DIFFERING CORRELATIONS BETWEEN PAIN MEASURES IN SYNDROMES WITH OR WITHOUT EXPLICABLE ORGANIC PATHOLOGY
DIFFERING CORRELATIONS BETWEEN PAIN MEASURES IN SYNDROMES WITH OR WITHOUT EXPLICABLE ORGANIC PATHOLOGY
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DOI：
10.1016/0304-3959(88)90164-9
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发表时间：
1988-08-01
期刊：
影响因子：
7.4
通讯作者：
LEVINE, JD
中科院分区：
文献类型：
--
作者：
PERRY, F;HELLER, PH;LEVINE, JD
我们调查了使用疼痛措施的慢性疼痛综合征，并没有可解释的有机原因相关的分数从视觉模拟量表和麦吉尔疼痛问卷的子量表，无论是炎症性关节炎或原发性纤维组织炎患者。我们证实了这一发现，纤维组织炎患者，尽管有显着较少的病理表现，报告更多的疼痛在一个显着的措施。在关节炎患者中，我们观察到不同疼痛指标的评分之间存在较大的正相关性，这支持了这些评分有效测量继发于组织损伤的疼痛的假设。然而，在纤维组织炎组中，在不同测量的分数之间发现了显着较低的相关性，甚至是强烈的负相关性。我们认为，常用的疼痛措施已被证明是有效的，以研究患者的可证实的病理可能是有效的测量疼痛综合征，如纤维组织炎，其疼痛可能是不同的或更复杂的比患者的可解释的有机基础。
We investigated the use of pain measures in chronic pain syndromes with and without explicable organic cause by correlating scores obtained from the Visual Analog Scale and from subscales of the McGill Pain Questionnaire in patients with either inflammatory arthritis or primary fibrositis. We confirmed the finding that patients with fibrositis, despite having significantly less demonstrate pathology, report more pain on a significant number of measures. In patients with arthritis, we observed large positive correlations between scores on different pain measures, supporting the hypothesis that these scores validly measure pain secondary to tissue injury. In the fibrositis group, however, significantly lower correlations, and one even strongly negative, were found between scores on different measures. We suggest that commonly used pain measures which have been shown to be valid to study patients with demonstrable pathology may be less valid for measurement of pain in patients with syndromes such as fibrositis, whose pain may be different or more complex than that of patients with explicable organic basis.