Krause S J, Wiener R L, Tait R C
Department of Psychology, St. Louis University, Missouri.
Clin J Pain. 1994 Jun;10(2):122-7. doi: 10.1097/00002508-199406000-00005.
Previous studies of pain behavior in patients with chronic pain have shown that depressed patients exhibit more pain behavior than nondepressed patients. This study sought to extend these findings and to examine the possible causes of the observed differences.
Patients completed the short form of the Beck Depression Inventory, and their pain behavior was simultaneously rated by themselves and trained observers.
Subjects were 37 inpatients in a chronic pain program.
Both depressed and nondepressed subjects rated themselves as exhibiting more pain behavior than did nurse ratings. While nurses rated pain behaviors as similar among the depressed and the nondepressed groups, patient ratings indicated significantly more pain behavior among depressed than nondepressed patients.
These results suggest that cognitive factors may influence self-ratings of pain behavior by depressed subjects.
既往对慢性疼痛患者疼痛行为的研究表明，抑郁患者比非抑郁患者表现出更多的疼痛行为。本研究旨在扩展这些发现，并探究观察到的差异的可能原因。
患者完成贝克抑郁量表简版，同时由他们自己和经过培训的观察者对其疼痛行为进行评分。
受试者为慢性疼痛项目中的37名住院患者。
抑郁和非抑郁受试者均自评比护士评分表现出更多的疼痛行为。虽然护士认为抑郁组和非抑郁组的疼痛行为相似，但患者自评显示抑郁患者的疼痛行为明显多于非抑郁患者。
这些结果表明，认知因素可能会影响抑郁受试者对疼痛行为的自我评分。
