ASSESSMENT OF STRESS-RELATED PSYCHOPHYSIOLOGICAL REACTIONS IN CHRONIC BACK PAIN PATIENTS
ASSESSMENT OF STRESS-RELATED PSYCHOPHYSIOLOGICAL REACTIONS IN CHRONIC BACK PAIN PATIENTS
复制标题
DOI：
10.1037/0022-006x.53.3.354
复制
发表时间：
1985-01-01
影响因子：
5.9
通讯作者：
BIRBAUMER, N
中科院分区：
文献类型：
--
作者：
FLOR, H;TURK, DC;BIRBAUMER, N
比较了17名慢性背痛（CBP）患者、17名非背痛患者和17名健康对照者的椎旁肌肌电图反应性与个人相关应激和一般应激的关系。三个实验组根据性别、年龄、婚姻状况、教育程度和就业水平进行配对。78%的人是男性，72%的人已婚。这些学生的年龄从23岁到73岁不等。他们参加了一项心理生理学评估，其中包括4项试验（讨论个人压力和痛苦、心算和背诵字母表）。连续记录椎旁肌和额肌肌电图、心率和皮肤电阻。还评估了心理变量（如抑郁和感知控制）。结果表明，CBP Ss显示海拔和延迟恢复到基线，只有在他们的椎旁肌肉组织，只有当讨论个人相关的压力。其他两组都没有表现出类似的反应模式。异常的肌肉反应性最好的预测抑郁症和应对疼痛的方式，而不是有机变量。这些结果表明，评估压力相关的反应可能是重要的评估和治疗CBP。(33参考）（PsycInfo数据库记录（c）2022阿帕，保留所有权利）
Compared the relationship of paraspinal EMG reactivity to personally relevant and general stress among 17 chronic back pain (CBP) patients, 17 non-back-pain patients, and 17 healthy controls. The 3 experimental groups were matched according to sex, age, marital status, education, and employment level. 78% of the Ss were male; 72% were married. The Ss ranged in age from 23 to 73 yrs. Ss participated in a psychophysiological assessment that included 4 trials (discussions of personal stress and pain, mental arithmetic, and reciting the alphabet). Paraspinal and frontalis EMG, heart rate, and skin resistance were recorded continuously. Psychological variables (eg, depression and perceived control) were also assessed. Results indicate that CBP Ss displayed elevations and delayed return to baseline only in their paravertebral musculature and only when discussing personally relevant stress. Neither of the other groups displayed similar response patterns. Abnormal muscular reactivity was best predicted by depression and manner of coping with pain rather than by organic variables. These results suggest that the assessment of stress-related responses may be important in the evaluation and treatment of CBP.(33 ref)(PsycInfo Database Record (c) 2022 APA, all rights reserved)