Curran S L, Sherman J J, Cunningham L L, Okeson J P, Reid K I, Carlson C R
Department of Psychology, University of Kentucky, Lexington 40506-0044, USA.
J Orofac Pain. 1995 Fall;9(4):340-6.
This study examines the incidence of and the potential correlates of sexual and physical abuse among facial pain patients. An anonymous survey composed of standardized self-report measures of abuse, pain, and psychologic status was distributed to 120 adult facial pain patients following their initial evaluations. Forty-five questionnaires were returned by mail. In addition, 206 charts were randomly selected from a population of 520 new patients seen at the Orofacial Pain Center during the same time period that data from the anonymous survey were collected. Results of the anonymous survey indicated that 68.9% of the patients reported a history of abuse. Conversely, a chart review revealed that only 8.5% of the patients indicated a history of abuse on the clinic questionnaire. History of abuse was significantly related to greater pain severity, depression, psychologic distress, and various personality characteristics. Overall, this study indicates that the assessment of the history of abuse may be an important factor in the evaluation and treatment of facial pain.
本研究调查了面部疼痛患者中遭受性虐待和身体虐待的发生率及其潜在相关因素。在120名成年面部疼痛患者完成初次评估后，向他们发放了一份由标准化的虐待、疼痛及心理状态自我报告量表组成的匿名调查问卷。有45份问卷通过邮寄方式返还。此外，在收集匿名调查问卷数据的同一时期，从口腔面部疼痛中心接诊的520名新患者中随机抽取了206份病历。匿名调查结果显示，68.9%的患者报告有受虐史。相反，病历审查显示，只有8.5%的患者在临床问卷中表明有受虐史。受虐史与更严重的疼痛、抑郁、心理困扰及各种人格特征显著相关。总体而言，本研究表明，对受虐史的评估可能是面部疼痛评估和治疗中的一个重要因素。
