Walker Scott, Bablis Peter, Pollard Henry, McHardy Andrew
Private practice.
J Chiropr Med. 2005 Winter;4(1):11-8. doi: 10.1016/S0899-3467(07)60107-4.
To discover whether chiropractors consider that emotional factors are associated with pain presentations in their patients and if so, what methods they use to investigate these factors and what strategies they use to manage them.
A telephone survey of chiropractors in Australasia (Australia and New Zealand) and North America (America and Canada). A database of practitioners was obtained for each region. A phoning protocol was established in each region to standardize the survey approach.
Private practice of chiropractic.
Chiropractic centers were telephoned and the attending chiropractor(s) were asked to complete a phone survey. The survey consisted of a series of short questions designed to establish the main techniques used in the practice. Questions focused on whether emotional factors of the patient were recognized and addressed and what role emotional factors play in the management of the patient.
Subjects were registered/licensed chiropractors listed in a publication of the largest association of practitioners in their region.
In Australasia and North America just under half of practitioners surveyed (45.8% and 50.5% respectively) used a technique to evaluate any impacting emotions on the presenting condition. Additionally, 36.3% of Australasia and 33.3% of North America practitioners had a technique to treat emotional factors in the patient. The study also suggests that over 90% of Australasian chiropractors and 80% of North America chiropractors consider emotional factors important in pain presentations.
This study found that a substantial number (80-90%) of the chiropractors surveyed believe that emotional factors influence pain syndromes. However, less than half of these practitioners report that they are able to evaluate emotional factors and approximately only a third report that they are able to treat them. This study shows there is a need for further research of chiropractors to be able to evaluate emotional factors and techniques that can be used to rectify emotional components of their patients' pain syndromes.
探究脊椎按摩师是否认为情绪因素与患者的疼痛表现有关；若有关，他们采用何种方法来调查这些因素，以及运用何种策略来处理这些因素。
对澳大拉西亚地区（澳大利亚和新西兰）以及北美地区（美国和加拿大）的脊椎按摩师进行电话调查。为每个地区获取了从业者数据库。在每个地区制定了电话调查方案，以使调查方法标准化。
脊椎按摩私人诊所。
致电脊椎按摩中心，要求值班脊椎按摩师完成电话调查。该调查由一系列简短问题组成，旨在确定诊所使用的主要技术。问题聚焦于患者的情绪因素是否得到识别和处理，以及情绪因素在患者治疗中所起的作用。
研究对象为其所在地区最大从业者协会出版物中列出的注册/持牌脊椎按摩师。
在澳大拉西亚地区和北美地区，接受调查的从业者中各有不到一半（分别为45.8%和50.5%）采用一种技术来评估任何对当前病情有影响的情绪。此外，澳大拉西亚地区36.3%的从业者和北美地区33.3%的从业者有一种治疗患者情绪因素的技术。该研究还表明，超过90%的澳大拉西亚脊椎按摩师和80%的北美脊椎按摩师认为情绪因素在疼痛表现中很重要。
本研究发现，大量（80 - 90%）接受调查的脊椎按摩师认为情绪因素会影响疼痛综合征。然而，这些从业者中不到一半表示他们能够评估情绪因素，约三分之一表示能够治疗这些因素。本研究表明，有必要对脊椎按摩师进行进一步研究，以便他们能够评估情绪因素以及可用于纠正患者疼痛综合征情绪成分的技术。
