Moore M E, Berk S N, Nypaver A
Arch Phys Med Rehabil. 1984 Jul;65(7):356-61.
Fifty-one patients who completed a multidisciplinary, inpatient, pain control program, in groups of three or four persons, were studied before and after treatment. Like most patients with chronic pain, many were hypochondriacal, depressed, and hysterical, in addition to being severely disabled. There was a significant decrease in scores for pain, disability, and hypochondriasis after treatment. At six-month follow-up, as compared with pretreatment assessments, pain was still significantly improved and more patients were employed or planning for employment. A patient's failure to improve depended in part on whether other members of his inpatient treatment group also failed to respond. Patients who responded to treatment despite being members of groups where others failed to respond, were less hypochondriacal than other responders. As social factors play an important role in the etiology of the chronic pain syndrome, treatment programs should be designed to capitalize on these social influences.
51名完成多学科住院疼痛控制项目的患者，以三到四人一组接受治疗，在治疗前后进行了研究。和大多数慢性疼痛患者一样，除了严重残疾外，许多人还患有疑病症、抑郁症和癔症。治疗后疼痛、残疾和疑病症评分显著降低。在六个月的随访中，与治疗前评估相比，疼痛仍有显著改善，更多患者就业或计划就业。患者改善不佳部分取决于其住院治疗组的其他成员是否也无反应。尽管所在治疗组其他成员无反应，但仍对治疗有反应的患者，比其他有反应的患者疑病症症状较轻。由于社会因素在慢性疼痛综合征的病因中起重要作用，治疗方案应设计利用这些社会影响。
