多学科疼痛治疗中心的疗效：一项荟萃分析综述

Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.

作者信息

Flor Herta, Fydrich Thomas, Turk Dennis C

机构信息

Department of Clinical and Physiological Psychology, University of Tübingen, TübingenGermany Fachbereich Psychologie, University of Marburg, MarburgGermany Department of Psychology, University of Heidelberg, HeidelbergGermany Pain Evaluation and Treatment Institute, Departments of Psychiatry and Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

出版信息

Pain. 1992 May;49(2):221-230. doi: 10.1016/0304-3959(92)90145-2.

DOI:10.1016/0304-3959(92)90145-2

PMID:1535122

Abstract

Sixty-five studies that evaluated the efficacy of multidisciplinary treatments for chronic back pain were included in a meta-analysis. Within- and between-group effect sizes revealed that multidisciplinary treatments for chronic pain are superior to no treatment, waiting list, as well as single-discipline treatments such as medical treatment or physical therapy. Moreover, the effects appeared to be stable over time. The beneficial effects of multidisciplinary treatment were not limited to improvements in pain, mood and interference but also extended to behavioral variables such as return to work or use of the health care system. These results tend to support the efficacy of multidisciplinary pain treatment; however, these results must be interpreted cautiously as the quality of the study designs and study descriptions is marginal. Suggestions for improvement in research designs as well as appropriate reports of research completed are provided.

摘要

一项荟萃分析纳入了65项评估多学科治疗慢性背痛疗效的研究。组内和组间效应量表明，慢性疼痛的多学科治疗优于不治疗、等待名单以及单一学科治疗，如药物治疗或物理治疗。此外，随着时间的推移，效果似乎是稳定的。多学科治疗的有益效果不仅限于疼痛、情绪和干扰方面的改善，还扩展到行为变量，如重返工作岗位或使用医疗保健系统。这些结果倾向于支持多学科疼痛治疗的疗效；然而，由于研究设计和研究描述的质量一般，这些结果必须谨慎解释。文中还提供了研究设计改进的建议以及已完成研究的适当报告。