CLINICAL AND PSYCHOLOGICAL DIVERSITY OF NONSPECIFIC LOW-BACK-PAIN - A NEW APPROACH TOWARDS THE CLASSIFICATION OF CLINICAL SUBGROUPS
CLINICAL AND PSYCHOLOGICAL DIVERSITY OF NONSPECIFIC LOW-BACK-PAIN - A NEW APPROACH TOWARDS THE CLASSIFICATION OF CLINICAL SUBGROUPS
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DOI：
10.1016/0895-4356(91)90156-4
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发表时间：
1991-01-01
影响因子：
7.2
通讯作者：
PAOLAGGI, JB
中科院分区：
文献类型：
--
作者：
COSTE, J;SPIRA, A;PAOLAGGI, JB
本研究采用对应分析、聚类分析和判别分析等多元统计方法探讨非特异性腰痛（LBP）的临床和心理特征。研究了1988年期间向医院风湿病学家主诉局部腰痛的未选择人群（n = 330）。41%的受试者（n = 136）根据DSM-III标准（轴一）被归类为精神障碍。许多不同的器质性综合征被确定，心理影响对LBP临床表现的重要性被证明。聚类分析为LBP的四组类型提供了进一步的证据，这可能通过心理障碍与LBP临床特征之间的关系或相互作用来解释。本研究强调，在病因学研究中，需要考虑非特异性腰痛的临床多样性，并进一步研究心理障碍和背痛之间的复杂关系。
This study explored the clinical and psychological features of non-specific low-back pain (LBP) using multivariate statistical methods including correspondence analysis, cluster analysis and discriminant analysis. An unselected population of subjects (n = 330) complaining of localized LBP to hospital rheumatologists during 1988 was studied. 41% of the subjects (n = 136) were classified as having a psychiatric disorder according to the DSM-III criteria (Axis I).A number of different organic syndromes were identified and the importance of psychological influences on the clinical presentation of LBP was demonstrated. Cluster analyses provided further evidence for a four-group typology of LBP, which may be interpreted through the relationships or interactions between psychological disturbances and the clinical features of LBP.This study highlights the need, in etiological research, to take into account the clinical diversity of non-specific LBP and to investigate further the complex relationships between psychological disturbances and back pain.