Cottraux J A, Juenet C, Collet L
Br J Psychiatry. 1983 Feb;142:180-3. doi: 10.1192/bjp.142.2.180.
Of 15 patients with writer's cramp (4 females, 11 males, mean age 36, range 23-50, mean duration 3.6 years), 13 entered a behavioural treatment. Nine received a multimodal treatment, and four EMG feedback alone. Four patients dropped out during the treatment phase. Nine patients were considered as improved at a follow-up between 1 and 9 months. A stress-coping model is put forward to account for the therapeutic effectiveness, and to explain the drop-outs. Writer's cramp seems to be related to stressful situations at work. The existence of personality and biological factors remains to be demonstrated.
在15例书写痉挛患者中（4例女性，11例男性，平均年龄36岁，年龄范围23 - 50岁，平均病程3.6年），13例进入行为治疗阶段。9例接受多模式治疗，4例仅接受肌电图反馈治疗。4例患者在治疗阶段退出。9例患者在1至9个月的随访中被认为病情有所改善。提出了一种压力应对模型来解释治疗效果，并说明患者退出的原因。书写痉挛似乎与工作中的压力状况有关。人格和生物学因素的存在仍有待证实。
