Murphy M A, Tosi D J, Pariser R F
Psychol Rep. 1989 Jun;64(3 Pt 2):1343-50. doi: 10.2466/pr0.1989.64.3c.1343.
Pain is generally recognized as being influenced by multiple psychological factors. Cognitive experiential therapy may use cognitive restructuring with imagery and hypnosis. The restructuring of negative cognitive, affective, behavioral, and physiological states occurs through six stages. This case study illustrates the use of cognitive restructuring and biofeedback with a woman hospitalized for depression and a chronic pain syndrome consisting of tension headache pain. Measures of headache pain (frequency, intensity), skin temperature, and assessment with the Millon Behavioral Health Inventory consisting of broad categories and scales were taken at pretest, posttest and follow-up. The biofeedback treatment alone showed some physiological improvement. Cognitive restructuring and biofeedback resulted in improvements on the Millon, and reduction of headache symptoms at the posttest. Gains on the Millon broad categories of personality coping styles and psychosomatic correlates were maintained at follow-up and chronic headache pain was not reported. Self-report headache frequency and intensity decreased over time with the cognitive restructuring and biofeedback approach.
疼痛通常被认为受多种心理因素影响。认知体验疗法可能会结合意象和催眠进行认知重构。消极的认知、情感、行为和生理状态的重构通过六个阶段进行。本案例研究展示了对一名因抑郁症住院且患有由紧张性头痛疼痛组成的慢性疼痛综合征的女性使用认知重构和生物反馈的情况。在预测试、后测试和随访时，对头痛疼痛（频率、强度）、皮肤温度进行了测量，并使用包含广泛类别和量表的米隆行为健康量表进行了评估。仅生物反馈治疗显示出一些生理改善。认知重构和生物反馈使米隆量表得分得到改善，且在后测试时头痛症状减轻。在随访时，米隆量表中关于人格应对方式和身心关联的广泛类别得分保持不变，且未报告慢性头痛疼痛情况。随着时间推移，采用认知重构和生物反馈方法后，自我报告的头痛频率和强度有所下降。
