Desai Geetha, Kandavel Thennarasu, Chaturvedi Santosh K
Department of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Department of Biostatistics, NIMHANS, Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2019 Jan-Mar;10(1):60-64. doi: 10.4103/jnrp.jnrp_199_18.
Illness behaviors if abnormal can have significant influence in presentations of chronic pain. The aim of the study was to derive the patterns of illness behaviors and its correlates in subjects with chronic nonorganic pain.
Illness Behavior Questionnaire (IBQ) was administered to 301 adult individuals with chronic nonorganic pain. Factor analysis was performed on the IBQ, and relationships of the dimensions of illness behavior with clinical and demographic variables were computed.
Majority of the sample consisted of women ( = 208; 69%) with 43% from rural background and 58% from below poverty line status. Principal axis factoring resulted in four factors, namely health concerns, affective inhibition (AI), bodily distress, and affective distress with psychosocial problems. The three factors excluding AI had significant intercorrelation among them. There was significant difference in mean scores of factors, bodily distress and affective distress in patients from urban and rural background.
Illness behaviors in chronic nonorganic pain can be understood as three interrelated factors-health concerns, affective distress with psychosocial problems, and bodily distress. AI might be an independent factor for presentation of chronic nonorganic pain.
异常的疾病行为会对慢性疼痛的表现产生重大影响。本研究旨在探究慢性非器质性疼痛患者的疾病行为模式及其相关因素。
对301名患有慢性非器质性疼痛的成年个体进行疾病行为问卷（IBQ）测试。对IBQ进行因子分析，并计算疾病行为维度与临床和人口统计学变量之间的关系。
样本中的大多数为女性（208人；69%），43%来自农村，58%处于贫困线以下。主轴因子分析得出四个因子，即健康担忧、情感抑制（AI）、身体不适和伴有心理社会问题的情感困扰。排除AI后的三个因子之间存在显著的相互关联。来自城市和农村背景的患者在身体不适和情感困扰这两个因子的平均得分上存在显著差异。
慢性非器质性疼痛中的疾病行为可理解为三个相互关联的因素——健康担忧、伴有心理社会问题的情感困扰和身体不适。AI可能是慢性非器质性疼痛表现的一个独立因素。
