Predicting disability time using formal low back pain measurement: the Low Back Pain Simulation Scale.

Abstract:

:Objective evaluation of simulation in low back pain is currently not possible. A new simulation scale based on subject response to 103 pain words has shown promise in discriminating patients with low back pain from those simulating low back pain. Administration of this scale to 1679 individuals who were injured at work produced a 10.4% sample with scores in the simulation range. This subsample projected more intense pain and were disabled longer. These findings were replicated in a second study in which treating physicians rated the degree of physical pathology and symptom exaggeration blind to patient classification by the Low Back Pain Simulation Scale. Medical assessment indicated less organic pathology and greater symptom exaggeration among patients classified as simulators providing a measure of support for the validity of the simulation scale.

journal_name

J Psychosom Res

authors

Leavitt F

doi

10.1016/0022-3999(91)90054-r

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

599-607

issue

4-5

eissn

0022-3999

issn

1879-1360

journal_volume

35

pub_type

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