针对社区老年黑人群体慢性疼痛-抑郁共病问题的正念认知疗法；《静心专注》开放试点

实验性的：基于正念的认知疗法

行为的：Mindfulness-based cognitive therapy

The delivered intervention is mindfulness-based cognitive therapy adapted for the chronic pain and depression among older Black adults. Mindfulness-based cognitive therapy (MBCT) is a structured psychotherapy that integrates mindfulness practices with cognitive behavioral therapy techniques. This adapted MBCT is delivered as an 8-week group-based program with each weekly session lasting about 1 hour. Sessions occur once per week, supplemented by daily home practice of 40-60 minutes, 6 days a week, involving guided meditations, body scans, and mindful activities to reinforce skills.

客户满意度问卷

客户满意度问卷3项简化版（CSQ-3）的评分方式是对其三个核心项目的回答进行求和。 该问卷包含经实证筛选的测量服务满意度关键维度的项目，每项均采用4点李克特量表评分（1=最低满意度至4=最高满意度，必要时调整方向性）。 总分范围为3至12分，分值越高表示满意度越高；无需反向计分或计算子量表。

The Credibility and Expectancy Questionnaire

The Credibility/Expectancy Questionnaire (CEQ) is a 6-item self-report measure assessing treatment credibility (items 1-3) and expectancy (items 4-6). Items 1-3 and 5 are rated 0 (not at all credible/logical) to 9 (extremely credible/logical), while items 4 and 6 are rated 0% to 100%; subscale scores are standardized and summed (credibility: 3-27 raw equivalent; expectancy similar), with total scores ranging 6-54 after standardization, where higher scores indicate greater credibility and positive outcome expectancy (better outcome).

Modified Patient Global Impression of Change

The Modified Patient Global Impression of Change (mPGIC) adapts the standard single-item Patient Global Impression of Change (PGIC), a validated patient-reported outcome measure of overall perceived change since intervention, by assessing change across six specific domains. Each domain uses a single ordinal item rated on a 7-point scale, coded from 1 = Very Much Improved to 7 = Very Much Worse. Lower scores indicate greater perceived improvement. Domains include coping strategies, physical activity, social activity, level of stress, memory and thinking, and pain, and are analyzed separately.

数字评分量表

疼痛强度数值评分量表（NRS）是一个11分制量表，范围从0分（无疼痛）到10分（可想象的最严重疼痛），用于评估过去一周的平均疼痛程度。 分数越高表示疼痛强度越大（结果更差），分数越低表示疼痛越轻（结果更好）；为单项总分。

PROMIS 焦虑量表

PROMIS 简表 V1.0 - 情绪困扰焦虑 8a（PROMIS Anxiety SF 8a v1.0）是一项包含8个条目的患者报告结局测量工具，用于评估过去7天内自我报告的焦虑症状，包括恐惧、紧张、担忧、恐惧感以及感到紧绷或不安。
每个条目采用5点李克特反应量表：从未（1）、很少（2）、有时（3）、经常（4）或总是（5）。
原始总分范围从8分（焦虑程度最低，最佳结果）到40分（严重焦虑，最差结果）；这些分数通过评分表转换为T分数（在美国人群中均值=50，标准差=10），其中较高的T分数表示焦虑严重程度更高。
不计算子量表；总分反映整体焦虑困扰。
8a简表的T分数范围：28-82。

PROMIS Physical Function

The PROMIS Short Form V2.0 - Physical Function 8B (PROMIS PF 8B v2.0) is an 8-item patient-reported outcome measure assessing self-reported capability in physical activities, including upper extremity function (e.g., hand/arm tasks), lower extremity function (e.g., walking), central body function, and daily activities. It uses a 5-point Likert response scale per item: Without any difficulty (5), With little difficulty (4), With some difficulty (3), With much difficulty (2), or Unable to do/Cannot do (1). Raw total scores range from 8 (severe difficulty, worst outcome) to 40 (no difficulty, best outcome); these convert via scoring tables to T-scores (mean=50, SD=10 in U.S. population), where higher T-scores indicate better physical function. No subscales are computed; the total score reflects overall physical function. The T-score range for the PROMIS SF V1.2 is 10-65.

