Winnem M F
Avdeling for rehabilitering og fysikalsk medisin, Sentralsykehuset for Ostfold i Fredrikstad.
Tidsskr Nor Laegeforen. 1990 Nov 20;110(28):3598-601.
55 patients with chronic musculoskeletal pain who had been on sick leave for at least six months took part in a four week outpatient treatment programme. The programme was multidisciplinary and consisted of a combination of physical activity, formal lectures about health matters and individual consultations with doctor, psychologist, social worker, nurse and sports instructor. Pretreatment Minnesota Multiphasic Personality Inventory and Health Locus of Control showed the patients to have a typical chronic pain profile. The tests did not discriminate between those who had a favourable outcome and those who did not. At one year follow-up, 21 of the 55 patients had returned to work despite unchanged subjective intensity of pain.
55名因慢性肌肉骨骼疼痛而休病假至少6个月的患者参加了一个为期四周的门诊治疗项目。该项目是多学科的，包括体育活动、关于健康问题的正式讲座以及与医生、心理学家、社会工作者、护士和体育教练的个人咨询。治疗前的明尼苏达多相人格调查表和健康控制点显示，这些患者具有典型的慢性疼痛特征。这些测试无法区分治疗效果良好的患者和治疗效果不佳的患者。在一年的随访中，55名患者中有21人尽管疼痛的主观强度没有改变，但已重返工作岗位。
