McArthur David L, Cohen Michael J, Gottlieb Harold J, Naliboff Brace D, Schandler Steven L
Behavioral Medicine Research, Veterans Administration Medical Center, Long Beach, CA 90822 U.S.A. Comprehensive Back Services, Casa Colina Hospital for Rehabilitative Medicine, Pomona CA91767 U.S.A. Department of Psychology, California State University, Los Angeles, CA U.S.A. Veterans Administration Medical Center, Sepulveda, CA 91343 U.S.A.
Pain. 1987 Apr;29(1):1-22. doi: 10.1016/0304-3959(87)90174-6.
For a normative study of chronic low back pain (CLBP), 702 consecutive admissions to a large multidisciplinary CLBP treatment program were assessed at admission, discharge, and 1-month follow-up, using a variety of psychological and functional performance instruments. Both univariate and multivariate approaches to appraising success are evaluated. Psychological profiles demonstrated a substantial degree of disability at admissions, which is significantly reduced at follow-up. Both behavioral and cognitive aspects of performance, as evidenced by objective assessments of patients' physical abilities and verbalizations, improved as a direct function of length of stay in the treatment program and continued to show modest improvement through follow-up. Composite indices of improvement demonstrated favorable outcomes for no less than four in every ten, and as high as nine in every ten participants. Because of the large sample size, relationships both within and across measurement domains can be assessed statistically: the separate sets of outcome measures, with the exception of psychological profiles, are generally independent of each other.
为了对慢性腰痛（CLBP）进行规范性研究，我们使用多种心理和功能表现评估工具，对一个大型多学科CLBP治疗项目的702例连续入院患者在入院时、出院时和1个月随访时进行了评估。我们评估了评估成功的单变量和多变量方法。心理概况显示入院时存在相当程度的残疾，随访时显著降低。患者身体能力和言语表达的客观评估表明，行为和认知方面的表现均随着在治疗项目中住院时间的延长而改善，并在随访期间持续呈现适度改善。改善综合指数显示，每十名参与者中至少有四名、高达九名取得了良好结果。由于样本量较大，可以对测量域内和测量域间的关系进行统计学评估：除心理概况外，各套单独的结果测量指标通常相互独立。
