{"id":3329,"date":"2018-11-23T09:29:50","date_gmt":"2018-11-23T08:29:50","guid":{"rendered":"https:\/\/aesomatic.es\/5-ideas-for-fun-family-activities\/"},"modified":"2023-11-27T20:08:00","modified_gmt":"2023-11-27T19:08:00","slug":"a-randomized-controlled-trial-of-brief-somatic-experiencing","status":"publish","type":"post","link":"https:\/\/aesomatic.es\/en\/a-randomized-controlled-trial-of-brief-somatic-experiencing\/","title":{"rendered":"A randomized controlled trial of brief Somatic Experiencing\u00ae"},"content":{"rendered":"\n\n\t

Para el dolor lumbar cr\u00f3nico y la comorbilidad con s\u00edntomas de trastorno de estr\u00e9s postraum\u00e1tico<\/b><\/h4>\n

Andersen TE, Lahav Y, Ellegaard H, Manniche C.<\/p>\n

www.ncbi.nlm.nih.gov<\/a><\/p>\n

Resumen:<\/h4>\n

Antecedentes:<\/strong> Est\u00e1 bien documentado que la comorbilidad de dolor cr\u00f3nico y trastorno de Estr\u00e9s Postraum\u00e1tico (TEPT) se asocia a un perfil m\u00e1s severo del s\u00edntoma con respecto al dolor, a la inhabilidad y a la se\u00f1al de angustia psicol\u00f3gica. Sin embargo, existen muy pocos estudios de intervenci\u00f3n que apunten tanto al TEPT como al dolor. El estudio actual es el primer ensayo controlado aleatorizado que eval\u00faa el efecto del abordaje de trauma orientado al cuerpo, Somatic Experiencing (SE), para la comorbilidad del TEPT y el dolor lumbar. Aunque el m\u00e9todo es bien reconocido por los cl\u00ednicos y ampliamente utilizado, Somatic Experiencing todav\u00eda necesita ser probado en un ensayo cl\u00ednico aleatorizado en comparaci\u00f3n con un grupo de control activo.<\/p>\n

Objetivo:<\/strong> El foco del estudio actual era comparar el efecto de una intervenci\u00f3n de Somatic Experiencing frente al tratamiento habitual (TAU) para los pacientes con dolor lumbar cr\u00f3nico y el TEPT comparados con el TAU solamente.<\/p>\n

M\u00e9todo:<\/strong> el estudio fue un ensayo cl\u00ednico controlado aleatorizado de dos grupos. Un grupo de pacientes (n = 1045) referido a un gran centro de espina dorsal dan\u00e9sentre febrero de 2013 y octubre de 2014 fueron monitorizados para el TEPT y aleatorizados a TAU (4-12 sesiones de ejercicios supervisados para el dolor de espalda) o TAU m\u00e1s sesiones de Somatic Experiencing (6-12 sesiones). En total, 91 pacientes cumplieron con los criterios de inclusi\u00f3n y se ofrecieron como voluntarios para participar en el estudio. Los efectos del tratamiento se evaluaron mediante cuestionarios de autoinforme que comparaban las medidas de referencia con medidas de seguimiento de 12 meses.<\/p>\n

Resultados:<\/strong> la intervenci\u00f3n adicional de Somatic Experiencing redujo significativamente el n\u00famero de s\u00edntomas de TEPT en comparaci\u00f3n con TAU solo, correspondiendo a un tama\u00f1o de efecto grande. Tambi\u00e9n, el miedo del movimiento fue reducido perceptiblemente (tama\u00f1o moderado del efecto). Ambos grupos lograron una gran reducci\u00f3n en el dolor cat\u00e1strofe, la discapacidad y el dolor.<\/p>\n

CONCLUSIONES:<\/strong> una breve intervenci\u00f3n adicional de Somatic Experiencing encontr\u00f3 para tener un efecto significativo sobre TEPT y el miedo del movimiento comparados a TAU solamente. Sin embargo, el efecto global de Somatic Experiencing fue menor de lo esperado y la importancia cl\u00ednica de los efectos puede ser cuestionada.<\/p>\n\n","protected":false},"excerpt":{"rendered":"

It is well documented that comorbid post-traumatic stress disorder (PTSD) in chronic pain is associated with a more severe symptom profile with respect to pain, disability and psychological distress. 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