Hoehler F K, Tobis J S
Br J Rheumatol. 1983 Nov;22(4):206-12. doi: 10.1093/rheumatology/22.4.206.
Ninety patients with low back pain completed a short form of the Minnesota Multiphasic Personality Inventory (MMPI) and, subsequently, received spinal manipulative therapy. Most (84%) of the patients reported immediate relief following manipulation but the extent of that relief was not correlated with any psychological measure. However, several days after treatment, the percentage of patients reporting improvement was much lower (55%) and lack of improvement was associated with elevated scores on hypochondriasis (Hs), and functional low back pain (Lb). Unimproved patients also tended to report longer durations of back pain prior to treatment. Multiple regression analyses indicated that pain duration and the psychological factors were independent predictors of the response to treatment. It is suggested that, although a single manipulative treatment will often relieve the immediate cause of back pain, underlying psychosomatic factors may predispose the condition to recur.
90名腰痛患者完成了明尼苏达多相人格调查表（MMPI）的简短版本，随后接受了脊柱推拿治疗。大多数（84%）患者在推拿后报告疼痛立即缓解，但缓解程度与任何心理测量指标均无相关性。然而，治疗几天后，报告病情改善的患者比例要低得多（55%），病情未改善与疑病（Hs）和功能性腰痛（Lb）得分升高有关。病情未改善的患者还往往报告治疗前腰痛持续时间更长。多元回归分析表明，疼痛持续时间和心理因素是治疗反应的独立预测因素。研究表明，虽然单次推拿治疗通常能缓解背痛的直接病因，但潜在的心身因素可能使病情易于复发。
