PMID: 9194025May 1, 1997Paper

How not to miss a somatic needle in the haystack of chronic pain

Journal of Psychosomatic Research
R H AdlerS I Zlot

Abstract

Interviews with 18 male patients with predominantly psychogenic pain (DSM-III and DSM-III-R) and with 18 male patients with pain of mainly physical origin, consecutively admitted to a medical department, were rated by blinded and independent raters with respect to "symptom description," "manner of speech," "personality characteristics," "interviewer reactions," "interpersonal relationships," and "relationships at work." Patients with predominantly organic pain significantly more often described a clear localization of the pain symptom, used more sensory words for the description of pain quality; more often described discrete changes of pain intensity and periodicity; more often showed pain-intensifying factors dependent on movement and pain-decreasing factors; more often believed pain to be a symptom versus as a disease itself, and tended to have fewer difficulties in their interpersonal relationships than those with predominantly psychogenic pain (p < 0.05 for all factors, two-tailed Fisher's Exact test).

Citations

May 1, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Douglas A Drossman
Apr 12, 2005·Journal of Psychosomatic Research·Stefan M GoetzRolf H Adler
Mar 3, 2015·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Andrea BurriFrances Williams
Sep 21, 2013·Politics and the Life Sciences : the Journal of the Association for Politics and the Life Sciences·Anton E Wohlers
Oct 6, 2001·The Clinical Journal of Pain·J Prager, M Jacobs
Dec 27, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A B DanilovE S Mackaschova
Jul 15, 2009·The Journal of Pain : Official Journal of the American Pain Society·Anne Dohrenwend, Jared Lyon Skillings

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