Umlauf R L
Clin J Pain. 1992 Jun;8(2):111-8. doi: 10.1097/00002508-199206000-00008.
Currently, no literature is available regarding the clinical efficacy and treatment outcome of psychological interventions for chronic pain among spinal cord injured (SCI) persons. The present article provides a framework for cognitive-behavioral interventions used with other pain populations and suggested application for the SCI population with chronic pain. Primary focus is upon a biopsychosocial model with patient self-management as the treatment goal. SCI rehabilitation has traditionally relied upon self-management strategies, as have recent psychological treatment approaches for chronic pain. In addition, recommendations for treatment outcome research are provided with the emphasis on using existing standardized assessment and measurement protocols.
目前,尚无关于脊髓损伤(SCI)患者慢性疼痛心理干预的临床疗效和治疗结果的文献。本文提供了一个适用于其他疼痛人群的认知行为干预框架,并建议将其应用于患有慢性疼痛的SCI人群。主要重点是一个以患者自我管理为治疗目标的生物心理社会模型。SCI康复传统上依赖自我管理策略,近期针对慢性疼痛的心理治疗方法也是如此。此外,还提供了治疗结果研究的建议,重点是使用现有的标准化评估和测量方案。