Almay Béla G L
Department of Neurology, Umeå University, S-901 85 UmeåSweden.
Pain. 1987 Jun;29(3):335-346. doi: 10.1016/0304-3959(87)90048-0.
The frequency of depressive symptomatology as estimated by means of self-rating on a visual analogue scale and the pain drawings by patients were compared between healthy volunteers, patients with neurogenic pain syndromes and patients with idiopathic pain syndromes. All patients with chronic pain syndromes had significantly more depressive symptomatology than the healthy volunteers. Patients with idiopathic pain syndromes had significantly more inhibition symptoms--memory disturbances and concentration difficulties--than patients with neurogenic pain syndromes. In the pain drawings, estimated by means of the technique suggested by Margolis et al. [10], the idiopathic pain patients had significantly higher scores on both raw scores and weighted body surface scores than the patients with neurogenic pain syndromes. Thus, both self-rating of depressive symptomatology and pain drawings can be of some help in the difficult clinical delineation between patients with idiopathic and neurogenic pain syndromes, respectively, but used as single measures, both methods have low discriminative power.
通过视觉模拟量表自评以及患者疼痛绘图评估的抑郁症状频率，在健康志愿者、神经源性疼痛综合征患者和特发性疼痛综合征患者之间进行了比较。所有慢性疼痛综合征患者的抑郁症状均显著多于健康志愿者。特发性疼痛综合征患者比神经源性疼痛综合征患者有更多的抑制症状，即记忆障碍和注意力不集中。在根据Margolis等人[10]建议的技术评估的疼痛绘图中，特发性疼痛患者在原始分数和加权体表面积分数上均显著高于神经源性疼痛综合征患者。因此，抑郁症状自评和疼痛绘图在分别区分特发性和神经源性疼痛综合征患者的困难临床鉴别中都可能有一定帮助，但作为单一测量方法，这两种方法的鉴别力都较低。
