- Email: [email protected]
Effects of long lasting pain on some psychological variables
Psychological profile of pain I
EFFECTS OF LONG LASTING PAIN ON SOME PSYCHOLOGICAL VARIABLES. R. Schleberger and J. Gundelach, Orthopedic Department, Ruhr-University, 4630 Bochum, FRG. Aim of Investigation: Psychogenic modulations of low back pain and sciatica is commonly agreed with. Psychological studies deal with functional and somatic groups of patien.ts. We dealt only with somatic (or ex-somatic) patients with. bad results after operations when there has been proven disc herniation at least at the time first operation and scar tissue related pain (the so called Postdiscotomie-Syndrome) at the time of investigations to study the effect of long lasting sciatica. Methods: 42 patients both sexes aged from 30 to 58 years were examined with the Freiburg Personality Inventory (FPI, edition A 1) the stress coping questionnaise (SVF) by Janke et al. and the complaint list (v. Zerssen). Results: In FPI our patients resemble mean and standard deviation equal to the normal population except in those scales (1,M) announcing that they are prone to vegetative symptomes and complaining. In SVF our patients presented no differences in comparison to normality though we found differences in an earlier study in males with repeated disc operations. In the complaint list our patients scored high. Conclusions: As the other scales present normal values, the changes found in our somatic patients must be taken as secondary to long lasting pain.
PSYCHOLOGICAL CHARACTERIST CS OF CHRONIC PERINEAL PAIN PATIENTS. J E Drinkwater* 1 , R y Blunden*l,R Jenkins*' & J M G Foster?. Departments of Psychology, 2Psychiatry and 'Pain Clinic, St Bartholomew's Hospital, London EC~A JBE, UK. This study examines the profile of pain, Aim of Investigations: personality, non-pain problems, and attitude to treatment parameters in perineal pain patients who have gained no lasting relief from treatment and are now on "nothing further can be done" status. Fourteen chronic perineal pain patients were administered the Methods: McGill Pain Questionnaire, Cattell's 16PF Questionnaire and the Claybury Battery in addition to the Clinical Interview Schedule prior to psychological and psychiatric interventions. The means of all Melzack Pain Questionnaire variables Results: exceeded (indicated more pain) those quoted by Melzack for menstrual, On arthritic, cancer, dental, back, phantom limb and post-herpetic pain. average the affective subclasses were more frequently used than the Other results indicated that all fourteen patients sensory subclasses. were more suited to behavioural than to psychotherapeutic interventions. The Mean other-problem total was low compared to psychiatric groups. mean 16PF profile showed significant desurgency and conscientiousness. The greater use of affective than of sensory subclasses Conclusions: (the reverse of many pain groups) suggests that behavioural psychological interventions may have more value for chronic perineal pain patients than has been supposed.
s61
EFFECTS OF LONG LASTING PAIN ON SOME PSYCHOLOGICAL VARIABLES. R. Schleberger and J. Gundelach, Orthopedic Department, Ruhr-University, 4630 Bochum, FRG. Aim of Investigation: Psychogenic modulations of low back pain and sciatica is commonly agreed with. Psychological studies deal with functional and somatic groups of patien.ts. We dealt only with somatic (or ex-somatic) patients with. bad results after operations when there has been proven disc herniation at least at the time first operation and scar tissue related pain (the so called Postdiscotomie-Syndrome) at the time of investigations to study the effect of long lasting sciatica. Methods: 42 patients both sexes aged from 30 to 58 years were examined with the Freiburg Personality Inventory (FPI, edition A 1) the stress coping questionnaise (SVF) by Janke et al. and the complaint list (v. Zerssen). Results: In FPI our patients resemble mean and standard deviation equal to the normal population except in those scales (1,M) announcing that they are prone to vegetative symptomes and complaining. In SVF our patients presented no differences in comparison to normality though we found differences in an earlier study in males with repeated disc operations. In the complaint list our patients scored high. Conclusions: As the other scales present normal values, the changes found in our somatic patients must be taken as secondary to long lasting pain.
PSYCHOLOGICAL CHARACTERIST CS OF CHRONIC PERINEAL PAIN PATIENTS. J E Drinkwater* 1 , R y Blunden*l,R Jenkins*' & J M G Foster?. Departments of Psychology, 2Psychiatry and 'Pain Clinic, St Bartholomew's Hospital, London EC~A JBE, UK. This study examines the profile of pain, Aim of Investigations: personality, non-pain problems, and attitude to treatment parameters in perineal pain patients who have gained no lasting relief from treatment and are now on "nothing further can be done" status. Fourteen chronic perineal pain patients were administered the Methods: McGill Pain Questionnaire, Cattell's 16PF Questionnaire and the Claybury Battery in addition to the Clinical Interview Schedule prior to psychological and psychiatric interventions. The means of all Melzack Pain Questionnaire variables Results: exceeded (indicated more pain) those quoted by Melzack for menstrual, On arthritic, cancer, dental, back, phantom limb and post-herpetic pain. average the affective subclasses were more frequently used than the Other results indicated that all fourteen patients sensory subclasses. were more suited to behavioural than to psychotherapeutic interventions. The Mean other-problem total was low compared to psychiatric groups. mean 16PF profile showed significant desurgency and conscientiousness. The greater use of affective than of sensory subclasses Conclusions: (the reverse of many pain groups) suggests that behavioural psychological interventions may have more value for chronic perineal pain patients than has been supposed.
s61