Unanswered and uncounted items of the illness behavior questionnaire count: A comparison between patients who answered all the items in the questionnaire and those who left one or more items unanswered in a pain management program

被引：0

作者：

Sato H. ^{[1
]}

Maruta T. ^{[2
]}

Totoki T. ^{[1
]}

机构：

[1] Department of Anesthesiology and Critical Care Medicine, Saga Medical School, Saga 849-8501

[2] Department of Psychiatry and Psychology, Mayo Clinic, Rochester

来源：

Journal of Anesthesia | 2000年 / 14卷 / 4期

关键词：

Chronic pain; IBQ; Pain behavior; Pain management; Questionnaire;

D O I：

10.1007/s005400070002

中图分类号：

学科分类号：

摘要：

Purpose. This study aimed to understand the significance of unanswered and uncounted items on the illness behavior questionnaire (IBQ) in the setting of the Mayo Clinic pain management program for patients with chronic pain. Methods. Three hundred and seventy-eight patients who completed the questionnaire were studied. The data included (1) age, (2) IQs, (3) IBQ score profiles, (4) litigation status, (5) admission status (inpatient vs outpatient), and (6) dismissal status ("graduates" vs "dropouts"). Results. Comparison between patients who answered all the items (n = 272) and those who left one or more items unanswered (n = 106) showed a significant difference in the completion rate of the Wechsler Adult Intelligence Scale (P < 0.05), Scale 5 (affective disturbance) score (P < 0.05), and the rate of dropout from the program (P < 0.05). Also, those who dropped out of the pain management program had a significantly lower score on Scale 5 (P < 0.001) and a significantly greater number of unanswered items that were not counted toward the scale score (P < 0.05). Conclusion. Unanswered and uncounted items of the IBQ seem to count toward a better understanding of patients' pain behavior.

引用

页码：180 / 186

页数：6

共 19 条

[1]

Linssen A.C.G., Spinhoven P., Multimodal treatment programmes for chronic pain: A quantitative analysis of existing research data, J Psychosom Res, 36, pp. 275-286, (1992)

[2]

Keefe F.J., Dunsmore J., Pain behavior: Concepts and controversies, APSJ, 1, pp. 92-100, (1992)

[3]

Pilowsky I., Spence N.D., (1983)

[4]

Pilowsky I., Spence N., Cobb J., Katsikitis M., The illness behavior questionnaire as an aid to clinical assessment, Gen Hosp Psychiatr, 6, pp. 123-130, (1984)

[5]

Pilowsky I., Dimensions of illness behavior as measured by the illness behavior questionnaire: A replication study, J Psychosom Res, 37, pp. 53-62, (1993)

[6]

Honda T., Toyokura M., Murotsu K., Maruta T., The illness behavior questionnaire (IBQ): An investigation of a Japanese version, Pain Res, 10, pp. 31-37, (1995)

[7]

Schweitzer R., Robertson D.L., Kelly B., Whiting J., Illness behavior of patients with chronic fatigue syndrome, J Psychosom Res, 38, pp. 41-49, (1994)

[8]

Maruta T., Swanson D.W., McHardy M.J., Three-year follow-up of patients with chronic pain who were treated in a multidisciplinary pain management center, Pain, 41, pp. 47-53, (1990)

[9]

Maruta T., Vatterott M.K., McHardy M.J., Pain management as an antidepressant: Long-term resolution of pain-associated depression, Pain, 36, pp. 335-337, (1989)

[10]

Kramlinger K.G., Swanson D.W., Maruta T., Are patients with chronic pain depressed?, Am J Psychiatr, 140, pp. 747-749, (1983)

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