Measure of Body Awareness

身体意识的测量

• 批准号: 8123640
• 负责人: WOLF E MEHLING
• 金额: $ 2.52万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8123640
• 关键词: Awareness; Body measure procedure

DESCRIPTION (provided by applicant): Improving body awareness has been proposed as a novel non-pharmacological approach for the treatment of pain. It has been proposed as a mechanism of action for the health benefits obtained from therapeutic approaches characterized as mind-body and/or manual therapies, such as Yoga, Tai Chi, massage, mindfulness- based therapies, and Feldenkrais. These approaches enjoy a growing popularity among patients with painful condition. The hypothesis, that improving body awareness might help patients with pain, is supported by recent neuroscientific findings and needs to be subjected to rigorous clinical research. The study of body awareness, however, has been hampered by the poor definition and ambiguity of its construct. In studies of anxiety, the term body awareness has been used to describe an exaggerated patient focus on physical symptoms and is mostly seen as maladaptive for pain. Mind-body and manual therapies claim to improve pain by enhancing a particular type of body awareness characterized by non-judgmental mindfulness and a sense of embodiment. Confusion persists as to whether the patient's attention should be distracted away from or directed towards pain. There is great need to study these approaches to the treatment of pain, but a recently completed systematic review concluded that existing instruments measuring body awareness are inappropriate or limited. We propose to develop a new body awareness instrument to better understand the complex interactions of psychological factors with pain and to develop a measurement for pain research that is needed for intervention studies of mind-body and manual therapies. We refine the body awareness construct and develop a survey instrument by the following steps: 1) focus groups with providers and patients of above therapeutic approaches; 2) qualitative methods for construct refinement and item collection; 3) questionnaire assembly from item pool; 4) in-depth cognitive testing; 5) field testing the questionnaire in pain patients (n=250) using factor analysis for final item selection; 6) examine internal consistency in data from field test, test-retest reliability in a patient sample (n=100). We test the final instrument in a separately funded trial (n = 50) and a therapeutic group (n = 50) with patients in body awareness training to collect pilot data for predictive and discriminant validity. This measurement study will develop an instrument for pain research that is needed to understand how differences in body awareness affect the trajectory of pain. It will provide new directions for pain research and may change the conventional paradigms associated with the treatment of acute and chronic pain.

描述（由申请人提供）：提高身体意识是一种新型的非药理学方法来治疗疼痛。它已被提出是一种以心身和/或手动疗法为特征的治疗方法获得的健康益处的作用机制，例如瑜伽，太极拳，按摩，基于正念的疗法和Feldenkrais。这些方法在病情疼痛的患者中越来越受欢迎。近期神经科学的发现支持，可以提高身体意识可能有助于患有疼痛的患者的假设，并且需要进行严格的临床研究。然而，对身体意识的研究受到其结构的定义和歧义性的不良障碍。在焦虑研究中，“身体意识”一词已被用来描述夸张的患者专注于身体症状，并且主要被视为适应不良的疼痛。思维体和手动疗法声称通过增强特定类型的身体意识来改善疼痛，其特征在于非判断性正念和体现感。关于患者的注意力是否应分散注意力或针对疼痛的困惑。非常需要研究这些方法来治疗疼痛，但是最近完成的系统评价得出的结论是，测量人体意识的现有工具是不合适的或有限的。我们建议开发一种新的身体意识工具，以更好地了解心理因素与疼痛的复杂相互作用，并为疼痛研究的测量进行疼痛研究，这是对心身和手动疗法的干预研究所需的。我们通过以下步骤来完善身体的意识结构，并开发一种调查工具：1）焦点小组与提供者和上述治疗方法的患者； 2）用于构建精炼和项目收集的定性方法； 3）项目池中的问卷组件； 4）深入认知测试； 5）使用因子分析进行最终项目选择，对疼痛患者的调查表（n = 250）进行现场测试； 6）检查现场测试数据中的内部一致性，患者样本中的重测可靠性（n = 100）。我们在单独资助的试验（n = 50）和一个治疗组（n = 50）中测试了最终仪器，并在身体意识培训中测试了患者，以收集试验数据，以获得预测性和判别有效性。这项测量研究将开发一种用于了解身体意识差异如何影响疼痛轨迹的疼痛研究工具。它将为疼痛研究提供新的方向，并可能改变与急性和慢性疼痛治疗有关的常规范例。