Maruta T, Swanson D W, Swenson W M
Mayo Clin Proc. 1976 Jan;51(1):57-61.
Thirty-one patients with low back pain resistant to medical and surgical treatment were studied. On admission to the psychiatric service, these patients revealed apparent features of conversion and hysterical personality, as characterized also by the MMPI profile. During hospitalization, however, there was increased appearance and recognition of anxious-depressive features. We suggest that these patients should be treated by the combined approach of supportive psychotherapy and physiotherapy, with appropriate use of antidepressants.
对31名经药物和手术治疗均无效的腰痛患者进行了研究。在进入精神科治疗时,这些患者表现出明显的转换症状和癔症性人格特征,明尼苏达多相人格调查表(MMPI)结果也证实了这一点。然而,在住院期间,焦虑抑郁特征的出现和被识别的情况有所增加。我们建议,这些患者应采用支持性心理治疗和物理治疗相结合的方法,并适当使用抗抑郁药进行治疗。