Philips H C, Grant L
Psychology Department, University Hospital, Vancouver, British Columbia, Canada.
Behav Res Ther. 1991;29(5):429-34. doi: 10.1016/0005-7967(91)90126-n.
A cross-sectional evaluation of 117 people who sustained acute back injuries was undertaken within 15 days of the first report of the pain. The subjects showed no discal or neural signs and had not experienced previous episodes of back or neck pain. All subjects were given a structured interview and filled in a series of psychological evaluation instruments. Results show acute pain reactions to be comparable to those seen in chronic pain groups. The predominant emotion is one of frustration rather than anxiety or depression and considerable behavioural disruption is evident from this early point. The extent to which these data undermine the model of gradual evolution of chronic back pain problems is discussed.
在首次报告疼痛后的15天内，对117名遭受急性背部损伤的人进行了横断面评估。这些受试者没有椎间盘或神经体征，并且之前没有经历过背部或颈部疼痛发作。所有受试者都接受了结构化访谈，并填写了一系列心理评估工具。结果显示，急性疼痛反应与慢性疼痛组中观察到的反应相当。主要情绪是沮丧，而非焦虑或抑郁，并且从这一早期阶段就明显存在相当程度的行为紊乱。本文讨论了这些数据在多大程度上破坏了慢性背痛问题逐渐演变的模型。
