慢性疼痛的行为管理：与对照组的长期随访

The behavioral management of chronic pain: long-term follow-up with comparison groups.

作者信息

Roberts Alan H, Reinhardt Laurel

机构信息

Scripps Clinic Medical Group, Inc., 10666 North Torrey Pines Rd., La Jolla, Calif. 92037, USA University of Minnesota, Department of Physical Medicine and Rehabilitation, Minneapolis, Minn. 55455, U.S.A.

出版信息

Pain. 1980 Apr;8(2):151-162. doi: 10.1016/0304-3959(88)90002-4.

DOI:10.1016/0304-3959(88)90002-4

PMID:7402679

Abstract

To assess the long-term efficacy of an operant inpatient treatment program for severely disabled chronic pain patients, 26 treated patients were compared with 20 rejected for treatment by a clinic team and 12 who refused treatment. At follow-up ranging from 1 to 8 years, 77% of treated participants were leading normal lives without medication for pain compared to one patient in the other two groups. At time of evaluation, unsuccessfully treated patients used more medications and were higher on MMPI measures of paranoia and lower on ego-strength than successfully treated patients. Spouses of unsuccessfully treated patients had higher MMPI scores on hypochondriasis and hysteria than spouses of successfully treated patients.

摘要

为评估一项针对重度残疾慢性疼痛患者的住院操作性治疗方案的长期疗效，将26名接受治疗的患者与20名被诊所团队拒绝治疗的患者以及12名拒绝治疗的患者进行了比较。在1至8年的随访中，77%接受治疗的参与者在不服止痛药的情况下过着正常生活，而其他两组中只有一名患者如此。在评估时，治疗未成功的患者使用了更多药物，在明尼苏达多项人格测验（MMPI）的偏执量表上得分更高，自我力量得分低于治疗成功的患者。治疗未成功的患者的配偶在疑病和癔症量表上的MMPI得分高于治疗成功的患者的配偶。