to identify randomized controlled trials published through May 2019. To estimate the effect size, a meta-analysis of the studies was performed using the R program, and the risk of bias was assessed using the Cochrane's Risk of Bias tool for randomized studies.

Results:
A total of 11 studies were included in this study. Studies were heterogeneous, and random effects models were used in the analyses. ACT was effective for improving pain (g=−0.40, 95%CI:−0.69~−1.12, p<.001, I2=80%), pain acceptance (g=1.24, 95% CI:0.41~2.05, p<.001, I2=95%), anxiety (g=−0.47, 95% CI:−0.81~−0.13, p<.001, I2=84%), depression (g=−0.52, 95% CI:−0.85~−0.19, p<.001, I2=85%), and quality of life (g=1.14, 95% CI:0.11~2.17, p<.001, I2=95%).

Conclusion:
Our study findings of the ACT seems to be effective for improving pain, pain acceptance, anxiety, depression, and quality of life in patients with chronic pain. Additionally, ACT may be useful for reducing barriers to therapy, and various studies should be attempted.
Alternative Title
Effectiveness of Acceptance and Commitment Therapy for Chronic Pain Patients: A Systematic Review and Meta-Analysis
Keimyung Author(s)(Kor)
전상은
Publisher
College of Nursing (간호대학)
Citation
Kang, Hee-Sook et al. (2019). 수용-전념 치료가 만성 통증 환자의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석. 정신간호학회지, 28(3), 271–285. doi: 10.12934/jkpmhn.2019.28.3.271
Type
Article
ISSN
2288-4653
Source
https://www.jkpmhn.org/search.php?where=aview&id=10.12934/jkpmhn.2019.28.3.271&code=0199JKAPMHN&vmode=FULL
DOI
10.12934/jkpmhn.2019.28.3.271
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42482
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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