Chaturvedi Santosh K
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore 29, KarnatakaIndia.
Pain. 1987 May;29(2):231-237. doi: 10.1016/0304-3959(87)91039-6.
Five hundred consecutive patients attending a psychiatric clinic were examined in order to ascertain the prevalence of chronic pain in various psychiatric illnesses and demographic categories. Chronic pain was found to be a frequent symptom in anxiety neurosis (60%), neurotic depression (45%) and hysteria (24.3%). Less than 3% of psychotic patients reported chronic pain. Females and those patients who had entered further education beyond secondary level were found to have significantly higher (P less than 0.001) representation as compared to the psychiatric population without pain. The results are in accordance with certain earlier studies carried out almost two decades ago. Chronic pain was found to be a common symptom of psychiatric illness, reported by 18.6% patients, especially those diagnosed as having neurosis. It was also reported more often by females and by those with a higher education. The reasons for these observations require investigation.
为了确定各种精神疾病和人口统计学类别中慢性疼痛的患病率，对连续就诊于一家精神病诊所的500名患者进行了检查。发现慢性疼痛是焦虑神经症（60%）、神经症性抑郁（45%）和癔症（24.3%）中的常见症状。不到3%的精神病患者报告有慢性疼痛。与无疼痛的精神病人群相比，女性以及接受过中学以上继续教育的患者的占比显著更高（P<0.001）。结果与近二十年前进行的某些早期研究一致。发现慢性疼痛是精神疾病的常见症状，18.6%的患者报告有慢性疼痛，尤其是那些被诊断为患有神经症的患者。女性和受过高等教育的人报告慢性疼痛的情况也更常见。这些观察结果的原因需要进行调查。
