Bassett D L, Pilowsky I
J Psychosom Res. 1985;29(3):259-64. doi: 10.1016/0022-3999(85)90052-2.
Twenty-six patients attending the pain clinic of a large metropolitan general hospital were randomly assigned to receive either twelve sessions of psychodynamic psychotherapy or six sessions of cognitively orientated supportive psychotherapy. Questionnaires measuring aspects of illness behaviour, depression and anxiety were administered before and after treatment, but did not reveal any significant differences between the treatment groups at any time. Global subjective estimates of outcome reported to an independent observer were made after completion of therapy and showed no significant differences. All measures were repeated six and twelve months after completion of therapy and revealed significant improvement in the dynamic therapy group only with respect to levels of activity. These findings suggest that brief psychodynamically oriented psychotherapy may have a role in the management of chronic pain but further evaluation of this approach is clearly necessary, involving larger numbers of patients, before a more definitive conclusion can be reached.
一家大型都市综合医院疼痛门诊的26名患者被随机分配，分别接受12次精神动力心理治疗或6次认知取向支持性心理治疗。在治疗前后进行了测量疾病行为、抑郁和焦虑方面的问卷调查，但在任何时候都未显示治疗组之间有任何显著差异。治疗结束后，向一名独立观察者报告了对结果的总体主观评估，结果显示无显著差异。在治疗结束后的6个月和12个月重复了所有测量，结果显示仅动力治疗组在活动水平方面有显著改善。这些发现表明，简短的精神动力取向心理治疗可能在慢性疼痛的管理中发挥作用，但在得出更明确的结论之前，显然有必要对这种方法进行进一步评估，涉及更多患者。
