ON THE UTILITY OF THE SCL-90-R WITH LOW-BACK-PAIN PATIENTS

被引：50

作者：

BERNSTEIN, IH

JAREMKO, ME

HINKLEY, BS

机构：

[1] Department of Psychology, The University of Texas, Arlington

[2] Pain Assessment Services, Dallas

[3] Arlington South Orthopedic Clinic, Arlington, TX

来源：

SPINE | 1994年 / 19卷 / 01期

关键词：

SCL-90-R; CHRONIC LOW-BACK PAIN; PSYCHOLOGICAL MALADJUSTMENT;

D O I：

10.1097/00007632-199401000-00008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The SCL-90-R has become an increasingly popular measure of maladjustment. Its use beyond simply screening chronic low-back pain (CLBP) patients has been criticized, however, in part, because it appears to be a single-factor instrument. In fact, its nine major scales do share only one important common factor, i.e., general psychological discomfort. The scale most applicable to CLBP, however, somatization (SOM), has sufficient specific variance that it does not simply measure discomfort and predicts several other measures better than the SCL-90-Rs more reliable composite measure (GSI). Using SOM in conjunction with the GSI to separate psychological from physical discomfort is therefore both clinically and psychometrically appropriate. Other objections to the test are critically evaluated. The potential clinical relevance of the SCL-90-R is discussed.

引用

页码：42 / 48

页数：7

共 24 条

[1]

Barnes D., Gatchel R.J., Meyer T.G., Barnett J., Changes in MMPI profiles of chronic low back pain patients following successful treatment, J Spinal Disorder, 3, pp. 353-355, (1990)

[2]

Bernstein I.H., Teng G., Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization, Psychol Bull, 105, pp. 467-477, (1988)

[3]

Brown G.K., Nicassio P.M., Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients, Pain, 31, pp. 53-64, (1987)

[4]

Craufurd D., Creed F., Jayson M., Life events and psychological disturbance in patients with low-back pain, Spine, 15, pp. 489-494, (1990)

[5]

Cyr J.J., McKenna-Foley J.M., Peakcock E., Factor structure of the SCL-90-R: Is there one?, J Pers Assess, 49, pp. 571-577, (1985)

[6]

Derogatis L.R., SCL-90-R. Administration, Scoring &C Procedures Manual, (1983)

[7]

Gorsuch R.L., Factor Analysis, (1983)

[8]

Guest G., Drummond P., Effect of compensation on emo-tional state and disability in chronic back pain, Pain, 48, pp. 125-130, (1992)

[9]

Jaremko M.E., Hinkley BS. Early identification of problem pain patients: Descriptive analysis of the psychosocial profiles of five types of pain responders, Unpublished Manuscript, (1992)

[10]

Keefe F., Crisson J., Urban B., Williams D., Analyzing chronic low back pain: The relative contribution of pain coping strategies, Pain, 40, pp. 293-301, (1990)

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