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精神治疗对慢性特发性疼痛的影响:一项医学与心理学研究。

Effect of spiritual healing on chronic idiopathic pain: a medical and psychological study.

作者信息

Sundblom D M, Haikonen S, Niemi-Pynttäri J, Tigerstedt I

机构信息

Pain Clinic, Helsinki University Central Hospital, Finland.

出版信息

Clin J Pain. 1994 Dec;10(4):296-302. doi: 10.1097/00002508-199412000-00009.

Abstract

OBJECTIVE

To study over a period of one and a half years the effect of spiritual healing on patients with idiopathic pain syndrome using several psychological and medical parameters.

DESIGN

Randomized clinical trial.

SETTING

Outpatient pain clinic.

PATIENTS

Twenty-four patients with idiopathic chronic pain who had passed a pretreatment psychological interview were allocated randomly to receive spiritual healing or no active treatment.

MAIN OUTCOME MEASURES

Medical interview (Visual Analog Scale and Pain Clinic Investigation Formula); International Association for the Study of Pain (IASP) Data Base Outline; psychological interview (Hopkin's Symptom Checklist, Middlesex Hospital Questionnaire, Beck's Depression Inventory, Coping Strategy Questionnaire, Health Locus of Control scale). Patients were evaluated at baseline and at 2 weeks posttreatment. Final assessment at 1 year posttreatment was done with a modified form of IASP Data Base Outline.

RESULTS

There was a minor decrease in analgesic drug intake and an improvement in sleep patterns in patients treated by the healer. Generally, clinical variables remained unchanged. Attitudes toward spiritual healing improved. There was a decrease in the feeling of hopelessness (p < 0.05) and an increased acceptance of psychological factors as reasons for pain (p < 0.05). Other scores of the psychological tests were unaffected by the healing. However, half (n = 6) of the treated patients felt that spiritual healing gave them some relief.

CONCLUSION

Spiritual healing appears harmless and was subjectively helpful to some patients suffering from idiopathic chronic pain syndrome.

摘要

目的

通过一些心理和医学参数,对特发性疼痛综合征患者进行为期一年半的灵性治疗效果研究。

设计

随机临床试验。

地点

门诊疼痛诊所。

患者

24名经过预处理心理访谈的特发性慢性疼痛患者被随机分配接受灵性治疗或不接受积极治疗。

主要观察指标

医学访谈(视觉模拟量表和疼痛诊所调查公式);国际疼痛研究协会(IASP)数据库大纲;心理访谈(霍普金斯症状清单、米德尔塞克斯医院问卷、贝克抑郁量表、应对策略问卷、健康控制点量表)。患者在基线和治疗后2周进行评估。治疗后1年采用改良版的IASP数据库大纲进行最终评估。

结果

接受治疗师治疗的患者,其止痛药物摄入量略有减少,睡眠模式有所改善。总体而言,临床变量保持不变。对灵性治疗的态度有所改善。绝望感有所降低(p<0.05),将心理因素视为疼痛原因的接受度有所提高(p<0.05)。心理测试的其他分数不受治疗影响。然而,一半(n=6)接受治疗的患者认为灵性治疗给他们带来了一些缓解。

结论

灵性治疗似乎无害,对一些患有特发性慢性疼痛综合征的患者有主观帮助。

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