Stenger E M
Pain Clinic, San Antonio, Texas 78212.
Clin J Pain. 1992 Sep;8(3):242-6.
Twenty-six adult outpatients suffering from chronic back pain were observed in a clinical study. Treatment was multifaceted. A psychiatrist with a subspecialty in pain management served as the coordinator of all treatments used. Treatment included biofeedback, physical therapy, behavioral-management program and pain measurement scales, psychotherapy with pain counseling, and medication. Patients were seen weekly for 4 months and observed for 1 year thereafter. Results of the study bore out the necessity of a coordinated multifaceted approach to treatment of chronic pain. Strong emotional overlay was seen in all patients. Stress, depression, and secondary gain are symptoms that were addressed along with the physical symptomatology. Patients improved significantly. The psychiatric component serving as the anchor for treatment was viewed as a key to success. The emotional component present in chronic pain must not be overlooked, because it plays a vital role in successful treatment.
在一项临床研究中，观察了26名患有慢性背痛的成年门诊患者。治疗是多方面的。一位具有疼痛管理亚专业的精神科医生担任所有所用治疗的协调员。治疗包括生物反馈、物理治疗、行为管理计划和疼痛测量量表、伴有疼痛咨询的心理治疗以及药物治疗。患者每周就诊，为期4个月，此后观察1年。研究结果证明了采用协调的多方面方法治疗慢性疼痛的必要性。在所有患者中都观察到强烈的情绪叠加。压力、抑郁和继发性获益等症状与身体症状一并得到处理。患者有显著改善。作为治疗基础的精神科部分被视为成功的关键。慢性疼痛中存在的情绪因素绝不能被忽视，因为它在成功治疗中起着至关重要的作用。
