Saarijärvi S
Rehabilitation Research Centre, Social Insurance Institution, Turku, Finland.
J Psychosom Res. 1991;35(2-3):265-72. doi: 10.1016/0022-3999(91)90080-8.
This was a controlled, prospective study on the effectiveness of couple therapy in 63 chronic low back pain patients (CLBP) from primary health care centers. They were randomly allocated to a couple therapy (T) group, N = 33, and to a control (C) group, N = 30. Couple therapy consisting of five monthly sessions was conducted by two family therapists. All patients and their spouses participated in a 12-month follow-up. Marital communication improved in CLBP patients of the T-group, whereas it worsened in the C-group. Psychological distress decreased in male patients of the T-group, whereas it increased in male patients of the C-group. However, due to high initial levels of distress in male patients of the T-group no firm conclusion of therapy effect can be done. The trends in health attitudes of the patients were similar during the study year. No significant differences in any of the measures were found in spouses. It is concluded that couple therapy improves the quality of life in CLBP patients by enhancing marital communication.
这是一项针对来自初级保健中心的63名慢性下腰痛患者（CLBP）进行的关于夫妻治疗效果的对照前瞻性研究。他们被随机分为夫妻治疗（T）组，N = 33，和对照组（C）组，N = 30。由两名家庭治疗师进行为期五个月、每月一次的夫妻治疗。所有患者及其配偶均参与了为期12个月的随访。T组CLBP患者的婚姻沟通得到改善，而C组则恶化。T组男性患者的心理困扰减轻，而C组男性患者的心理困扰增加。然而，由于T组男性患者初始困扰水平较高，无法得出关于治疗效果的确切结论。在研究年度内，患者健康态度的趋势相似。配偶在任何测量指标上均未发现显著差异。得出的结论是，夫妻治疗通过加强婚姻沟通提高了CLBP患者的生活质量。
