Chaturvedi S K, Michael A
J Psychosom Res. 1986;30(3):347-54. doi: 10.1016/0022-3999(86)90012-7.
Prevalence rate of chronic pain in a psychiatric outpatient clinic has been evaluated in this study and characteristics of chronic pain patients have been compared with non-pain psychiatric patients. Chronic pain was reported by 14.37% of psychiatric patients. Of these, 43% had dysthymic disorder, 20% had anxiety states and 20% somatoform disorders. As compared to the control group, chronic pain patients belonged more often to the middle age group (p less than 0.05), were more frequently females (p less than 0.001), married (p less than 0.02) and from an urban habitat. There is a marked difference in the diagnostic breakdown between the two groups with a predominance of dysthymic and anxiety disorders in pain patients. Very few chronic pain patients had psychosis. Major depression was found in equal proportions in pain and non-pain patients. The study identifies variables which differentiate chronic pain patients from other psychiatric patients.
本研究评估了一家精神科门诊中慢性疼痛的患病率，并将慢性疼痛患者的特征与无疼痛的精神科患者进行了比较。14.37%的精神科患者报告有慢性疼痛。其中，43%患有心境恶劣障碍，20%患有焦虑状态，20%患有躯体形式障碍。与对照组相比，慢性疼痛患者更多属于中年组（p<0.05），女性更为常见（p<0.001），已婚（p<0.02）且来自城市地区。两组之间的诊断分类存在显著差异，疼痛患者中以心境恶劣和焦虑障碍为主。很少有慢性疼痛患者患有精神病。重度抑郁症在疼痛患者和无疼痛患者中的比例相当。该研究确定了区分慢性疼痛患者与其他精神科患者的变量。
