Porter-Moffitt Skye, Gatchel Robert J, Robinson Richard C, Deschner Martin, Posamentier Mette, Polatin Peter, Lou Leland
Eugene McDermott Center for Pain Management, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
J Pain. 2006 May;7(5):308-18. doi: 10.1016/j.jpain.2005.12.003.
Different pain diagnoses have been examined separately in various research studies. The major aim of the present investigation was to add to the current understanding of the various groups of patients who make up the chronic pain population. This study expanded the research literature by including 7 different predominantly chronic pain syndromes (fibromyalgia, upper extremity pain, cervical pain, thoracic pain, lumbar pain, lower extremity pain, and headache). These 7 groups were examined by using a broad array of variables focusing on demographic, self-reported psychosocial, and physical/functional factors. There were 661 patients included from an interdisciplinary treatment program who had been given 1 physical pain diagnosis. Results revealed differences among the 7 groups with regard to self-reported physical/functional limitations. The headache group had less physical/functional impairment than most of the other groups. On the other hand, the lumbar, fibromyalgia, and lower extremity groups had the most physical/functional problems. On self-reported psychosocial measures, the fibromyalgia group had the most difficulties, and the lower extremity and lumbar groups had fewer problems in this area. Overall, though, besides the fibromyalgia group, there was a lack of differences among the other groups on the psychosocial measures.
Biopsychosocial profiles were examined for different pain diagnostic groups. Seven different pain groups were compared. It was discovered that, in general, the lumbar, fibromyalgia, and lower extremity groups reported more physical/functional limitations, and the fibromyalgia and headache groups reported more psychosocial difficulties.
在各项研究中已分别对不同的疼痛诊断进行了检查。本调查的主要目的是增进对构成慢性疼痛人群的各类患者的当前认识。这项研究通过纳入7种不同的主要慢性疼痛综合征(纤维肌痛、上肢疼痛、颈部疼痛、胸部疼痛、腰部疼痛、下肢疼痛和头痛),扩展了研究文献。通过使用一系列广泛的变量,重点关注人口统计学、自我报告的心理社会因素以及身体/功能因素,对这7组进行了检查。共有661名来自跨学科治疗项目且被诊断为一种身体疼痛的患者纳入研究。结果显示,在自我报告的身体/功能限制方面,7组之间存在差异。头痛组的身体/功能损害比其他大多数组要少。另一方面,腰部、纤维肌痛和下肢组存在最多的身体/功能问题。在自我报告的心理社会测量方面,纤维肌痛组困难最多,而下肢和腰部组在这方面问题较少。不过总体而言,除纤维肌痛组外,其他组在心理社会测量方面缺乏差异。
对不同疼痛诊断组的生物心理社会概况进行了检查。比较了7种不同的疼痛组。发现一般来说,腰部、纤维肌痛和下肢组报告的身体/功能限制更多,而纤维肌痛和头痛组报告的心理社会困难更多。