Psychosocial profiles of people with pain associated with spinal cord injury: identification and comparison with other chronic pain syndromes.
Psychosocial profiles of people with pain associated with spinal cord injury: identification and comparison with other chronic pain syndromes.
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脊髓损伤相关疼痛患者的心理社会特征：与其他慢性疼痛综合征的识别和比较。
DOI：
10.1097/00002508-200407000-00008
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Turk,DennisC
中科院分区：
文献类型：
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作者：
Widerström-Noga,EvaG;Duncan,Robert;Turk,DennisC
目的：(1)明确脊髓损伤后疼痛患者的心理社会特征，并与其他慢性疼痛综合征患者进行比较。方法：对159例慢性疼痛患者(SCICP)进行问卷调查和多维疼痛问卷(MPI)调查，120人(75.5%)同意参与。1例(42.5%)具有高疼痛严重程度(PS)、情感困扰(AD)、生活干扰(LI)和低生活控制(LC)的特征，类似于先前发现的标记为功能障碍的簇。第二类(57.5%)表现为低PS、AD、LI、高LC和高活性(GA)，与以往研究中发现的适应性COPS(AC)相似，只是在支持(S)、关怀反应(SR)和消极反应(NR)上得分较低，而在分心反应(DR)上得分较高。这两个亚组与在其他慢性疼痛综合征(CPSS)中观察到的相似。SCI患者与异质性慢性疼痛和慢性头痛显著不同，因为他们表明疼痛与活动的推断较少。SCICP报告的LI、LC、AD、S、SR水平与脊髓灰质炎后综合征患者相似，但PS水平高于脊髓灰质炎后综合征患者。讨论：SCI和其他CPS之间的异同表明，尽管评估心理社会影响的一般指标可以用于疼痛综合征，但使用不同的标准来比较特定的疼痛综合征是重要的。未能发现以S水平低、NR水平高为特征的一组患者，以及与其他CPSS相比，SCICP的SR和DR较低，值得进行检查。
Objectives:The objectives of the study were to:(1) identify psychosocial profiles of people with pain associated with spinal cord injuries (SCI), and (2) compare the psychosocial profiles with other chronic pain syndromes.Methods:History questionnaires and the Multidimensional Pain Inventory (MPI) were mailed to 159 persons with chronic pain and SCIs (SCICP) and 120 (75.5%) agreed to participate.Results:Cluster analysis of MPI scores identified 2 subgroups of SCICP. One (42.5%) was characterized by high Pain Severity (PS), Affective Distress (AD), Life Interference (LI), and low Life Control (LC) similar to a previously identified cluster labeled Dysfunctional. The second (57.5%) was characterized by low PS, AD, LI, and high levels of LC and activity (GA), similar to the Adaptive Copers (AC) cluster identified in previous studies with the exception that the scores were lower on Support (S), Solicitous Responses (SR), and Negative Responses (NR) and higher on Distracting Responses (DR). Both subgroups were similar to those observed in other chronic pain syndromes (CPSs). People with SCIs differed significantly from heterogeneous chronic pain and chronic headaches in that they indicated less inference of pain with activities. They also scored lower on S. SCICP reported comparable levels of LI, LC, AD, S, SR, but greater levels of PS compared with a group of people with post-polio syndrome.Discussion:The similarities and differences between SCI and other CPSs suggest that although a general measure assessing psychosocial impact can be used across pain syndromes, it is important to use different norms for comparison of particular pain syndromes. The failure to identify a subgroup of patients characterized by low levels of S and high levels of NR, and the low SR and DR for SCICP compared with other CPSs warrants examination.