Ginzburg B M, Merskey H, Lau C L
Department of Psychiatry, University of Western Ontario and Department of Education and Research, London Psychiatric Hospital, London, Ont.Canada.
Pain. 1988 Nov;35(2):141-146. doi: 10.1016/0304-3959(88)90221-7.
Pain patients may be requested to complete pain charts as part of their evaluation at pain clinics. Inferences are made about the 'psychological content' of the patient's pain on the basis of the extent and distribution of the pain as illustrated in these drawings. In this study, the records of 328 patients from 4 distinct types of chronic pain service, were scored for how many body parts were included in the pain drawings and the percentage of body surface area involved. Four psychological instruments were used to quantify the psychological status of the patients. These included 2 measures of current psychological status (the General Health Questionnaire-28, and the Irritability/Depression and Anxiety Questionnaire), 1 measure of childhood quality (the Parental Bonding Index), and 1 measure of premorbid personality (the Hysteroid/Obsessoid Questionnaire). No significant correlation was found between the percentage of body surface area affected by pain, and the measures of childhood quality. Only very limited correlations were found between the percentage of the body surface area with pain and the measures of current psychological state and premorbid personality. Hence, strong emphasis should not be placed on the involvement of multiple areas as a sign of psychological illness.
疼痛患者可能会被要求填写疼痛图表，作为他们在疼痛诊所评估的一部分。根据这些图表中所显示的疼痛范围和分布情况，推断患者疼痛的“心理内容”。在这项研究中，对来自4种不同类型慢性疼痛治疗机构的328名患者的记录，就疼痛图表中包含的身体部位数量以及所涉及的体表面积百分比进行了评分。使用了四种心理测量工具来量化患者的心理状态。这些工具包括2种当前心理状态测量工具（一般健康问卷-28，以及易怒/抑郁和焦虑问卷）、1种童年质量测量工具（父母教养方式问卷）和1种病前人格测量工具（类癔症/类强迫型问卷）。未发现疼痛所影响的体表面积百分比与童年质量测量工具之间存在显著相关性。仅发现疼痛体表面积百分比与当前心理状态测量工具和病前人格测量工具之间存在非常有限的相关性。因此，不应过分强调多个部位受累是心理疾病的迹象。
