nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2S-25-32nnp-1116Research ArticleLECTURESЛЕКЦИЯPsychological methods in the treatment of chronic nonspecific low back painПсихологические методы в лечении хронической неспецифической боли в нижней части спиныГоловачеваВ. А.GolovachevaV. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119146, Москва, Большая Пироговская ул., 19, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine, 

19, Bolshaya Pirogovskaya St., Build. 1, Moscow 119146

ГоловачеваА. А.GolovachevaA. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119146, Москва, Большая Пироговская ул., 19, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine, 

19, Bolshaya Pirogovskaya St., Build. 1, Moscow 119146

ФатееваТ. Г.FateevaT. G.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119146, Москва, Большая Пироговская ул., 19, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine, 

19, Bolshaya Pirogovskaya St., Build. 1, Moscow 119146

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation201920062019112SСпецвыпуск: боль в спине и конечностях2532Copyright © Golovacheva V.A., Golovacheva A.A., Fateeva T.G., 20192019Головачева В.А., Головачева А.А., Фатеева Т.Г.Golovacheva V.A., Golovacheva A.A., Fateeva T.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1116

Among the adult population, every two persons have experienced at least an episode of back pain during their lifetime. Nonspecific (musculoskeletal) low back pain (LBP) becomes chronic in 3–10% of people. These cases require combined interdisciplinary treatment, including optimal pharmacotherapy, rational physical activity, therapeutic exercises, psychological methods, an educational program (back pain school for patients); some cases need manual therapy, massage. Psychological methods assist patients to cope with pain catastrophizing, to increase daily activity, and to reduce the likelihood of disease recurrence. The results of clinical trials and systematic reviews demonstrate that cognitive behavioral therapy and mindfulness therapy (mindfulness-based stress reduction) are effective in treating chronic LBP. The paper describes a clinical case: an example of effective treatment of a female patient with chronic nonspecific LBP, by applying an integral interdisciplinary approach.

Среди взрослого населения каждый второй человек в течение жизни испытал хотя бы один эпизод боли в спине. У 3–10% людей неспецифическая (скелетно-мышечная) боль в нижней части спины (БНЧС) приобретает хроническое течение. В таких случаях требуется комбинированное междисциплинарное лечение, включающее оптимальную фармакотерапию, рациональную физическую активность, лечебную гимнастику, психологические методы, образовательную программу («школу» для пациентов с болью в спине), в некоторых случаях – мануальную терапию, массаж. Психологические методы помогают пациентам справиться с катастрофизацией боли, повысить повседневную активность и снизить вероятность рецидива заболевания. Результаты клинических исследований и систематических обзоров демонстрируют эффективность когнитивно-поведенческой терапии и терапии осознанности (майндфулнесс) в лечении хронической неспецифической БНЧС. Представлено клиническое наблюдение – пример эффективного лечения пациентки, страдающей хронической неспецифической БНЧС, с помощью комбинированного междисциплинарного подхода.

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The authors declare that there are no conflicts of interest present.