The Application of Cognitive Behavioral Therapy for Adolescent Patients With Endometriosis: A Topical Review

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2024-03-06 DOI:10.1016/j.cbpra.2024.01.005
Claire E. Lunde, Ziyan Wu, Andrea Reinecke, Christine B. Sieberg
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Abstract

Recent advances and interest in nonpharmacological treatment approaches for various chronic pain conditions in adolescent patients have increased. Cognitive behavioral therapy (CBT) is widely regarded as the leading nonpharmacological treatment for chronic pain, encompassing gynecological conditions associated with chronic pelvic pain, such as endometriosis. Adolescents with endometriosis often present with different symptoms than adults and frequently report more comorbid psychiatric disorders than the general public. This review aims to (1) justify the application of CBT interventions in the context of adolescent patients with endometriosis; (2) integrate and analyze existing empirical evidence and reviews; (3) highlight the advantages, constraints, and future research directions in CBT for this demographic; and (4) introduce a novel biopsychosocial conceptual model. This model intricately considers the interplay of thoughts, emotions, behaviors, and physical symptoms specific to adolescents with endometriosis, providing a foundation for targeted CBT interventions. This holistic approach recognizes the multifaceted nature of their experience, paving the way for comprehensive and effective nonpharmacological therapeutic strategies. Given the nuanced and intricate nature of endometriosis in adolescents, there is a pressing need for innovative conceptual models and clinical trials of behavioral interventions explicitly designed for this demographic.

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认知行为疗法在青少年子宫内膜异位症患者中的应用:专题综述
最近,针对青少年患者各种慢性疼痛病症的非药物治疗方法取得了越来越多的进展,人们对这种治疗方法的兴趣也越来越浓厚。认知行为疗法(CBT)被广泛认为是治疗慢性疼痛的主要非药物疗法,包括与慢性盆腔疼痛相关的妇科疾病,如子宫内膜异位症。患有子宫内膜异位症的青少年通常表现出与成年人不同的症状,并且经常比普通人合并更多的精神疾病。本综述旨在:(1)证明在青少年子宫内膜异位症患者中应用 CBT 干预的合理性;(2)整合并分析现有的实证证据和综述;(3)强调针对该人群的 CBT 的优势、限制因素和未来研究方向;以及(4)介绍一种新的生物-心理-社会概念模型。该模型综合考虑了患有子宫内膜异位症的青少年特有的思想、情绪、行为和身体症状的相互作用,为有针对性的 CBT 干预提供了基础。这种整体方法认识到了患者经历的多面性,为全面有效的非药物治疗策略铺平了道路。鉴于青少年子宫内膜异位症的细微差别和错综复杂的性质,我们迫切需要创新的概念模型和明确针对这一人群设计的行为干预临床试验。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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