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患有精神疾病的下背痛患者。

Low back pain patients in a psychiatric population.

作者信息

Maruta T, Swanson D W, Swenson W M

出版信息

Mayo Clin Proc. 1976 Jan;51(1):57-61.

PMID:129590
Abstract

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.

摘要

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。

相似文献

1
Low back pain patients in a psychiatric population.患有精神疾病的下背痛患者。
Mayo Clin Proc. 1976 Jan;51(1):57-61.
2
Personality organization as an aspect of back pain in a medical setting.在医疗环境中,人格组织作为背痛的一个方面。
J Pers Assess. 1978 Apr;42(2):152-7. doi: 10.1207/s15327752jpa4202_7.
3
The predictive utility of the orthopedic examination in identifying the low back pain patient with hysterical personality features.骨科检查在识别具有癔症性人格特征的腰痛患者中的预测效用。
Clin Orthop Relat Res. 1979 Nov-Dec(145):158-62.
4
[Back symptoms in psychiatric disorders].[精神疾病中的背部症状]
Tidsskr Nor Laegeforen. 1969 Sep 1;89(17):1365-70.
5
MMPI subgroups and affective disorder in chronic pain patients.慢性疼痛患者的明尼苏达多相人格调查表亚组与情感障碍
J Nerv Ment Dis. 1986 Jul;174(7):408-13. doi: 10.1097/00005053-198607000-00004.
6
A symposium on the chronic pain syndrome in problem low back cases. Psychiatric evaluation and feasibility of psychiatric therapy.问题性下背痛病例慢性疼痛综合征研讨会。精神科评估及精神科治疗的可行性。
J Occup Med. 1975 Oct;17(10):656-7.
7
The Burns' test in low back pain: correlation with the hysterical personality.腰痛中的伯恩斯测试:与癔症人格的相关性
Clin Orthop Relat Res. 1979 May(140):42-4.
8
Rorschach and pain characteristics of patients with low back pain and "conversion V" MMPI profiles.
J Pers Assess. 1982 Feb;46(1):18-25. doi: 10.1207/s15327752jpa4601_5.
9
The comprehensive diagnosis of spinal pain. A new psychodiagnostic instrument.脊柱疼痛的综合诊断。一种新的心理诊断工具。
Orthop Rev. 1993 Mar;22(3):335-40.
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Changes in MMPI profile levels of chronic low back pain patients following successful treatment.成功治疗后慢性腰痛患者明尼苏达多相人格调查表(MMPI)剖面图水平的变化。
J Spinal Disord. 1990 Dec;3(4):353-5.

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