Machin P, de C Williams A C
United Medical and Dental Schools, Guy's Hospital, London, United Kingdom.
Clin J Pain. 1998 Dec;14(4):290-4. doi: 10.1097/00002508-199812000-00004.
Study of coping with phantom pain in nonclinical war veteran amputees.
Semistructured interview with amputees in their home setting.
Residential home for war veteran amputees or respondents' own homes.
Amputee veterans of World War II with phantom pain.
Pain (McGill Pain Questionnaire) and pain history, coping (daily coping; Stone and Neale, J Pers Soc Psychol 1984;46:892-906), size of social network, and quality of war memories.
No differences in pain or coping were associated with place of residence (and prevalence of cues) or social networks; war memories appeared not to be associated with availability of cues, whether media coverage or other amputees. There was some association between the emotional tone of war memories and pain intensity. Veteran amputees were in general accepting of high levels of pain and made little use of medical resources, relating that to past experience of their pain being dismissed.
Coping with phantom pain in war veteran amputees is predominantly silent acceptance of the pain, with little use of social support however available, and rare recourse to medical help, based on past unhelpful experience. Pain and mood appeared to be unrelated to specific war cues, but higher pain scores were reported by those with unhappier war memories.
研究非临床退伍军人截肢者应对幻肢痛的情况。
在截肢者家中进行半结构化访谈。
退伍军人截肢者疗养院或受访者自己家中。
患有幻肢痛的二战退伍军人截肢者。
疼痛（麦吉尔疼痛问卷）和疼痛史、应对方式（日常应对；斯通和尼尔，《人格与社会心理学杂志》1984年；46:892 - 906）、社交网络规模以及战争记忆质量。
疼痛或应对方式与居住地点（以及线索的普遍性）或社交网络无关；战争记忆似乎与线索的可得性无关，无论是媒体报道还是其他截肢者。战争记忆的情感基调与疼痛强度之间存在一些关联。退伍军人截肢者总体上接受高水平的疼痛，很少利用医疗资源，将其归因于过去疼痛被忽视的经历。
退伍军人截肢者应对幻肢痛主要是默默接受疼痛，很少利用现有的社会支持，基于过去无益的经历很少求助于医疗帮助。疼痛和情绪似乎与特定的战争线索无关，但战争记忆较不愉快的人报告的疼痛评分更高。
