Professor and Head, Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012.
Indian J Psychiatry. 1983 Jul;25(3):173-9.
Two hundred patients with chronic intractable pain have been evaluated in order to study the clinical characteristics of pain and associated psychiatric illnesses. The commonest site of pain was reported to be head and face, usually dull in nature. Almost 75% of patients reported continuous pain. A great majority (40%-80%) had some psycho-social problem or other problem resultant from the chronic pain. 72% patients had identifiable psychiatric illness, commonest being neurotic depression and anxiety states. The common symptoms reported on the Present State Examination (PSE) were worrying (77%), depression (40%), hypochondrical pre-occupation (35%), autonomic anxiety (42%) and irritability (40%). There is no specific clinical characteristic associated with any particular psychiatric diagnosis. The relevance of psychiatric symptoms and illness associated with chronic pain has been discussed.
为了研究疼痛的临床特征和相关精神疾病，我们对 200 名慢性难治性疼痛患者进行了评估。报告的最常见疼痛部位是头部和面部，通常呈钝痛。几乎 75%的患者报告持续疼痛。绝大多数（40%-80%）患者存在某种精神社会问题或其他由慢性疼痛引起的问题。72%的患者存在可识别的精神疾病，最常见的是神经症性抑郁和焦虑状态。在当前状态检查（PSE）中报告的常见症状是担忧（77%）、抑郁（40%）、疑病症关注（35%）、自主焦虑（42%）和易怒（40%）。没有任何特定的临床特征与任何特定的精神诊断相关。我们讨论了与慢性疼痛相关的精神症状和疾病的相关性。
