Reading Anthony E
Division of Behavioral Medicine, Neuropsychiatric Institute, University of California, 760 Westwood Plaza, Los Angeles, Calif. 90024 U.S.A.
Pain. 1982 Jun;13(2):185-192. doi: 10.1016/0304-3959(82)90028-8.
The McGill Pain Questionnaire (MPQ) is widely used in pain research and treatment. The internal structure of the questionnaire has been subjected to empirical investigation, with sensory and reactive factors documented. In the present study, questionnaire responses of 95 women experiencing acute (post episiotomy) pain are analyzed. Episiotomy pain patients utilized sensory subgroups more frequently than comparison groups of women experiencing dysmenorrhea (n = 166) or chronic pelvic pain without obvious pathology (N = 31). Chronic pain patients used affective and reaction subgroups with greater frequency. The episiotomy/MPQ scores were subjected to factor analysis and 6 factors were derived, reflecting specific sensory qualities and combined emotional/sensory dimensions. The factor structure to emerge was less distinctive than previously reported on chronic pain patients. It is suggested that acute pain involves less differentiation of sensory, affective and evaluative language dimensions. Rating scales were also administered. Ratings of labor and episiotomy pain were uncorrelated indicating the importance of distinguishing between these in studying pain in the puerperium.
麦吉尔疼痛问卷(MPQ)在疼痛研究和治疗中被广泛应用。该问卷的内部结构已接受实证研究,其中感觉和反应因素已有记录。在本研究中,分析了95名经历急性(会阴切开术后)疼痛的女性的问卷回复。与痛经女性对照组(n = 166)或无明显病理的慢性盆腔疼痛女性对照组(N = 31)相比,会阴切开术疼痛患者更频繁地使用感觉亚组。慢性疼痛患者更频繁地使用情感和反应亚组。对会阴切开术/MPQ得分进行了因子分析,得出6个因子,反映了特定的感觉特质以及情感/感觉综合维度。所呈现的因子结构不如先前对慢性疼痛患者的报道那样具有独特性。这表明急性疼痛涉及的感觉、情感和评价性语言维度的区分较少。还进行了评分量表评估。分娩疼痛评分与会阴切开术疼痛评分不相关,这表明在研究产褥期疼痛时区分这两者的重要性。