Bruno R L, Frick N M
Post-Polio Rehabilitation and Research Service, Kessler Institute for Rehabilitation, East Orange, NJ.
Orthopedics. 1991 Nov;14(11):1185-93. doi: 10.3928/0147-7447-19911101-06.
Even as the physical causes and treatments for post-polio sequelae (PPS) are being identified, psychological symptoms--chronic stress, anxiety, depression, and compulsive, Type A behavior--are becoming evident in polio survivors. Importantly, these symptoms are not only causing marked distress but are preventing patients from making the lifestyle changes necessary to treat their PPS. Neither clinicians nor polio survivors have paid sufficient attention to the acute polio experience, its conditioning of life-long patterns of behavior, its relationship to the development of PPS, and its effect on the ability of individuals to cope with and treat their new symptoms. We describe the acute polio and post-polio experiences on the basis of patient histories, relate the experience of polio to the development of compulsive, Type A behavior, link these behaviors to the physical and psychological symptoms reported in the National Post-Polio Surveys, and present a multimodal behavioral approach to treatment.
即便小儿麻痹后遗症（PPS）的生理病因及治疗方法正在被确定，但心理症状——慢性应激、焦虑、抑郁以及强迫性A型行为——在小儿麻痹症幸存者中日益明显。重要的是，这些症状不仅造成了明显的痛苦，还阻碍患者做出治疗其PPS所需的生活方式改变。临床医生和小儿麻痹症幸存者都没有充分关注急性小儿麻痹症经历、其对终身行为模式的影响、其与PPS发展的关系以及其对个体应对和治疗新症状能力的影响。我们根据患者病史描述急性小儿麻痹症及小儿麻痹后遗症经历，将小儿麻痹症经历与强迫性A型行为的发展联系起来，将这些行为与全国小儿麻痹症调查中报告的生理和心理症状联系起来，并提出一种多模式行为治疗方法。
