A model of rehabilitation

S321

Poster GREEN

MMPI Differences in Chronic Pain Patients with and Without Sexual and Physical Abuse Histories. Laura Darke. Ph.D., Bruce Naliboff, Ph.D., and Frederick Stampler, Ph.D., Pain Department of Psychology, University of Management Center; J osh Klaoow, California, Los Angeles, California.

74 Th-Fri

Exhibit Abs

No

Hall 614

PURPOSE: A recent study by the investigators revealed a very high incidence of both physical and sexual abuse in the histories of patients who later develop chronic pain. The purpose of the present study is to investigate whether patients with histories of physical and/or sexual abuse have different levels of psychopathology as measured by the MMPI. Previous research has suggested that abuse victims develop symptomatology associated with acute post-traumatic stress disorder which often go untreated and spawn secondary elaborations. The most common of these include chronic self-destructive behaviors, substance abuse, sexual and atypicaldepressions and anxiety disorders, difficulties and somatization disorders. Thus, it would be expected that abuse survivors would have hiaher scores on MMPI scales 1, 2, 3, 4, and 7, indicating higher levels of emotional distress, relationship problems, and somatization tendencies. METHODS: The chronic pain subjects were 266 patients (173 females and 93 males) evaluated at the UCLA Pain Management Center (PMC). All of these patients presented with chronic pain problems of at All patients were evaluated by a psychologist who obtained abuse history least 6 months duration. information through a structured interview format. Demographic information, pain location, and pain duration ratings were obtained through preliminary questionnaires and structured interview questions. MMPI validity scales and major clinical scales, plus secondary scales: R, LB, MAC, and O-H. Four categories of abuse were considered: physical abuse as a child, sexual abuse as a child, physical abuse as an adult, and sexual abuse as an adult. RESULTS: Subjects were separated into abuse groups and differences between MMPI scales and profile patterns were compared for those patients that experienced abuse versus those that did not. Given that previous research has revealed dramatic differences in abuse patterns, male and female patients were analyzed separately. Results to be discussed. DISCUSSION: This study, by identifying possible psychological and behavioral mediating factors, begins to clarify the previously reported relationship between abuse, especially abuse occurring in childhood, and the manifestation of physical problems such as chronic pain in adulthood.

Poster GREEN

75 Th-Fri

Exhibit Abs

A MODEL OF REHABILITATION

J M_Gj_bb_s, M H Moon,

The physical perspective and nutrition.

is broad

community requires a multi-perspective social and philosophical consideration. and

in addition

The psychological perspective includes emotion, coping skills and development.

A philosophical epistimology.

615

Department of Anaesthetics, Christchurch Hospital, Christchurch, New Zealand.

Chronic pain rehabilitation in the entailing physical, psychological,

The family, work, and social perspective.

No

Hall

identity

perspective

within

includes

This model represents networking and can be seen as the community multi-disciolinary team.

to medicine,

communication,

the

community,

ethics,

morality,

include

cognition.

are

fitness

behaviour,

included

semantics

model,

in the

and

in the community, external to the equivalent to the institutional

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