Medication usage, emotional disturbance, and pain behavior in chronic low back pain patients.

Abstract:

:Examined chronic low back pain outpatients (N = 126) at a university hospital outpatient back clinic. Prior to their orthopedic examination, patients were given the MMPI, the Pain Experience Questionnaire (a modified form of the McGill Pain Questionnaire), and a medical history form that indicated onset of injury, number of surgeries, functional limitations, and use of medications. Four patterns of drug usage emerged with sufficient number to permit statistical analysis: (1) none; (2) aspirin-type medications; (3) single narcotics alone; and (4) narcotics combined with other medications. Group 4 patients scored significantly higher on the Hypochondriasis and Hysteria scales than the others, whereas Group 3 patients scored higher on the PD (acting out) scale. Group 4 patients reported more intense pain and chose more affective terms (punishing/terrorizing/sickening) in describing their pain than the other three groups. Group 1 patients reported significantly less limitation in walking, running, and climbing.

journal_name

J Clin Psychol

authors

McCreary C,Colman A

doi

10.1002/1097-4679(198401)40:1<15::aid-jclp22704001

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

15-9

issue

1

eissn

0021-9762

issn

1097-4679

journal_volume

40

pub_type

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