Anderson K O, Bradley L A, Turner R A, Agudelo C A, Pisko E J, Salley A N, Fletcher K E
Arthritis Care Res. 1992 Mar;5(1):49-56. doi: 10.1002/art.1790050111.
This study examined the reliability and validity of a behavioral observation method for the assessment of arthritis pain in a clinical practice setting. Trained observers measured the occurrence of seven pain behaviors in a group of 61 rheumatoid arthritis patients undergoing physical examinations. These observations were compared with videotaped observations of the patients in a laboratory setting. Significant differences were found between the pain behavior frequencies observed during the examinations and those observed during videotaped sessions. Total pain behavior scores obtained in both settings were significantly correlated with patients' self-reports of pain and with disease activity measures. Pain behavior observed during the exams was significantly associated with patients' self-reports of anxiety and depression.
本研究考察了一种行为观察方法在临床实践环境中评估关节炎疼痛的可靠性和有效性。训练有素的观察者对61名接受体格检查的类风湿性关节炎患者的七种疼痛行为的发生情况进行了测量。这些观察结果与在实验室环境中对患者的录像观察结果进行了比较。发现在检查期间观察到的疼痛行为频率与录像期间观察到的频率之间存在显著差异。在两种环境中获得的总疼痛行为评分与患者的疼痛自我报告以及疾病活动指标显著相关。检查期间观察到的疼痛行为与患者的焦虑和抑郁自我报告显著相关。
