Wallis B J, Bogduk N
Cervical Spine Research Unit, Faculty of Medicine, University of Newcastle, Callaghan, NSW, Australia.
Pain. 1996 Aug;66(2-3):223-7. doi: 10.1016/0304-3959(96)03044-8.
The psychological symptom checklist, the SCL-90-R (Derogatis 1983), has been used to assess patients with a number of chronic pain syndromes. For whiplash injury, a characteristic profile has been found (Wallis et al. 1995). However, there is still a belief that patients with neck pain following whiplash injury may be malingering, and therefore the utility of the SCL-90-R as a screen for possible malingering is assessed here. Forty pain-free university students were asked to simulate chronic pain 6 months after a motor vehicle accident in order to ensure compensation. The SCL-90-R, McGill Pain Questionnaire and a visual analogue pain scale were used. Students' scores were compared with those of a group of 132 whiplash patients (Wallis et al. 1995). Differences between the two groups were striking; the students scored significantly higher than patients on all subscales of the SCL-90-R and on the visual analogue pain scale (Mann-Whitney P-values all less than 0.001). However, pain scores for both groups on the McGill Pain Questionnaire were similar. The conclusion was that it is very difficult for an ingenuine individual to fake a psychological profile typical of a whiplash patient.
心理症状清单SCL - 90 - R（德罗加蒂斯，1983年）已被用于评估患有多种慢性疼痛综合征的患者。对于挥鞭伤，已经发现了一种特征性的概况（沃利斯等人，1995年）。然而，仍然有人认为，挥鞭伤后颈部疼痛的患者可能是在伪装，因此在此评估SCL - 90 - R作为筛查可能伪装的工具的效用。40名无疼痛的大学生被要求在机动车事故6个月后模拟慢性疼痛以获取赔偿。使用了SCL - 90 - R、麦吉尔疼痛问卷和视觉模拟疼痛量表。将学生的分数与一组132名挥鞭伤患者的分数进行比较（沃利斯等人，1995年）。两组之间的差异显著；学生在SCL - 90 - R的所有子量表和视觉模拟疼痛量表上的得分显著高于患者（曼 - 惠特尼P值均小于0.001）。然而，两组在麦吉尔疼痛问卷上的疼痛得分相似。结论是，伪装者很难伪造出典型的挥鞭伤患者的心理概况。
