Khatami M, Rush John A
Department of Psychiatry, Southwestern Medical School, Dallas, Tex. 75235 U.S.A.
Pain. 1982 Sep;14(1):45-52. doi: 10.1016/0304-3959(82)90079-3.
Twenty-three outpatients with chronic pain began a 3-part treatment package designed to provide symptom control, stimulus control and social system modification. Fourteen patients completed the full course of therapy. The remaining 9 patients were designated as partial completers. A mean of 22.9 weekly hour long therapy sessions resulted in statistically significant decreases in pain, depression, anxiety and medication intake. These improvements were maintained at 1 year follow-up. This study is consistent with the notion that chronic pain is maintained by a combination of inter- and intrapersonal factors. A controlled comparison of this treatment program with other treatments for chronic pain is indicated.
23名慢性疼痛门诊患者开始接受一个由三部分组成的治疗方案，该方案旨在实现症状控制、刺激控制和社会系统调整。14名患者完成了整个疗程。其余9名患者被指定为部分完成者。平均每周进行22.9个小时的治疗，结果显示疼痛、抑郁、焦虑和药物摄入量在统计学上有显著下降。这些改善在1年的随访中得以维持。本研究与慢性疼痛由人际和个人因素共同维持这一观点一致。有必要将该治疗方案与其他慢性疼痛治疗方法进行对照比较。
