Observation of overt pain behaviour by physicians during routine clinical examination of patients with low back pain.

Abstract:

:Observation of overt pain behaviours was carried out by physicians during routine clinical examination of 120 patients with chronic low back pain. Reliable ratings were achieved but only after very careful standardization in an additional 60 pilot patients. Overt pain behaviour was found to be related to other clinical measures of illness behaviour--pain drawing, behavioural symptoms, behavioural signs, use of walking aides and downtime--but did tap an additional dimension. It is concluded that clinical observation of overt pain behaviour can provide useful additional information about illness behaviour in low back pain. Reliable observations can be achieved in a carefully standardized research situation but in routine clinical practice are vulnerable to considerable observer error and bias.

journal_name

J Psychosom Res

authors

Waddell G,Richardson J

doi

10.1016/0022-3999(92)90116-j

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

77-87

issue

1

eissn

0022-3999

issn

1879-1360

pii

0022-3999(92)90116-J

journal_volume

36

pub_type

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