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

Effectiveness of Acceptance and Commitment Therapy for Chronic Pain Patients: A Systematic Review and Meta-Analysis

정신간호학회지 2019년 28권 3호 p.271 ~ 285
강희숙 ( Kang Hee-Sook ) - 선린대학교 간호학과

황성동 ( Hwang Sung-Dong ) - 경북대학교 사회과학대학
전상은 ( Jun Sang-Eun ) - 계명대학교 간호대학

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.

키워드

수용전념 치료; 만성 통증; 불안; 우울; 삶의 질
Acceptance and commitment therapy; Chronic pain; Effectiveness; Systematic review; Meta-analysis
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