Cashion E L, Lynch W J
Neurosurgery. 1979 Feb;4(2):141-5. doi: 10.1227/00006123-197902000-00006.
Patients undergoing surgery for herniated lumbar discs were evaluated prospectively with a battery of psychological tests. Personality factors in patients having a good outcome were compared to those in patients having a bad outcome. Both groups had similar surgical findings. Patients with a good outcome were more stable, cautious, efficiently defensive, self-confident, realistically concerned with their illness, mildly depressed, generally optimistic regarding outcome, and able to withstand setbacks without resorting to emergency reactions. Patients with a bad outcome were less stable, were unpredictable, had inefficient defenses, were more obviously depressed, and were less able to withstand stress and breakdown. However, even the degree of psychological testing used in this study does not definitely predict outcome.
对接受腰椎间盘突出症手术的患者进行了一系列心理测试的前瞻性评估。将预后良好的患者的人格因素与预后不良的患者的人格因素进行了比较。两组的手术结果相似。预后良好的患者更稳定、谨慎、防御有效、自信、对自己的疾病有现实的关注、轻度抑郁、对结果总体乐观，并且能够承受挫折而不诉诸紧急反应。预后不良的患者较不稳定、不可预测、防御无效、明显抑郁，并且更难以承受压力和崩溃。然而，即使是本研究中使用的心理测试程度也不能明确预测结果。
