E88 認知功能療法的細節(二)


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Aug 20 2023 43 mins  
這次跟大家討論接受及承諾療法ACT和CFT的差異
以及如何幫助病人找到目標
希望大家對CFT有更深一層的了解

Timecode:
00:30 閒聊美國信用卡優惠
11:30 接受與承諾療法ACT與認知功能療法CFT的不同之處
15:34 ACT的六重點:present movement, value, committed action, self as context, cognitive defusion, acceptance
16:00 如何幫助病人找出有意義的治療目標
25:30 不要把注意力放在「疼痛」上
28:55 CFT的評估治療有別於其他心理治療不同之處:問診的重點、衛教解釋疼痛、控制下暴露、生活型態改變
35:30 CFT治療重點複習
36:30 CFT 使用前的注意事項
37:40 認知、情緒相關介入的使用時機,痛三個月就算慢性疼痛嗎?大腦到底發生什麼事?

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Reference:
Kent P, Haines T, O'Sullivan P, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial [published correction appears in Lancet. 2023 Jun 17;401(10393):2040]. Lancet. 2023;401(10391):1866-1877.
Caneiro JP, Smith A, Rabey M, Moseley GL, O'Sullivan P. Process of Change in Pain-Related Fear: Clinical Insights From a Single Case Report of Persistent Back Pain Managed With Cognitive Functional Therapy. J Orthop Sports Phys Ther. 2017;47(9):637-651.