慢性痛に対する早期心理療法が脳活動を再配線(Treating chronic pain early: psychological therapies rewire the brain and relieve suffering)

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2025-05-19 バース大学

バース大学の心理学部研究チームは、慢性疼痛の早期介入における心理療法の効果を検証し、認知行動療法(CBT)が痛みの感情的負担を軽減し、脳活動に測定可能な変化をもたらすことを明らかにしました。この研究は、慢性疼痛患者に対する非薬物療法の有効性を示し、痛みの管理における心理的アプローチの重要性を強調しています。

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慢性疼痛自己管理の可能性:中核となる心理学的原理と神経生物学的基盤 Opportunities for chronic pain self-management: core psychological principles and neurobiological underpinnings

Prof Lene Vase, DMSc ∙ Prof Tor D Wager, PhD ∙ Prof Christopher Eccleston, PhD
The Lancet  Published: May 17, 2025
DOI:https://doi.org/10.1016/S0140-6736(25)00404-0

Summary

One in five of the population lives with chronic pain. Psychological interventions for pain reveal core principles that can be used to create opportunities for chronic pain self-management in primary practice, across health-care settings, and at home. We highlight the different types of chronic pain and illustrate the psychoneurobiological mechanisms involved. We review core principles for psychological pain management, evaluate the evidence, and illustrate the underlying neurobiology involved. We provide practical advice for how to facilitate pain self-management in clinical practice. Finally, we discuss scientific caveats and practical obstacles to improvement, suggesting possible pathways to implementation.

医療・健康
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