Cohen Michael J, McArthur David L, Vulpe Michael, Schandler Steven L, Gerber Kenneth E
Research Service, Veterans Administration Medical Center, Long Beach, CA 90822 and Department of Psychiatry and Human Behavior, University of California, Irvine, CAU.S.A. Spinal Cord Injury Unit, Veterans Administration Medical Center, Long Beach, CA 90822 and Department of Neurology, University of California, Irvine, CAU.S.A. Psychology Service, Veterans Administration Medical Center, Long Beach, CA 90822 U.S.A.
Pain. 1988 Oct;35(1):57-63. doi: 10.1016/0304-3959(88)90276-X.
Acknowledged as a serious complaint of spinal cord injured (SCI) patients, chronic pain in this population is neither well studied nor well understood. To assess the quality and intensity of pain, a group of 49 SCI patients seeking treatment for chronic pain was compared to a general group of 95 patients from the Comprehensive Pain Clinic (CPC) on selected demographic variables, the McGill Pain Questionnaire (MPQ) and the Minnesota Multiphasic Personality Inventory (MMPI). The SCI patients were categorized as functionally incomplete SCI (SCI-I) or complete SCI (SCI-C). Multivariate analyses revealed differences among groups on the MPQ for Number of Words Checked, Rank Sum, and the Affective dimension. In all cases the CPC group scored higher than the SCI-C group. The MMPI profiles were elevated and typical for the CPC and SCI-C groups and substantially less elevated for the SCI-I group. We suggest in cases where chronic pain is secondary to a chronic medical catastrophe, aspects of the MPQ and the MMPI assess the person's total medical disability and not just the meaning and impact of pain.
慢性疼痛是脊髓损伤（SCI）患者公认的一个严重问题，该人群的慢性疼痛既未得到充分研究，也未被充分理解。为了评估疼痛的性质和强度，将一组49名寻求慢性疼痛治疗的SCI患者与综合疼痛诊所（CPC）的95名普通患者在选定的人口统计学变量、麦吉尔疼痛问卷（MPQ）和明尼苏达多相人格量表（MMPI）方面进行了比较。SCI患者被分为功能不完全性SCI（SCI-I）或完全性SCI（SCI-C）。多变量分析显示，在MPQ的勾选单词数量、秩和以及情感维度方面，各组之间存在差异。在所有情况下，CPC组的得分均高于SCI-C组。CPC组和SCI-C组的MMPI剖面图升高且典型，而SCI-I组的升高幅度则小得多。我们认为，在慢性疼痛继发于慢性医疗灾难的情况下，MPQ和MMPI的各项内容评估的是患者的整体医疗残疾情况，而不仅仅是疼痛的意义和影响。
