Johansson C, Dahl J, Jannert M, Melin L, Andersson G
Department of Psychology, Uppsala University, Sweden.
Behav Res Ther. 1998 Oct;36(10):915-30. doi: 10.1016/s0005-7967(98)00079-5.
A cognitive behavioral multidisciplinary pain management program was evaluated in two separate outcome studies; one controlled study (study I) and one study conducted on a consecutive sample with a long-term follow-up (study II). The 4-week inpatient treatment program included education sessions, goal setting, graded activity training, pacing, applied relaxation, cognitive techniques, social skills training, drug reduction methods, contingency management of pain behaviors, and planning of work return. The outcome of study I showed significant between-group differences in favor of the treatment group on measures of occupational training at 1-month follow-up, activity level in the sparetime at post-treatment and at follow-up, and decreased catastrophizing and pain behaviors at post-treatment. In study II significant improvements over time were found on measures of sick leave, pain intensity, pain interference, life control, affective distress, activity level in the sparetime, physical fitness and use of analgetics at 2-month follow-up and at 1-year follow-up. The results of the two outcome studies reported show that cognitive behavioral multidisciplinary pain management programs can successfully be applied to Swedish musculoskeletal pain patients.
在两项独立的结果研究中对一个认知行为多学科疼痛管理项目进行了评估；一项对照研究（研究I）和一项对连续样本进行长期随访的研究（研究II）。为期4周的住院治疗项目包括教育课程、目标设定、分级活动训练、节奏控制、应用放松、认知技巧、社交技能训练、药物减量方法、疼痛行为的应急管理以及重返工作的规划。研究I的结果显示，在1个月随访时，治疗组在职业训练指标方面、治疗后及随访时的业余活动水平方面，以及治疗后灾难化思维和疼痛行为减少方面，组间差异显著，有利于治疗组。在研究II中，在2个月随访和1年随访时，病假、疼痛强度、疼痛干扰、生活控制、情感困扰、业余活动水平、体能和镇痛药使用等指标随时间有显著改善。所报告的两项结果研究的结果表明，认知行为多学科疼痛管理项目可成功应用于瑞典肌肉骨骼疼痛患者。
