Demjen Stefan, Bakal Donald
Department of Psychology, The University of Calgary, Calgary, Alberta T2N 1N4, Canada.
Pain. 1981 Apr;10(2):221-229. doi: 10.1016/0304-3959(81)90197-4.
Illness behavior was examined in chronic headache sufferers within the context of the psychobiological or severity model of headache. A Procrustes factor analytic procedure demonstrated the appropriateness of using the existing IBQ factor structure with chronic headache patients. The dimensions of illness behavior were not found to be related to headache diagnosis (muscle contraction, migraine, combined) nor to topographical properties of head pain which are used to infer diagnosis (forehead, bilateral, sides, unilateral). Headache patients who experienced the greatest amount of headache activity during a 21-day self-observation period were found to view their disorder in somatic as opposed to psychological terms. A comparison of patients with continuous pain and patients with episodic pain provided additional support for the somatic-psychological distinction. Patients with continuous head pain viewed their disorder in somatic terms and also scored higher on the dimension of denial than did patients with episodic pain. Taken together these data demonstrated the utility of examining psychological components of the chronic headache syndrome from a severity perspective.
在头痛的心理生物学或严重程度模型的背景下，对慢性头痛患者的患病行为进行了研究。一种普罗克汝斯因子分析程序证明了将现有的患病行为问卷（IBQ）因子结构用于慢性头痛患者的适用性。未发现患病行为的维度与头痛诊断（肌肉收缩性、偏头痛、混合型）相关，也与用于推断诊断的头痛部位特征（前额、双侧、两侧、单侧）无关。在为期21天的自我观察期内经历头痛活动最多的头痛患者，倾向于从躯体而非心理角度看待他们的疾病。对持续性疼痛患者和发作性疼痛患者的比较，为躯体 - 心理差异提供了更多支持。持续性头痛患者从躯体角度看待他们的疾病，并且在否认维度上的得分也高于发作性疼痛患者。综合这些数据表明，从严重程度的角度检查慢性头痛综合征的心理成分是有用的。
