Laura Teixidó-Abiol, Aida de Arriba-Arnau, Juan Seguí Montesinos, Gonzalo Herradón Gil-Gallardo, María José Sánchez-López, Vicente De Sanctis Briggs
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引用次数: 0
摘要
对慢性非肿瘤性疼痛的适应与精神病理学和人格障碍的发展有关，在神经病变患者中产生严重程度、慢性、较差的治疗反应和恶化。目的:了解慢性痛觉性和神经性疼痛患者的精神病理和人格特征及其与疼痛进展和强度的关系。方法:采用横断面、描述性和比较性研究，系统随机招募25个月;采用汉密尔顿抑郁焦虑评定量表(HAM-D, HAM-A)和百万临床多轴量表- iii (MCMI-III)对115例患者进行评估。结果:神经病组疼痛强度、抑郁、焦虑症状得分显著高于对照组。神经病变组的疼痛强度和进展与抑郁/焦虑症状、临床综合征和人格模式有更大的程度和频率相关。两组人都显示出强迫性人格模式的倾向，其次是自恋型、戏剧型和精神分裂型。结论:在治疗慢性疼痛时，各种精神病理指标的存在需要个体化的策略。
Psychopathological and Personality Pro file in Chronic Nononcologic Nociceptive and Neuropathic pain: Cross-sectional Comparative Study.
Introduction: Adaptation to chronic non-oncologic pain is associated with the development of psychopathology and personality disorders, creating severity, chronicity, poorer treatment response, and exacerbations in patients with neuropathy.
Objective: To identify the psychopathological and personality profiles of patients with chronic nociceptive and neuropathic pain and their association with pain progression and intensity.
Method: A cross-sectional, descriptive and comparative study was conducted in the Pain Treatment Unit of Hospital Universitari Sagrat Cor, with systematic randomized recruitment for 25 months; 115 patients were evaluated using the Hamilton Depression and Anxiety Rating Scale (HAM-D, HAM-A) and the Millon Clinical MultiaxialInventory-III (MCMI-III).
Results: The neuropathic group achieved significantly higher scores for pain intensity and depressive and anxiety symptoms. With greater magnitude and frequency, the neuropathic group related pain intensity and progression with depressive/anxiety symptoms, clinical syndromes, and personality patterns. Both groups revealed tendencies towards a compulsive personality pattern, followed by narcissistic, histrionic, and schizoid patterns.
Conclusions: When treating chronic pain, the presence of various psychopathological indicators requires an individualized strategy.
期刊介绍：
The International Journal of Psychological Research (Int.j.psychol.res) is the Faculty of Psychology’s official publication of San Buenaventura University in Medellin, Colombia. Int.j.psychol.res relies on a vast and diverse theoretical and thematic publishing material, which includes unpublished productions of diverse psychological issues and behavioral human areas such as psychiatry, neurosciences, mental health, among others.
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