Correlates of improvement in multidisciplinary treatment of chronic pain.
Correlates of improvement in multidisciplinary treatment of chronic pain.
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DOI：
10.1037//0022-006x.62.1.172
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发表时间：
1994-02
影响因子：
5.9
通讯作者：
M. Jensen;J. Turner;J. Romano
中科院分区：
文献类型：
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作者：
M. Jensen;J. Turner;J. Romano
虽然多学科疼痛治疗方案已被证明是有效的，但改善的过程还有待澄清。认知行为模型认为，改善部分是由于患者疼痛信念和应对策略的变化。为了测试治疗结果与信念和应对策略变化之间的关系，94例慢性疼痛患者在入院时和住院疼痛治疗后3至6个月完成了生理和心理功能，卫生保健利用，疼痛信念和疼痛应对策略的使用。改善功能和减少医疗保健的使用与信念和认知应对策略的变化有关。然而，一些应对策略的变化，如运动和休息的使用，与改善无关。
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.