Tyrer Stephen P, Capon Mark, Peterson David M, Charlton Edmond J, Thompson John W
Department of Psychiatry, University of Newcastle upon Tyne, Newcastle upon TyneU.K. Department of Anaesthesia and Pain Relief Clinic, Royal Victoria Infirmary, Newcastle upon TyneU.K. Department of Pharmacological Sciences, University of Newcastle and Pain Relief Clinic, Royal Victoria Infirmary, Newcastle upon TyneU.K.
Pain. 1989 Jan;36(1):63-74. doi: 10.1016/0304-3959(89)90112-7.
Ninety-seven successive patients attending the Newcastle Pain Relief Clinic completed a battery of psychiatric, psychological and pain questionnaires, and an extensive personal information form. All patients were seen by a physician who evaluated the extent of the pain arising from physical, psychiatric and psychological causes, and by a psychiatrist, who administered a structured interview schedule. Thirty-two percent of the patients had sufficient symptoms to be classified as psychiatric cases on the Present State Examination (PSE), a further 22% had minor neurotic symptoms and features of illness behaviour, 35% were categorized as organic, and 11% were unclassified. The Leeds General Depression Scale for Depression and Anxiety and the Beck Depression Inventory were the most effective of the psychiatric questionnaires used in separating the psychiatric patients from the remainder, and can be recommended as screening instruments for psychiatric illness in this population. Factors associated with a psychiatric diagnosis included female sex, larger number of present medications, greater reduction in activities compared to the period before the pain developed and increasing subjective pain from the onset of this.
纽卡斯尔疼痛缓解诊所接待的97位连续就诊患者完成了一系列精神病学、心理学和疼痛问卷调查，以及一份详细的个人信息表。所有患者均由一名医生进行检查，该医生评估了由身体、精神和心理原因引起的疼痛程度，还由一名精神科医生进行检查，该精神科医生实施了结构化访谈程序。在目前状态检查（PSE）中，32%的患者有足够症状可被归类为精神病例，另有22%有轻微神经症症状和疾病行为特征，35%被归类为器质性疾病，11%未分类。利兹抑郁与焦虑综合量表和贝克抑郁量表是用于区分精神科患者与其他患者的最有效的精神病学调查问卷，可推荐作为该人群精神疾病的筛查工具。与精神科诊断相关的因素包括女性、当前用药数量较多、与疼痛出现前相比活动减少更多以及自疼痛开始主观疼痛加剧。
