Wise T N, Rosenthal J B
J Psychosom Res. 1982;26(2):247-53. doi: 10.1016/0022-3999(82)90043-5.
The relationship of effective status to abnormal illness behavior (AIB), locus of control and severity of illness was investigated in a series of patients seen for psychiatric consultation in a general hospital. Results showed no relationship between depression and the actual severity of illness, AIB dimensions or locus of control. Patients with chronic pain complaints, however, ascribed their problems to emotional factors and acknowledged affective distress more than those without chronic pain. More externally located individuals had greater hypochondriacal fear, disease conviction and affective distress. Thus, patients with chronic pain may 'organize' illness around psychosomatic constructs. The externally located patient's pessimism and feelings of physical vulnerability may require more active psychological support. Therapeutic implications are discussed.
在一家综合医院接受精神科会诊的一系列患者中，研究了有效状态与异常疾病行为（AIB）、控制点和疾病严重程度之间的关系。结果显示，抑郁与疾病的实际严重程度、AIB维度或控制点之间没有关系。然而，有慢性疼痛主诉的患者比没有慢性疼痛的患者更将他们的问题归因于情感因素，并承认情感困扰。控制点更偏向外部的个体有更大的疑病恐惧、疾病确信和情感困扰。因此，患有慢性疼痛的患者可能会围绕心身结构“构建”疾病。控制点偏向外部的患者的悲观情绪和身体易受伤害感可能需要更积极的心理支持。文中讨论了治疗意义。
