Dyrehag L E, Widerström-Noga E G, Carlsson S G, Kåberger K, Hedner N, Mannheimer C, Andersson S A
Department of Physiology, Göteborg University, Sweden.
Scand J Rehabil Med. 1998 Dec;30(4):235-42.
The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multidimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self-reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.
本研究的目的是描述55例以颈部和肩部伤害性疼痛为主的慢性疼痛患者的身体和心理特征，并探讨身体评估方法、自我报告的疼痛与心理困扰之间的关系。身体测量包括颈部和肩部活动度以及肌肉压痛。多维疼痛量表（MPI）中的疼痛严重程度和干扰分量表、贝克抑郁量表（BDI）、状态-特质焦虑量表（STAI-Y）以及疼痛绘图评估了疼痛和心理困扰的自我报告。压痛点数量（TP评分）与疼痛严重程度显著相关（p<0.01）、干扰（p<0.05）、疼痛绘图评分（p<0.05）、BDI（p<0.05）和状态焦虑（p<0.05）。TP评分与年龄、疼痛持续时间或特质焦虑之间未发现显著相关性。结果表明，在慢性颈臂疼痛患者中，观察者对肌肉压痛的评分（TP评分）与疼痛严重程度、疼痛干扰和心理困扰的自我报告之间存在关联。
