Psychological Considerations in Low Back Pain. With emphasis on the Yatabe-Guilford test. : With emphasis on the Yatabe-Guilford test

概要

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Diagnosis and treatment of low back pain requires consideration to be given to psychological factors.We conducted the Yatabe-Guilford test (Y-G test) in 32 patients with low back pain who presented to our outpatient clinic. The subjects included 14 male and 18 female patients with an average age of 44.9 years. Treatment results were evaluated using the JOA Scoving system and we studied the significance of the Y-G test. Moreover, a Rorschach test was conducted in one patient who was resistant to treatment, in order to study the relationship with the Y-G test.Looking at treatment results in association with different characteristics of the Y-G test it was shown that B-type tended to have bad outcomes. Other results ware variable.However, it is interesting that many subjects showed many Δ points in the Y-G test. One patient who was resistant to treatment was considered to have Alexithymia, judging from his Rorschach test. It was suggested that comparison between the Δ points of the Y-G test with the Rorschach test, might reflect the mind in an unconscious state.