Benjamin Sidney, Barnes Daphne, Berger Sydney, Clarke Ian, Jeacock Julie
Dept. of Psychiatry, Manchester Royal Infirmary, Manchester M13 9WL U.K. Dept. of Psychiatry, University of Calgary, Calgary General Hospital, CalgaryCanada Hope Hospital, SalfordU.K. Dept. of Anaesthetics, Foothills Hospital, CalgaryCanada Faculty of Medicine Computational Group, University of Manchester, ManchesterU.K.
Pain. 1988 Feb;32(2):185-195. doi: 10.1016/0304-3959(88)90067-X.
One hundred and six consecutive new attenders at a regional pain relief clinic were assessed using ratings of pain, standardized psychiatric interviews and physical examination by independent assessors. Approximately half the subjects had diagnosed mental illness and two-thirds had diagnosed organic disease. Pain ratings were higher in those with mental illness but were not related to the presence of organic pathology. The distribution of mental illnesses was not related to the organic status and those without physical disease had the lowest ratings on psychiatric assessments. All major findings were confirmed at a follow-up assessment. There is no evidence that these subjects can be divided into a simple dichotomy of those with physical or mental illnesses, or that pain measures can discriminate between them. It is concluded that all chronic pain patients require both physical and mental state assessment.
在一家地区性疼痛缓解诊所，106名连续前来就诊的新患者接受了独立评估人员对疼痛程度的评定、标准化的精神科访谈以及体格检查。大约一半的受试者被诊断患有精神疾病，三分之二的受试者被诊断患有器质性疾病。患有精神疾病的患者疼痛评分更高，但与器质性病变的存在无关。精神疾病的分布与器质性状况无关，没有身体疾病的患者在精神科评估中的评分最低。所有主要研究结果在随访评估中均得到证实。没有证据表明这些受试者可以简单地分为患有身体疾病或精神疾病的两类，也没有证据表明疼痛测量方法能够区分他们。得出的结论是，所有慢性疼痛患者都需要进行身体和精神状态评估。
