Jensen M P, Turner J A, Romano J M
Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle 98195.
J Consult Clin Psychol. 1994 Feb;62(1):172-9. doi: 10.1037//0022-006x.62.1.172.
Although multidisciplinary pain programs have been demonstrated to be effective, the processes of improvement have yet to be clarified. Cognitive-behavioral models posit that improvement is due, in part, to changes in patient pain beliefs and coping strategies. To test the relationships between treatment outcome and changes in beliefs and coping strategies, 94 chronic pain patients completed measures of physical and psychological functioning, health care utilization, pain beliefs, and use of pain coping strategies at admission and 3 to 6 months after inpatient pain treatment. Improved functioning and decreased health care use were associated with changes in both beliefs and cognitive coping strategies. However, changes in some coping strategies, such as exercise and use of rest, were not associated with improvement.
尽管多学科疼痛治疗项目已被证明是有效的，但改善过程仍有待阐明。认知行为模型认为，改善部分归因于患者疼痛信念和应对策略的改变。为了测试治疗结果与信念和应对策略变化之间的关系，94名慢性疼痛患者在入院时以及住院疼痛治疗后3至6个月完成了身体和心理功能、医疗保健利用、疼痛信念以及疼痛应对策略使用情况的测量。功能改善和医疗保健使用减少与信念和认知应对策略的变化都有关联。然而，一些应对策略的变化，如运动和休息的使用，与改善并无关联。
