McCreary Charles, Turner Judith, Dawson Edgar
Departments of Psychiatry/Division of Medical Psychology, Psychology and Surgery/Division of Orthopedic Surgery, U.C.L.A. School of Medicine, Los Angeles, Calif. 90024 U.S.A.
Pain. 1977 Oct;4(1):73-78. doi: 10.1016/0304-3959(77)90089-6.
There are contradictory findings about whether there are differences in personality and/or amount of emotional disturbance between patients with functional versus organic low back pain. The MMPI scores of 42 back pain patients diagnosed as "organic" were compared with the scores of 37 patients classified as "functional". The functional patients scored significantly higher than the organics on the Hs, Hy, Pd, Sc, Ma, and Si scales. The organics scored significantly higher than the functionals on the K scale. The results confirm the view that certain symptoms of emotional disturbance are more characteristic of patients who have relatively little evidence of physical findings. However, the degree of overlap between groups was high enough to suggest caution in making predictions and diagnoses about functional versus organic pain on individual patients solely on the basis of personality data.
关于功能性与器质性下背痛患者在个性和/或情绪障碍程度上是否存在差异，存在相互矛盾的研究结果。将42名被诊断为“器质性”背痛患者的明尼苏达多相人格调查表（MMPI）得分与37名被归类为“功能性”患者的得分进行了比较。功能性患者在疑病（Hs）、癔症（Hy）、精神病态（Pd）、精神分裂症（Sc）、轻躁狂（Ma）和社会内向（Si）量表上的得分显著高于器质性患者。器质性患者在校正（K）量表上的得分显著高于功能性患者。结果证实了这样一种观点，即情绪障碍的某些症状在身体检查结果相对较少的患者中更具特征性。然而，两组之间的重叠程度足够高，这表明仅根据个性数据对个体患者的功能性与器质性疼痛进行预测和诊断时要谨慎。
