Abstract:
:A series of 37 patients with chronic pain was investigated with regard to neurologic and psychiatric variables. Twenty of the patients were classified as having mainly organic (= somatogenic) pain syndromes while 17 patients were rather suffering from psychogenic pain syndromes. Samples of lumbar cerebrospinal fluid (CSF) were obtained from the patients and analyzed for the presence of opiate receptor-active material, here called endorphins. Patients classified as having mainly organic pain syndromes were found to have significantly lower endorphin levels than patients with predominantly psychogenic pain syndromes. In the total group of patients as well as in the two subgroups, there was a significant correlation between CSF endorphin levels and the depth of depressive symptomatology as reported by the patients. On the other hand, there was no correlation between CSF endorphin levels and extent of anxiety or motor retardation. It is concluded that CSF endorphins reflect central processes involved in chronic pain syndromes.
journal_name
Painjournal_title
Painauthors
Almay BGL,Johansson F,Von Knorring L,Terenius L,Wahlstrom Adoi
10.1016/0304-3959(78)90037-4subject
Has Abstractpub_date
1978-08-01 00:00:00pages
153-162issue
2eissn
0304-3959issn
1872-6623pii
00006396-197808000-00006journal_volume
5pub_type
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