A comparative study of iatrogenesis, medication abuse, and psychiatric morbidity in chronic pain patients with and without medically explained symptoms.

Abstract:

:We report a case control study comparing patients attending a pain clinic whose symptoms were not considered medically explained (cases) with those whose symptoms were considered medically explained (controls). Principal comparisons were psychiatric morbidity, medication use, and iatrogenic factors assessed by interview, and questionnaire measures of anxiety, depression, functional impairment, coping strategies and pain beliefs. Medically unexplained symptoms were associated with the presence of psychiatric morbidity (odds ratio = 3.4, 95% C.I.: 1.4,8.2), and of possible iatrogenic factors. There were no significant differences with regards to medication abuse/dependence.

journal_name

Pain

journal_title

Pain

authors

Kouyanou K,Pither CE,Rabe-Hesketh S,Wessely S

doi

10.1016/S0304-3959(98)00074-8

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

417-426

issue

3

eissn

0304-3959

issn

1872-6623

pii

00006396-199806000-00016

journal_volume

76

pub_type

临床试验,杂志文章

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