Current Opinion in Psychology最新文献

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How therapist effects shape pain-related outcome improvement in psychological treatments for chronic pain

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-21 DOI: 10.1016/j.copsyc.2025.101995

Melissa A. Day , Dawn M. Ehde , Michele Sterling , Mark P. Jensen

Psychological chronic pain treatments have variable efficacy across individual patients, and on average tend to produce modest effects. In order to improve treatment outcomes, the past decade has seen a rapid increase in research focused on determining the mechanisms underlying treatment-related gains. The near exclusive focus of this research has been on uncovering patient-related mediators and moderators. However, treatment is delivered within the context of a patient-therapist dyad, and the dynamic contribution of therapist-related factors in influencing this dyad and patient outcomes has remained largely unexamined. The purpose of the current paper is to consider the unique contributions of therapist-related factors within our proposed “Top 3” dynamic, candidate contextual mechanisms: therapeutic working alliance, group climate/cohesion (i.e., in group therapy), and therapist quality. We define these process variables, identify validated measures, and review research documenting their effects on outcomes, drawing from the pain and broader psychotherapy literature. It is well established that some therapists are more effective than others, with so-called exceptional (i.e., not merely competent) therapists shown to produce effect sizes twice as large and demonstrate up to ten times better patient response rates. We focus on identifying the behaviors that such exceptional therapists engage in to harness the working alliance, build and maintain group cohesion and skilfully deliver and train patients in various therapeutic techniques. Future pain treatment outcome research evaluating the role of therapists in these “Top 3” process variables has the potential to provide novel insights into treatment mechanisms, inform therapist training, and to advance precision medicine.

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引用次数: 0

Psychedelics and connectedness to natural and social worlds: An examination of the evidence and a proposed conceptual framework 致幻剂与自然和社会世界的联系：证据的检验和提出的概念框架

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-15 DOI: 10.1016/j.copsyc.2025.101992

Matthias Forstmann , Christina Sagioglou

Recent research suggests that serotonergic psychedelics may simultaneously enhance connectedness to both social and natural worlds. This article synthesizes current evidence regarding psychedelics' effects on nature relatedness and social connectedness, examining underlying mechanisms through the framework of self-other overlap. Psychedelics appear to facilitate self-expansion through two complementary mechanisms: ego dissolution, which temporarily alters self-boundaries, and enhanced emotional processing, which increases empathic concern. While studies demonstrate promising effects, interpretation is complicated by methodological challenges including functional unblinding, reliance on self-reports, and small sample sizes. We propose a multidimensional model of connectedness that distinguishes between perceptual, emotional, and epistemic domains, each showing distinct patterns in acute and enduring effects. Future research would benefit from behavioral measures, active placebos, and careful consideration of contextual factors.

最近的研究表明，5 -羟色胺类致幻剂可能同时增强与社会和自然世界的联系。本文综合了目前关于迷幻药对自然关联和社会联系的影响的证据，通过自我-他人重叠的框架研究了潜在的机制。迷幻药似乎通过两种互补的机制促进自我扩展：自我消解（暂时改变自我界限）和增强情感处理（增加共情关注）。虽然研究显示出有希望的效果，但由于方法上的挑战，包括功能解盲、依赖自我报告和小样本量，解释变得复杂。我们提出了一个多维的连通性模型，区分知觉、情感和认知领域，每个领域在急性和持久的影响中表现出不同的模式。未来的研究将受益于行为测量、积极的安慰剂和对环境因素的仔细考虑。

引用次数: 0

Accessibility of psychological treatments for chronic pain in low socioeconomic settings 可访问性的心理治疗慢性疼痛在较低的社会经济环境

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-08 DOI: 10.1016/j.copsyc.2025.101991

Andrea K. Newman , Beverly E. Thorn

Chronic pain is a highly prevalent condition globally. Low-socioeonomic (SES) populations tend to have higher prevalence rates and worsened pain outcomes. Although psychological interventions for chronic pain are considered an integral aspect of chronic pain treatment, psychological treatments are often not accessible for individuals with low-SES due to barriers such as poor insurance coverage, transportation and financial issues, lack of access to pain-trained providers, and educational resources with inappropriately high literacy levels. Within recent years, there have been some advances in methods to increase accessability. In this paper, we review recent methods to enhance accessability of psychological treatments for chronic pain in low-SES settings and suggest areas for future growth.

慢性疼痛是全球非常普遍的疾病。低社会经济（SES）人群往往有较高的患病率和恶化的疼痛结果。虽然慢性疼痛的心理干预被认为是慢性疼痛治疗的一个组成部分，但由于保险覆盖面差、交通和财务问题、缺乏获得疼痛培训提供者的机会以及文化水平不适当的教育资源等障碍，低社会经济地位的个体往往无法获得心理治疗。近年来，在提高可及性的方法方面取得了一些进展。在本文中，我们回顾了最近的方法，以提高可及性心理治疗慢性疼痛在低社会经济地位的设置和建议的领域，未来的增长。

引用次数: 0

Chronic pain and comorbid posttraumatic stress disorder: Potential mechanisms, conceptualizations, and interventions 慢性疼痛和共病创伤后应激障碍：潜在的机制、概念和干预措施

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-04 DOI: 10.1016/j.copsyc.2025.101990

Tonny Elmose Andersen , Sophie Lykkegaard Ravn

Posttraumatic stress disorder (PTSD) is a common comorbidity to chronic pain, among others due to potentially shared posttraumatic origin. There has been growing interest in this field in the past decades, also providing some important studies to support our understanding of this comorbidity and how to address it in clinical practice. However, there are still important questions, particularly regarding the potentially shared vulnerabilities, mutually maintaining mechanisms, and how to best treat this comorbidity. This article provides a brief and up-to-date review of what we argue to be some of the most important studies within the field of chronic pain and comorbid PTSD and will discuss some of the current challenges and ways forward.

