Cognitive and physical capacity process variables predict long-term outcome after treatment of chronic pain
Cognitive and physical capacity process variables predict long-term outcome after treatment of chronic pain
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DOI：
10.1037/0022-006x.66.2.434
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发表时间：
1998-04-01
影响因子：
5.9
通讯作者：
Pawl, R
中科院分区：
文献类型：
--
作者：
Burns, JW;Johnson, BJ;Pawl, R
认知行为和物理疗法被纳入多学科慢性疼痛计划，因为疼痛认知和身体能力的变化可能代表促进有利结果的治疗过程。然而，抑郁症的减少可能更能解释治疗反应。在治疗前和治疗后以及3- 6个月的随访评估中，收集了94例慢性疼痛患者的疼痛无助感、举重能力、步行耐力、抑郁、疼痛严重程度和活动水平的测量结果。疼痛无助的减少与疼痛严重程度的降低有关，而步行耐力的增加与活动水平和停机时间的改善有关，即使在控制了抑郁症的影响后也是如此。因此，通过疼痛治疗发生的认知和身体能力变化可能对长期结果做出独特的贡献。
Cognitive-behavioral and physical therapies are incorporated into multidisciplinary chronic pain programs because changes in pain cognitions and physical capacity may represent therapeutic processes that facilitate favorable outcome. Decreases in depression, however may explain treatment responses more parsimoniously. Measures of pain helplessness, lifting capacity, walking endurance, depression, pain severity, and activity level were collected from 94 chronic pain patients at pre- and posttreatment and at 3- to 6-month follow-up evaluations. Decreases in pain helplessness were linked to pain severity reduction, whereas walking endurance; increases were related to improvements in activity levels and downtime even after controlling for effects of depression decreases. Thus, cognitive and physical capacity changes that occur through pain treatment may make unique contributions to long-term outcome.