[Chronic pain factor in patients with lumbar disc herniation.].

Der Schmerz
M HasenbringD Soyka

Abstract

Using a biopsychosocial model of chronic radicular pain, we conducted a prospective study on the predictability of the therapy outcome in 41 lumbar disc patients from the Department of Neurology, University of Kiel. Before therapy, all patients had an extensive neurological and psychological examination. The criteria for the therapy outcome werepersistent pain and theduration of hospital stay in days. As for the psychological predictors, we examined the amount of depression as a state variable (Beck Depression Inventory BDI), depression as a trait variable (Giessen test), several paincoping modes (Hoppe scale) and the general health locus of control. As somatic predictors, we assessed the duration of pain before treatment, the number of previous operations, motoric paresis and the patient's age. The results indicated that the BDI was the best predictor of persistent pain and of the duration of hospital stay as well. The sensitivity and specificity were more than 90%. Patients with a BDI score >9 remained 8 days longer in the hospital than patients with lower BDI scores. In contrast to this, depression as a personality dimension allowed no correct prediction of patients with persistent pain. Thus, only the situational aspect of ...Continue Reading

References

Feb 1, 1979·Perceptual and Motor Skills·S K KupermanH G Blume
Mar 1, 1988·Journal of Clinical Psychology·J M UomotoL D Herron
Nov 1, 1987·Zeitschrift für Orthopädie und ihre Grenzgebiete·E Morscher
Jun 1, 1985·Journal of Consulting and Clinical Psychology·H FlorN Birbaumer
Sep 1, 1986·Journal of Clinical Psychology·J A TurnerP Weiner
Aug 1, 1974·Rheumatology and Rehabilitation·A J Forrest, S N Wolkind
Dec 1, 1967·Journal of Personality·J B Rotter
Jan 1, 1971·Anesthesiology·R Melzack, W S Torgerson
Feb 1, 1968·Scottish Medical Journal·W J Marshall, J Schorstein
Jan 1, 1983·Journal of Psychosomatic Research·E M Oostdam, H J Duivenvoorden
Jul 1, 1984·Journal of Clinical Psychology·J A Turner, J M Romano
Mar 1, 1984·Journal of Personality and Social Psychology·S E TaylorJ V Wood
Jul 1, 1982·The Journal of Nervous and Mental Disease·D Blumer, M Heilbronn
Jun 1, 1961·Archives of General Psychiatry·A T BECKJ ERBAUGH
Jan 1, 1965·Archives of General Psychiatry·W W ZUNG

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Citations

Jan 1, 1993·European Archives of Psychiatry and Clinical Neuroscience·M FranzD Schellberg
Sep 1, 1991·Der Schmerz·C HerdaP Griss
Mar 1, 1995·Der Schmerz·A JungeJ Dvorak
Oct 1, 1995·Journal of Psychosomatic Research·E FuldeS Ahrens
Sep 8, 2011·Journal of Medical Case Reports·Christian DenneStefan Burdach
Jan 1, 1996·International Journal of Behavioral Medicine·B Kröner-HerwigH D Basler
Mar 13, 2014·Neurology Research International·Farzad Omidi-KashaniReza Khanzadeh
Mar 15, 2003·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Ralf Nickel, Ulrich T Egle
May 20, 2017·International Journal of Behavioral Medicine·Kerstin KonietznyMonika Ilona Hasenbring
Jan 5, 2014·Medizinische Klinik, Intensivmedizin und Notfallmedizin·D Strech

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