创伤后应激障碍（PTSD）是慢性疼痛的常见合并症，其中包括潜在的共同创伤后起源。在过去的几十年里，人们对这一领域的兴趣越来越大，也提供了一些重要的研究来支持我们对这种合并症的理解以及如何在临床实践中解决它。然而，仍然存在重要的问题，特别是关于潜在的共同脆弱性，相互维护机制，以及如何最好地治疗这种共病。这篇文章提供了一个简短的和最新的回顾，我们认为是在慢性疼痛和共病PTSD领域的一些最重要的研究，并将讨论一些当前的挑战和前进的方向。

引用次数: 0

Quantitative sensory testing for pain: What exactly are we measuring? 疼痛的定量感官测试：我们到底在测量什么？

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-04 DOI: 10.1016/j.copsyc.2025.101988

Michael A. Owens , Pavithra A. Thomas , Corina Crowe , Burel R. Goodin , Demario S. Overstreet

引用次数: 0

Understanding the individual's transition from acute to chronic disabling pain: Opportunities for improved care 了解个体从急性到慢性致残疼痛的转变：改善护理的机会

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2025-01-04 DOI: 10.1016/j.copsyc.2025.101989

Steven J. Linton , Michael K. Nicholas

When acute pain persists, it is said to become chronic after 3 months. Considerable interest has focused on why acute pain appears to transition to chronic pain in some cases, but not all, especially when it becomes disabling. We examine our current understanding of the processes involved in the progression from an acute injury to disabling chronic pain. Rather than viewing this progression as a time dependent transition with specific static risk factors, we consider whether it might be more helpful to understand this evolution in terms of unique individual pathways. While brief self-report screening questionnaires assessing risk factors may enable us to stratify patients into risk levels, they do not provide information on the unique context and factors contributing to the disabling pain for each person. It is proposed that a 2-step process combining screening and individual assessment of those at high risk will enhance the prospect of both early identification and individually relevant interventions before more lasting changes emerge. Rather than being concerned with arbitrary time limits, it is argued that by aiming to understand the unique developmental pathway for those individuals identified as high risk, early, preventive interventions will be both viable and effective. Even so, there are barriers to the implementation of early assessment and matched treatments, and these remain a challenge for future research.

当急性疼痛持续时，据说3个月后变为慢性疼痛。相当大的兴趣集中在为什么急性疼痛似乎过渡到慢性疼痛在某些情况下，但不是全部，特别是当它成为致残。我们检查我们目前的理解过程涉及从急性损伤到致残慢性疼痛的进展。与其将这种进展视为具有特定静态风险因素的时间依赖性转变，我们考虑从独特的个体途径来理解这种演变是否可能更有帮助。虽然评估风险因素的简短自我报告筛选问卷可能使我们能够将患者分层到风险水平，但它们并不能提供导致每个人致残疼痛的独特背景和因素的信息。建议对高危人群进行筛查和个人评估的两步过程将提高早期识别和个人相关干预的前景，然后再出现更持久的变化。而不是关心武断的时间限制，有人认为，通过旨在了解那些被确定为高风险的个体的独特发展途径，早期的预防性干预将是既可行又有效的。即便如此，早期评估和匹配治疗的实施仍然存在障碍，这些仍然是未来研究的挑战。

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引用次数: 0

Individual and community catalysts for Renewable Energy Communities (RECs) development 可再生能源社区（RECs）发展的个人和社区催化剂

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2024-12-30 DOI: 10.1016/j.copsyc.2024.101987

Evelyn De Simone, Alessia Rochira, Terri Mannarini

This review examines factors catalyzing citizens' participation in Renewable Energy Communities (RECs), crucial for sustainable energy transitions. We analyze the interplay of individual and community elements promoting involvement in these collective projects. Individual drivers include pro-environmental values, economic incentives, desire for energy autonomy, and technical knowledge. Community factors encompass social cohesion, local identity, effective leadership, inclusive governance, and supportive policies. The synergy between these factors drives REC development. Challenges remain in ensuring accessibility, sustaining participation, and scaling successful models. Further research is needed on participation dynamics over time, cross-cultural comparisons, innovative financing, and digital technologies' role. Understanding and enhancing these catalyzing factors can unlock the potential of community-driven energy solutions to address climate change while promoting sustainable and equitable energy future.

