Charter R A, Nehemkis A M, Keenan M A, Person D, Prete P E
Br J Rheumatol. 1985 Feb;24(1):53-60. doi: 10.1093/rheumatology/24.1.53.
A modified version of the McGill Pain Questionnaire in visual analogue format was used to evaluate the sensory, affective and evaluative intensities of pain experienced by 40 patients with rheumatoid arthritis and 20 patients with degenerative arthritis. The affective component of the pain was found to be more intense than the sensory component in all patients indicating the importance of emotional factors in the pain experience. The sensory aspects of the pain were more complex than the affective ones reflecting the varied sources and combinations of somatic pathology. There were no significant differences found in the overall pain experience between rheumatoid and degenerative arthritis. No differences were noted in the evaluative category of pain. Overall pain intensity increased with disease duration in both rheumatoid and degenerative arthritis. The relationship of affective and sensory components of the pain experience did not alter with duration of disease.
采用视觉模拟格式的麦吉尔疼痛问卷修改版,对40例类风湿性关节炎患者和20例退行性关节炎患者所经历疼痛的感觉、情感和评估强度进行评估。结果发现,所有患者疼痛的情感成分比感觉成分更强烈,这表明情感因素在疼痛体验中具有重要性。疼痛的感觉方面比情感方面更复杂,反映了躯体病理学的多种来源和组合。类风湿性关节炎和退行性关节炎患者在总体疼痛体验上没有显著差异。在疼痛的评估类别中未发现差异。类风湿性关节炎和退行性关节炎患者的总体疼痛强度均随病程延长而增加。疼痛体验中情感和感觉成分之间的关系不会随病程而改变。