Saarijärvi S, Rytökoski U, Alanen E
Rehabilitation Research Centre of the Social Insurance Institution, Turku, Finland.
J Psychosom Res. 1991;35(6):671-7. doi: 10.1016/0022-3999(91)90117-7.
Family-oriented approaches and consequent conjoint marital sessions have been widely accepted as ingredients of comprehensive treatment and rehabilitation of chronic pain patients. However, no controlled trials have been conducted to confirm the effectiveness of couple therapy in these patients. We examined 63 chronic low back pain (CLBP) patients identified in primary health care centres. They were randomly allocated to a couple therapy group (n = 33) and to a control group without couple therapy (n = 30). The therapy consisted of five monthly sessions and was attended by two family therapists. All patients attended an initial examination and a 12-month follow-up examination. Effects on self-reported pain, disability, and some clinical measures, as well as on the use of medical services were evaluated. The study groups did not differ significantly in any of the outcome measures. Hence, we conclude that couple therapy has no significant effect on disability in CLBP patients.
以家庭为导向的方法以及随之而来的联合婚姻治疗已被广泛接受为慢性疼痛患者综合治疗与康复的组成部分。然而，尚未进行对照试验来证实夫妻治疗对这些患者的有效性。我们对在初级保健中心识别出的63例慢性下腰痛（CLBP）患者进行了研究。他们被随机分配到夫妻治疗组（n = 33）和无夫妻治疗的对照组（n = 30）。治疗包括每月5次疗程，由两名家庭治疗师进行。所有患者均接受了初始检查和为期12个月的随访检查。评估了对自我报告的疼痛、残疾以及一些临床指标的影响，以及对医疗服务使用情况的影响。在任何一项结果指标上，研究组之间均无显著差异。因此，我们得出结论，夫妻治疗对CLBP患者的残疾状况没有显著影响。