本文考察了促进公民参与可再生能源社区（RECs）的因素，可再生能源社区对可持续能源转型至关重要。我们分析了促进参与这些集体项目的个人和社区因素的相互作用。个体驱动因素包括亲环境价值观、经济激励、对能源自主的渴望和技术知识。社区因素包括社会凝聚力、地方认同、有效领导、包容性治理和支持性政策。这些因素之间的协同作用推动了REC的发展。在确保可及性、持续参与和扩展成功模式方面仍然存在挑战。需要进一步研究参与动态、跨文化比较、创新融资和数字技术的作用。了解和加强这些催化因素可以释放社区驱动的能源解决方案的潜力，以应对气候变化，同时促进可持续和公平的能源未来。

引用次数: 0

COVID-19 and chronic pain: Implications and lessons learned COVID-19与慢性疼痛：影响和经验教训

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2024-12-28 DOI: 10.1016/j.copsyc.2024.101985

Kai Karos , Claire E. Ashton-James , Joanna McParland , Adam T. Hirsh

The COVID-19 pandemic has profoundly impacted people with chronic pain, affecting their access to pain management services and the social fabric of society. Here we review evidence indicating that during and since the pandemic (1) the overall prevalence and burden of chronic pain has increased, (2) social threats such as social isolation, abuse and neglect, and disparities in access to pain management, have increased, and these changes are associated with worsening pain and pain-related health outcomes, and (3) there has been a surge in research into telehealth interventions for chronic pain, with promising results. We conclude with a discussion of lessons that may guide future research and care for people with chronic pain in a post-COVID world.

2019冠状病毒病大流行对慢性疼痛患者产生了深刻影响，影响了他们获得疼痛管理服务和社会结构。在此，我们回顾了证据表明，在大流行期间和之后(1)慢性疼痛的总体患病率和负担增加了；(2)社会威胁，如社会隔离、虐待和忽视，以及获得疼痛管理的差距增加了，这些变化与疼痛恶化和疼痛相关的健康结果有关；(3)对慢性疼痛的远程医疗干预的研究激增，并取得了有希望的结果。最后，我们讨论了一些经验教训，这些教训可能会指导未来在后covid世界中对慢性疼痛患者的研究和护理。

引用次数: 0

Culture and pro-environmental behavior 文化和环保行为

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2024-12-27 DOI: 10.1016/j.copsyc.2024.101986

Kim-Pong Tam

This paper aims to highlight the significant role of culture in human responses to global environmental challenges. Specifically, it discusses three thematic clusters of research, which demonstrate that: (i) culture can influence pro-environmental behavior through shaping values and moderating the relationship between psychological determinants and such behavior; (ii) perceptions of nature and its relationships with humans vary across cultures; and (iii) consumption behaviors are often shaped by practices that constitute social life within communities. Evidence from these research clusters suggests that understanding cultural dynamics is essential for designing effective, context-sensitive interventions aimed at driving sustainability transitions. Future research should further explore the interplay between cultural and non-cultural contextual factors and consider the perspectives of underrepresented regions.

本文旨在强调文化在人类应对全球环境挑战中的重要作用。具体来说，它讨论了三个专题研究集群，它们表明：(i)文化可以通过塑造价值观和调节心理决定因素与这种行为之间的关系来影响亲环境行为；对自然及其与人类关系的看法因文化而异；（三）消费行为往往受到构成社区内社会生活的实践的影响。来自这些研究集群的证据表明，理解文化动态对于设计旨在推动可持续性转型的有效、情境敏感的干预措施至关重要。未来的研究应进一步探讨文化和非文化语境因素之间的相互作用，并考虑代表性不足地区的视角。

引用次数: 0

Brief interventions for chronic pain: Approaches and evidence 慢性疼痛的简短干预：方法和证据

IF 6.3 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology

Pub Date : 2024-12-26 DOI: 10.1016/j.copsyc.2024.101978

Beth D. Darnall

Various countries have published national guidance supporting the integration of behavioral approaches into chronic pain treatment. Yet multiple barriers prevent broad patient access. Brief treatment formats may address universal shortcomings of therapists and resources and offer patients expanded access to care through lower costs and treatment burdens. This article summarizes published evidence for eight identified therapist delivered brief behavioral pain interventions (operationalized as 1–4 treatment sessions or ≤8 h total treatment time) for adults with chronic pain (≥18 years of age) including a description of the treatment approach, implementation features, evidence to date, and salient points. The discussion includes current clinical dissemination and future directions that leverage technology to enhance patient access to behavioral pain care.

许多国家已经发布了支持将行为方法纳入慢性疼痛治疗的国家指南。然而，多重障碍阻碍了患者广泛获得治疗。简短的治疗形式可以解决治疗师和资源的普遍缺陷，并通过降低成本和治疗负担为患者提供更多的护理机会。本文总结了8位已发表的证据，这些证据是针对慢性疼痛（≥18岁）的成人患者提供的简短的行为疼痛干预（操作为1-4次治疗或≤8小时总治疗时间），包括对治疗方法、实施特点、迄今为止的证据和要点的描述。讨论包括当前的临床传播和未来的方向，利用技术来提高患者获得行为疼痛护理。

引用次数: 0

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