Pucher I, Kickinger W, Frischenschlager O
Institute for Medical Psychology, Vienna, Austria.
J Psychosom Res. 1999 Apr;46(4):379-83. doi: 10.1016/s0022-3999(98)00111-1.
Phantom limb pain is a common, distressing phenomenon that can occur after the amputation or denervation of a part of the body. No conclusive etiological models or theories have emerged, although the problem was identified some time ago. This empirical-diagnostic study deals with correlations between coping with limb loss, body image, and the occurrence of phantom limb pain. It is based on Melzack's concept of a neuromatrix. Coping strategies were evaluated using semistructured interviews and analysis of patients' drawings of their body images. The results of the study, based on 43 amputees, show a significant association between coping strategies and pain. Patients who cope better with the loss suffer less from phantom limb pain. A difference can also be noted in subjective representation of the body image: patients suffering from phantom limb pain tend to have an image of their bodies as a complete and undamaged entity.
幻肢痛是一种常见且令人痛苦的现象，可发生于身体某部位截肢或去神经支配后。尽管该问题在一段时间前就已被发现，但尚未出现确凿的病因模型或理论。这项实证诊断研究探讨了应对肢体缺失、身体意象与幻肢痛发生之间的相关性。它基于梅尔扎克的神经矩阵概念。通过半结构化访谈和对患者身体意象绘画的分析来评估应对策略。基于43名截肢者的研究结果表明，应对策略与疼痛之间存在显著关联。能更好地应对肢体缺失的患者，幻肢痛症状较轻。在身体意象的主观呈现方面也存在差异：患有幻肢痛的患者倾向于将自己的身体视为一个完整且未受损的实体。
