Keefe Francis J, Block Andrew R, Williams Redford B, Surwit Richard S
Duke University Medical Center, Durham, N.C. U.S.A.
Pain. 1981 Oct;11(2):221-231. doi: 10.1016/0304-3959(81)90007-5.
The response of 111 chronic low back pain patients to a comprehensive behavioral treatment program emphasizing relaxation procedures is examined. Over the course of treatment, significant reductions were obtained on measures of subjective tension, EMG activity, and pain. Many patients also decreased their intake of analgesic/narcotic agents and reported an increase in activity level. In order to examine individual differences in pain relief, the 28 patients who had the greatest decreases in pain were compared to those who had the least decreases in pain. Patients who had the best outcome in terms of pain relief were significantly more likely to show improvements in other outcome measures. In addition, these patients rated their pain initially as more severe, had continuous pain for fewer years, and were less likely to be on disability or to have had multiple surgical procedures. These results are discussed in the light of recent data from other behavioral treatment studies with chronic low back pain patients and implications for behavioral assessment and treatment are discussed.
研究了111名慢性腰痛患者对一项强调放松程序的综合行为治疗方案的反应。在治疗过程中，主观紧张度、肌电图活动和疼痛测量指标都有显著降低。许多患者还减少了止痛/麻醉剂的摄入量，并报告活动水平有所提高。为了研究疼痛缓解方面的个体差异，将疼痛减轻最多的28名患者与疼痛减轻最少的患者进行了比较。在疼痛缓解方面取得最佳效果的患者在其他结果指标上更有可能显示出改善。此外，这些患者最初将自己的疼痛评定为更严重，持续疼痛的年数更少，并且更不太可能残疾或接受过多次外科手术。根据其他针对慢性腰痛患者的行为治疗研究的最新数据对这些结果进行了讨论，并讨论了其对行为评估和治疗的意义。
