Donham G W, Mikhail S F, Meyers R
J Clin Psychol. 1984 Mar;40(2):432-9. doi: 10.1002/1097-4679(198403)40:2<432::aid-jclp2270400208>3.0.co;2-s.
Evaluated 40 low back pain patients by a multidisciplinary team (orthopedic surgeons, nursing staff and a medical psychologist) to identify the behavioral characteristics associated with functional and organic determinants of pain. Significant relationships were found between orthopedists' clinical judgments and higher scores on MMPI scales F, HS, and MA, between nurses' ratings and higher scores on MMPI scales D, PA, PT, and SI, and on the Zung Depression Scale and STAI Trait-Anxiety scale. Physicians and nurses consensually agreed on 27 cases. Behavioral observations of the orthopedists and the nursing staff revealed contrasting patterns of behavior for those patients classified as organic or functional. The power of the consensual rating method and its usefulness in clinical appraisals were discussed.
一个多学科团队（骨科医生、护理人员和医学心理学家）对40名腰痛患者进行了评估，以确定与疼痛的功能和器质性决定因素相关的行为特征。研究发现，骨科医生的临床判断与明尼苏达多相人格调查表（MMPI）中F、HS和MA量表得分较高之间存在显著关系，护士的评分与MMPI中D、PA、PT和SI量表得分较高之间，以及与zung抑郁量表和状态-特质焦虑量表（STAI）得分较高之间存在显著关系。医生和护士在27例病例上达成了共识。骨科医生和护理人员的行为观察显示，对于那些被归类为器质性或功能性的患者，其行为模式形成了对比。文中讨论了共识评级方法的效力及其在临床评估中的有用性。
