Reading A E, Newton J R
Departments of Psychological Medicine and Obstetrics and Gynaecology, King's College Hospital, Denmark Hill, London SE5, Great Britain.
Pain. 1977 Jun;3(3):265-276. doi: 10.1016/0304-3959(77)90007-0.
A pain questionnaire designed to measure sensory, affective, evaluative and temporal components of pain was administered to 119 patients with primary dysmenorrhoea and 75 patients with intrauterine device (IUD) related pain. In addition "self-report" information was obtained on the behavioural effects of pain, global ratings and biographical details of these patients. It was found that dysmenorrhoea and IUD related pain were generally similar in nature. This led to the conclusion that IUD insertion does not in general lead to an exacerbation of presenting dysmenorrhoea, nor does it radically alter the type of sensations experienced by the patient. While no differences between patient groups emerged, the implications of the different pain components did vary. Thus, pain intensity scores were reflected in a larger sensory component with IUD users, whereas with dysmenorrhoea the affective component predominated. The results show sufficient consensus in the two patient groups of word adjectives used to describe their pain, to allow the development and evaluation of a rapid card sort system for pain assessment.
一份旨在测量疼痛的感觉、情感、评估和时间成分的疼痛问卷被施用于119名原发性痛经患者和75名宫内节育器（IUD）相关疼痛患者。此外，还获取了这些患者关于疼痛行为影响、整体评分和个人信息的“自我报告”。结果发现，痛经和IUD相关疼痛在本质上通常相似。由此得出结论，一般而言，放置IUD不会导致原发性痛经加剧，也不会从根本上改变患者所经历的感觉类型。虽然患者组之间没有出现差异，但不同疼痛成分的影响确实有所不同。因此，IUD使用者的疼痛强度得分在更大程度上反映在感觉成分上，而痛经患者的情感成分占主导。结果表明，两组患者在用于描述其疼痛的形容词方面有足够的一致性，从而能够开发和评估一种用于疼痛评估的快速卡片分类系统。
