[The psychic structure of chronic pain patients].

Abstract:

OBJECTIVES:The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization. METHODS:We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed using the SCID (DSM-IV). Psychic structure was assessed using the Structured Interview of Personality Organization (STIPO). RESULTS:At least one psychiatric diagnosis was found in 94 % of the patients, and 63 % of the patients met the criteria of at least one diagnosis of a personality disorder. In 58 % of the patients, we diagnosed a borderline personality organization, with high deficits in the dimensions of coping, defence mechanisms and identity. CONCLUSIONS:The high prevalence of borderline personality organization confirms the importance of a diagnostic investigation of the psychic structure and the necessity for psychotherapeutic treatment in chronic pain patients.

authors

Fischer-Kern M,Mikutta C,Kapusta ND,Hörz S,Naderer A,Thierry N,Leithner-Dziubas K,Löffler-Stastka H,Aigner M

doi

10.13109/zptm.2010.56.1.34

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

34-46

issue

1

eissn

1438-3608

issn

2196-8349

journal_volume

56

pub_type

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