PROMIS Depression

The PROMIS Short Form V1.0 - Emotional Distress Depression 8b (PROMIS Depression SF 8b v1.0) is an 8-item patient-reported outcome measure assessing self-reported depressive symptoms over the past 7 days, including feelings of worthlessness, helplessness, sadness, failure, depression, unhappiness, and hopelessness. It uses a 5-point Likert response scale per item: Never (1), Rarely (2), Sometimes (3), Often (4), or Always (5). Raw total scores range from 8 (minimal depression, best outcome) to 40 (severe depression, worst outcome); these convert via scoring tables to T-scores (mean=50, SD=10 in U.S. population), where higher T-scores indicate greater depression severity. No subscales are computed; the total score reflects overall depressive distress. T-score range: 42-84.

PROMIS Emotional Support

The PROMIS Short Form V2.0 - Emotional Support 8a (PROMIS Emotional Support SF 8a v2.0) is an 8-item patient-reported outcome measure assessing perceived availability of supportive interpersonal relationships over the past 7 days, including listening, confiding, appreciation, understanding, and trust. It uses a 5-point Likert response scale per item: Never (1), Rarely (2), Sometimes (3), Often (4), or Always (5). Raw total scores range from 8 (minimal support, worst outcome) to 40 (strong support, best outcome); these convert via scoring tables to T-scores (mean=50, SD=10 in U.S. population), where higher T-scores indicate greater emotional support. No subscales are computed; the total score reflects overall perceived support. T-score range: 25-75 for the 8a short form.

Measure of Current Status Part A

The Measure of Current Status Part A (MOCS-A) is a self-report questionnaire that measures ability to manage stress. The Measure of Current Status Part A (MOCS-A) comprises 13 items rated 0 (cannot do at all) to 4 (extremely well), summed for total score 0-52, with four subscales: relaxation, tension awareness, assertiveness, coping confidence (higher total/subscale scores indicate better stress management ability, better outcome). Each item is rated on a 5-point Likert scale where 0 = "I cannot do this at all" and 4 = "I can do this extremely well," with higher scores reflecting greater confidence in coping skills.

Cognitive and Affective Mindfulness Scale-Revised

The Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) is a 12-item scale rated 1 (rarely/not at all) to 4 (almost always), total score summed 12-48 (higher scores indicate greater mindfulness ability, better outcome); unidimensional total score. Scoring: Items 2, 6, and 7 are reverse-scored. After appropriate reversals, sum values for items 1-12. Higher values reflect greater mindful qualities.

Chronic Pain Acceptance Questionnaire

The Chronic Pain Acceptance Questionnaire (CPAQ) sums 20 items rated 0 (never true) to 6 (always true) for total raw score 0-120, with two subscales: Activity Engagement (0-66) and Pain Willingness (0-54), both/totals higher indicating greater pain acceptance (better outcome).

Pain Self-Efficacy Questionnaire

The Pain Self-Efficacy Questionnaire (PSEQ) consists of 10 items rated 0 (not at all confident) to 6 (completely confident), summed for total 0-60. Higher scores indicate greater self-efficacy despite pain (better outcome); single total score.

Pain Catastrophizing Scale

The Pain Catastrophizing Scale (PCS) sums 13 items rated 0 (not at all) to 4 (all the time) for total 0-52, with subscales: Rumination (0-16), Magnification (0-12), Helplessness (0-24); higher scores indicate greater catastrophizing (worse outcome).

Tampa Kinesiophobia Scale

The Tampa Scale of Kinesiophobia (TSK-17) sums 17 items rated 1 (strongly disagree) to 4 (strongly agree), with reverse on items 4, 8, 12, and 16. Total score range: 17-68 (higher scores greater kinesiophobia/fear of movement, worse outcome).