Kleinke C L, Spangler A S
Psychology Department, University of Alaska, Anchorage 99508.
J Behav Med. 1988 Feb;11(1):83-94. doi: 10.1007/BF00846171.
Sixty chronic back-pain patients were administered the audiovisual taxonomy of pain behavior during their first and last weeks in an inpatient multidisciplinary pain clinic. Audiovisual total score provided a useful index of pain behavior with a suitable frequency and reliability, while offering unique variance as a measure of treatment outcome. Patients' pain behaviors upon admission to the pain program were positively correlated with the following background variables: receiving worker's compensation, pounds overweight, and number of back surgeries. Patients' pain behaviors upon completion of the pain program were significantly correlated with their preferences for pain treatment modalities. High levels of pain behavior correlated with a preference for treatments of ice and heat. Low levels of pain behavior correlated with a preference for physical therapy, social work, lectures, and relaxation. It was suggested that treatment outcome in a multidisciplinary pain clinic is more immediately related to patients' coping styles and their choice of pain treatment modalities than to their demographics and personalities.
60名慢性背痛患者在住院多学科疼痛诊所的第一周和最后一周接受了疼痛行为的视听分类评估。视听总分提供了一个有用的疼痛行为指标，具有合适的频率和可靠性，同时作为治疗结果的衡量指标提供了独特的差异。患者进入疼痛治疗项目时的疼痛行为与以下背景变量呈正相关：领取工伤赔偿、超重磅数和背部手术次数。患者完成疼痛治疗项目后的疼痛行为与其对疼痛治疗方式的偏好显著相关。高水平的疼痛行为与对冰敷和热敷治疗的偏好相关。低水平的疼痛行为与对物理治疗、社会工作、讲座和放松的偏好相关。有人认为，在多学科疼痛诊所，治疗结果与患者的应对方式和他们对疼痛治疗方式的选择比与他们的人口统计学特征和个性更直接相关。
