慢性疼痛の客観的評価の一試み : 「痛みについての質問票」の臨床的応用について

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We carried out MMPI and "Questionnaire about Pain" (Q.a.P for short), on patients with pain problems to examine their psychological characteristics.The subjects are consisted of 106 patients, including 61 low back pain, 9 post-herpetic neuralgia, 7 headache, 6 post-traumatic cervical syndrome, 3 cancerous pain and 15 psychogenic pain patients.The results are summarized as follows : (1) According to the results of MMPI of 54 low back pain patients, 29 patients showed normal pattern, 21 patients high scores of "neurotic triad, " 7 patients high scores of "psychotic tetrad."(2) We carried out the principal component analysis on the results of "Q.a.P." of 43 pain patients.Twenty-two questions about pain in part II of "Q.a.P." were divided into 5 groups (II-1,2,3,4,5) and 46 questions about psychological and somatic problems in part III were divided into 3 groups (III-1,2,3).(3) According to the compariosn by the results of "Q.a.P." among 4 groups of 29 low back pain, 10 organic pain, 5 post-traumaitc cervical syndrome and 12 psychogenic pain patients, there were significant differences of scores of II-4,5 and III-2,3 among them.(4) According to the comparison by the results of "Q.a.P." between 19 nerve block effective patients and 23 inefefctive patients, there were significant differences of scores of II-4 and III-1,2,3 between them.(5) Examining the correlation between II-1,2,3,4,5,III-1,2,3 of "Q.a.P." and the scales of MMPI, we found significant correlations between II-4,5,III-1,2,3 of "Q.a.P." and K, Hs, D, Hy, Pd, Pa, Pt, Sc, Si scales of MMPI.We conclude that the "Q.a.P." is a useful test for the screening of pain patients.
1987-10-01

慢性疼痛の客観的評価の一試み : 「痛みについての質問票」の臨床的応用について

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