Bradley L A, Young L D, Anderson K O, Turner R A, Agudelo C A, McDaniel L K, Pisko E J, Semble E L, Morgan T M
Section on Medical Psychology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina 27103.
Arthritis Rheum. 1987 Oct;30(10):1105-14. doi: 10.1002/art.1780301004.
A randomized clinical trial was performed to evaluate a psychological treatment intervention and a social support program, compared with a control program in which no adjunct treatment was rendered, and their effects upon pain behavior, affect, and disease activity of 53 patients with rheumatoid arthritis. The psychological intervention produced significant reductions in patients' pain behavior and disease activity at posttreatment. Significant reductions were also observed in trait anxiety at posttreatment and 6-month followup. Relaxation training may have been the most important component of the psychological intervention. The social support program produced a significant reduction in trait anxiety only at posttreatment. This is the first well-controlled study to demonstrate reduced pain behavior, disease activity, and trait anxiety following psychological treatment.
进行了一项随机临床试验，以评估一种心理治疗干预措施和一项社会支持计划，并与未提供辅助治疗的对照计划进行比较，以及它们对53名类风湿性关节炎患者的疼痛行为、情感和疾病活动的影响。心理干预在治疗后使患者的疼痛行为和疾病活动显著减少。在治疗后和6个月随访时，特质焦虑也显著降低。放松训练可能是心理干预中最重要的组成部分。社会支持计划仅在治疗后使特质焦虑显著降低。这是第一项经过充分对照的研究，证明心理治疗后疼痛行为、疾病活动和特质焦虑有所减少。
