[心理干预对慢性下腰痛骨科康复中疼痛应对策略的疗效]
[Efficacy of psychological interventions on pain coping strategies in orthopedic rehabilitation of chronic low back pain].
作者信息
Bandemer-Greulich Ulrike, Bosse Birgit, Fikentscher Erdmuthe, Konzag Tom Alexander, Bahrke Ulrich
机构信息
Klinik für Psychotherapie und Psychosomatik der Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Klinik für Psychotherapie und Psychosomatik, Halle/Saale, Germany.
出版信息
Psychother Psychosom Med Psychol. 2008 Jan;58(1):32-7. doi: 10.1055/s-2007-970999. Epub 2007 Sep 10.
BACKGROUND
Within an intervention study in chronic low back pain patients treated in medical inpatient rehabilitation, a multimodal intervention program was implemented at a rehabilitation clinic (sponsored by VDR, 02508). The aim of the treatment was to reduce dysfunctional, particularly suppressive pain coping patterns.
METHODS
The study was aimed as a controlled study. Data were collected before and after rehabilitation as well as follow-up. 404 persons were included. Pain-related cognitions and coping behaviour were analysed by means of Kiel Pain Inventory.
RESULTS
The differences between groups were greater in the cognitive and emotional scales than in the behavior scales. Behavioral changes of the suppressive pain coping patterns in the intervention group appeared temporally delayed.
DISCUSSION
The effectivity of inpatient rehabilitation can be increased and stabilised up to 0,2 difference of effect size compared to control group by a more specific intensive and interdisciplinary therapy.
背景
在一项针对医学住院康复治疗的慢性腰痛患者的干预研究中，一家康复诊所实施了一项多模式干预计划（由VDR赞助，02508）。治疗的目的是减少功能失调，特别是抑制性疼痛应对模式。
方法
该研究旨在作为一项对照研究。在康复前后以及随访时收集数据。纳入了404人。通过基尔疼痛量表分析与疼痛相关的认知和应对行为。
结果
各组之间在认知和情感量表上的差异大于行为量表上的差异。干预组中抑制性疼痛应对模式的行为变化出现时间延迟。
讨论
与对照组相比，通过更具体、强化和跨学科的治疗，住院康复的有效性可以提高并稳定到效应大小相差0.2。
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