Chapman Richard C, Sola Anders E, Bonica John J
Departments of Anesthesiology, Psychiatry and Behavioral Sciences and Psychology, University of Washington, Seattle, Wash. 98195, USA Department of Anesthesiology, University of Washington and Room 340, Northgate Medical Building, Seattle, Wash. 98125, USA Department of Anesthesiology, University of Washington, Seattle, Wash. 98195 U.S.A.
Pain. 1979 Feb;6(1):1-7. doi: 10.1016/0304-3959(79)90135-0.
Recent descriptions of illness behavior and personality factors in chronic pain patients reflect patient populations at clinics dealing with refractory, multiple referral pain problems. Pain patients from the University of Washington Pain Center were compared with patients from a private practice clinic with regard to illness behavior and depression. Private practice patients were significantly less depressed, showed less conviction of disease, general hypochondriasis, affect disturbance and were less somatically focussed than the Pain Center patients. Physicians in general practice treating pain patients should avoid forming stereotypes of chronic pain patients based on the experiences of referral clinics, for such characterizations may lead them to weigh psychologic factors too heavily in diagnosis.
近期对慢性疼痛患者疾病行为和人格因素的描述反映了在处理难治性、多次转诊疼痛问题的诊所中的患者群体。华盛顿大学疼痛中心的疼痛患者与一家私人诊所的患者在疾病行为和抑郁方面进行了比较。私人诊所的患者抑郁程度明显较低，对疾病的坚信程度较低，一般疑病症、情感障碍较少，且比疼痛中心的患者更少关注躯体症状。治疗疼痛患者的普通科医生应避免基于转诊诊所的经验对慢性疼痛患者形成刻板印象，因为这种描述可能会导致他们在诊断中过度重视心理因素。
