摘要
目的探讨慢性下腰痛（ＣＬＢＰ）患者的心理特征。方法对６５例慢性下腰痛（ＣＬＢＰ）患者进行了明尼苏达多相人格问卷（ＭＭＰＩ），症状自评量表（ＳＣＬ—９０）测评，并与对照组比较。统计学处理采用ｔ检验。结果慢性下腰痛患者ＭＭＰＩ测试在疑病症、抑郁症、歇斯底里及精神衰弱量表得分上与对照组有显著性差异（Ｐ＜０．０１），ＳＣＬ—９０测试在躯体化、人际关系、强迫症、忧郁、焦虑、恐怖及精神病性等因子上与对照组均有显著性差异（Ｐ＜０．０５），病例组呈心身症特征。结论慢性下腰痛患者呈“疑病──抑郁──癔病”神经三联征心身特征，其它尚有焦虑、强迫行为和一般适应障碍增多等。建议临床专科医师或治疗师在ＣＬＢＰ的处理中应同样重视患者的心理和躯体成份。
Objective To explore the psychosocial characteristics in chronic low back pain(CLBP). Methods Sixty-five cases of chronic low back pain patients (patient groups) were investigated with Minnesota Multiphasic personality inventory(MMPI) and Selfreporting inventory (SCL - 90). These results were compared with results obtained from a matched non-pain group(control group). Using a t-test. Results The elevated scores of scales of hypochondriasis, depression, hysteria and psychasthenia in MMPI of the patient groups had significant differences from control group(P < 0. 01),The elevated scores of somatization, obsessive-compulsive, interpersonal, sensitivity, depression, anxiety, phobia and psychotism in SCL - 90 of the patient groups had significant differences from control groups(P < 0. 05). Conclusion The psychosocial characteristicca of Hypochondriasis-Depression Hysteria (' neurotic triad' ) were shown in the CLBP patients with the anxiety obsessive-compulsive Psychasthenia were also shown. It is suggested that in addition to carrying out biomechanical treatment, physiotherapists are to address certain psychological needs of CLBP.
出处
《现代康复》
CSCD
2000年第10期1460-1461,共2页
Modern Rehabilitation
关键词
慢性
下腰痛
症状自评量表
社会心理因素
chronic low back pain
minnesota multiphasic personality inventory
self-reporting inventory
psychosocial factor
