Manchikanti Laxmaiah, Fellows Bert, Pampati Vidyasagar, Beyer Carla, Damron Kim, Barnhill Renee C
Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA.
Pain Physician. 2002 Jan;5(1):40-8.
This study was designed to evaluate the psychological status of 50 individuals without chronic pain and without psychotherapeutic drug therapy, Group I, the control group; and Group II, a chronic pain group with 100 chronic pain patients. All the participants were tested utilizing Millon Clinical Multiaxial Inventory III (MCMI-III). Results were analyzed and compared for various clinical personality patterns, including personality traits and personality disorders; severe personality pathology for schizotypal, borderline and paranoid personality pathology; and multiple clinical syndromes, including generalized anxiety disorder, somatization disorder, major depression, bipolar manic disorder and dysthymic disorder, etc. There were no significant differences noted in clinical personality patterns or severe personality pathology. In the analysis of clinical syndromes, generalized anxiety disorder (40% vs 14%), somatization disorder (26% vs 0%), and major depression (22% vs 4%) were seen in a greater proportion of patients in the chronic pain group. The prevalence of psychological disorders in the control group was 24%, compared to 55% in chronic pain group. In conclusion, this evaluation showed that clinical personality patterns are present in both groups of patients. Psychological abnormalities such as generalized anxiety disorder, somatization disorder, and major depression are commonly seen in chronic pain patients.
本研究旨在评估50名无慢性疼痛且未接受心理治疗药物治疗的个体（第一组，即对照组）以及100名慢性疼痛患者组成的慢性疼痛组（第二组）的心理状态。所有参与者均使用米隆临床多轴问卷第三版（MCMI - III）进行测试。对各种临床人格模式的结果进行了分析和比较，包括人格特质和人格障碍；分裂型、边缘型和偏执型人格病理的严重人格病理学；以及多种临床综合征，包括广泛性焦虑障碍、躯体化障碍、重度抑郁症、双相躁狂症和心境恶劣障碍等。在临床人格模式或严重人格病理学方面未发现显著差异。在临床综合征分析中，慢性疼痛组中更多比例的患者出现广泛性焦虑障碍（40%对14%）、躯体化障碍（26%对0%）和重度抑郁症（22%对4%）。对照组心理障碍的患病率为24%，而慢性疼痛组为55%。总之，该评估表明两组患者均存在临床人格模式。慢性疼痛患者中常见如广泛性焦虑障碍、躯体化障碍和重度抑郁症等心理异常。
