Multiple pains and psychiatric disturbance. An epidemiologic investigation.
Multiple pains and psychiatric disturbance. An epidemiologic investigation.
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DOI：
10.1001/archpsyc.1990.01810150039007
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发表时间：
1990-03
影响因子：
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通讯作者：
S. Dworkin;M. Korff;L. Leresche
中科院分区：
文献类型：
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作者：
S. Dworkin;M. Korff;L. Leresche
我们评估了多种疼痛状况及其与情感障碍、躯体化和心理困扰的关系，基于来自一家大型健康维护组织的1016名注册人员的概率样本的问卷数据。受访者被问及五种疼痛状况的存在情况，并根据疼痛严重程度、疼痛持续时间和疼痛相关残疾天数对功能失调的慢性疼痛状态进行了经验性分类。Logistic回归分析显示，报告的疼痛状况的数量与症状检查表90修订版测量的躯体化水平升高之间存在高度显著的关联。有两种或两种以上疼痛状况的人被算法诊断为严重抑郁症的风险更高，而只有一种疼痛状况的人与没有目前疼痛状况的人没有区别。报告的疼痛状况的数量比疼痛体验的重要指标(包括疼痛严重程度和疼痛持续时间)更能预测严重抑郁症。
We assessed multiple pain conditions and their association with affective disturbance, somatization, and psychological distress based on questionnaire data from a probability sample of 1016 enrollees of a large health maintenance organization. Respondents were asked about the presence of five pain conditions and were classified empirically in terms of dysfunctional chronic pain status based on pain severity, pain persistence, and pain-related disability days. Logistic regression analyses revealed a highly significant association between number of pain conditions reported and elevated levels of somatization as measured by the Symptom Checklist 90-Revised. Individuals with two or more pain conditions were at elevated risk of an algorithm diagnosis of major depression, while persons with a single pain condition did not differ from persons with no current pain conditions. Number of pain conditions reported was a better predictor of major depression than were important measures of pain experience, including pain severity and pain persistence.