Skinner J B, Erskine A, Pearce S, Rubenstein I, Taylor M, Foster C
Department of Anaesthetics, Whittington Hospital, London.
J Psychosom Res. 1990;34(1):13-9. doi: 10.1016/0022-3999(90)90003-m.
This study is an attempt to investigate the efficacy of an outpatient cognitive behavioural group programme for the rehabilitation of patients with chronic pain. The programme, which took place over one afternoon per week for seven weeks and was conducted by a multidisciplinary team, aimed to increase patients' skills for coping with chronic pain and its social, emotional and physical consequences. Measures of pain intensity, mood, coping skills, physical disability and medication consumption were obtained on four separate occasions: twice pre-treatment, immediately post-treatment and at one month follow-up. Repeated measures analysis of variance showed significant improvements in mood, coping skills, physical disability and analgesic consumption despite less clear-cut improvement in ratings of pain intensity. These results parallel the findings of similar studies in the U.S.A. and their implications for the provision of services to chronic pain patients in the U.K. is discussed.
本研究旨在调查一项门诊认知行为团体项目对慢性疼痛患者康复的疗效。该项目每周一下午进行，为期七周，由一个多学科团队实施，旨在提高患者应对慢性疼痛及其社会、情感和身体影响的技能。在四个不同时间点获取了疼痛强度、情绪、应对技能、身体残疾状况和药物消耗的测量数据：治疗前两次、治疗后立即以及随访一个月时。重复测量方差分析表明，尽管疼痛强度评分的改善不太明显，但情绪、应对技能、身体残疾状况和镇痛药消耗均有显著改善。这些结果与美国类似研究的结果相似，并讨论了其对英国慢性疼痛患者服务提供的影响。
