Herman Edith, Baptiste Sue
Regional Pain Clinic, Chedoke-McMaster Hospital, Box 2000, Station "A", Hamilton, Ont. L8N 3Z5 Canada.
Pain. 1981 Feb;10(1):79-86. doi: 10.1016/0304-3959(81)90048-8.
This paper describes a group program which is part of the therapeutic management of out-patients with chronic pain at the multidisciplinary Pain Clinic in Hamilton, Ontario (McMaster Division, Chedoke-McMaster Hospital). The programme seeks to assist chronic pain sufferers in developing more adaptive coping styles. Groups of 12--14 patients meet for 9 weeks, 3 h/week, under the co-leadership of a physiotherapist and an occupational therapist with backgrounds in psychology and psychiatry. Seventy-five patients with diverse aetiologies of chronic pain have completed these "pain control classes". Outcome was assessed on the basis of several parameters. Results indicate a considerable reduction in depression, pain perception and analgesic intake. Conversely, employment figures increased from 20 to 48% after completion of the program. 21% were considered failures. Significant variables differentiating successes from failures were sex, marital status, work incentive, employment and absence of litigation or Workmen's Compensation claims.
本文介绍了一个团体项目，该项目是安大略省汉密尔顿市多学科疼痛诊所（切多克 - 麦克马斯特医院麦克马斯特分院）对慢性疼痛门诊患者进行治疗管理的一部分。该项目旨在帮助慢性疼痛患者培养更具适应性的应对方式。12至14名患者组成的小组每周会面3小时，共进行9周，由一名具有心理学和精神病学背景的物理治疗师和一名职业治疗师共同指导。75名病因各异的慢性疼痛患者完成了这些“疼痛控制课程”。根据几个参数对结果进行了评估。结果表明，抑郁、疼痛感知和止痛药摄入量显著减少。相反，项目完成后就业人数从20%增加到了48%。21%的患者被视为治疗失败。区分成功与失败的显著变量包括性别、婚姻状况、工作积极性、就业情况以及是否有诉讼或工伤赔偿索赔。
