Psychosocial Treatments in Pain Management of Sickle Cell Disease

被引:23
|
作者
Edwards, LeKisha Y. [1 ]
Edwards, Christopher L. [1 ,2 ]
机构
[1] Duke Univ, Med Ctr, Dept Psychiat, Duke Pain & Palliat Care Ctr, Durham, NC 27710 USA
[2] Duke Univ, Med Ctr, Dept Med, Div Hematol, Durham, NC 27710 USA
关键词
psychosocial; pain management; sickle cell anemia; pain; chronic illness; COPING STRATEGIES; FOLLOW-UP; CHILDREN; ADULTS; CARE; DEPRESSION; ANALGESIA; THERAPY; HEALTH; INTERVENTIONS;
D O I
10.1016/S0027-9684(15)30737-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The principal symptom of sickle cell disease (SCD) is pain Many studies have been conducted on pain management strategies for this illness There is recognition that psychosocial factors influence clinical disease outcomes therefore more attention is being provided to behavioral interventions that address psychosocial problems This review examines the psychosocial interventions that have been researched for children and adults with SCD the limitations of these studies and barriers to implementing the treatments The intervention receiving the most empirical support was cognitive behavioral therapy Additional research is needed to define the efficacy and effectiveness of the other psychosocial treatments Suggestions for future investigations include conducting research that has better methodology and providing more education for health care providers about psychosocial treatments and the importance of considering cultural factors in health care delivery In addition individuals with SCD need to have more information about their illness and better access to psychosocial interventions
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页码:1084 / 1094
页数:11
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