PREDICTING OUTCOME OF CHRONIC BACK PAIN USING CLINICAL PREDICTORS OF PSYCHOPATHOLOGY - A PROSPECTIVE ANALYSIS

被引:147
作者
GATCHEL, RJ
POLATIN, PB
KINNEY, RK
机构
[1] Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas
关键词
CHRONIC PAIN DISABILITY; DSM-III-R; PSYCHOSOCIAL ASSESSMENT; LOW BACK PAIN;
D O I
10.1037/0278-6133.14.5.415
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study evaluated whether a comprehensive assessment of psychosocial measures is useful in characterizing those acute low back pain patients who subsequently develop chronic pain disability problems. A cohort of 324 patients was evaluated, with all patients being administered a standard battery of psychological assessment tests. A structured telephone interview was conducted 6 months after the psychological assessment to evaluate return-to-work status. Analyses, conducted to differentiate between those patients who were back at work at 6 months versus those who were not because of the original back injury, revealed the importance of 3 measures: self-reported pain and disability, the presence of a personality disorder, and scores on Scale 3 of the Minnesota Multiphasic Personality Inventory. These results demonstrate the presence of a psychosocial disability variable that is associated with those injured workers who are likely to develop chronic disability problems.
引用
收藏
页码:415 / 420
页数:6
相关论文
共 39 条
[1]  
AGRESTI A, 1983, CATEGORICAL DATA ANA
[2]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[3]  
BIERINGSORENSEN F, 1983, SCANDINAVIAN J REHAB, V15, P15
[4]   A PROSPECTIVE-STUDY OF WORK PERCEPTIONS AND PSYCHOSOCIAL FACTORS AFFECTING THE REPORT OF BACK INJURY [J].
BIGOS, SJ ;
BATTIE, MC ;
SPENGLER, DM ;
FISHER, LD ;
FORDYCE, WE ;
HANSSON, TH ;
NACHEMSON, AL ;
WORTLEY, MD .
SPINE, 1991, 16 (01) :1-6
[5]   BACK INJURIES IN INDUSTRY - A RETROSPECTIVE STUDY .3. EMPLOYEE-RELATED FACTORS [J].
BIGOS, SJ ;
SPENGLER, DM ;
MARTIN, NA ;
ZEH, J ;
FISHER, L ;
NACHEMSON, A .
SPINE, 1986, 11 (03) :252-256
[6]   SPINAL PAIN REHABILITATION - INPATIENT AND OUTPATIENT TREATMENT RESULTS AND DEVELOPMENT OF PREDICTORS FOR OUTCOME [J].
CAIRNS, D ;
MOONEY, V ;
CRANE, P .
SPINE, 1984, 9 (01) :91-95
[7]   FUNCTIONAL DISABILITY DUE TO BACK PAIN - A POPULATION-BASED STUDY INDICATING THE IMPORTANCE OF SOCIOECONOMIC-FACTORS [J].
DEYO, RA ;
TSUIWU, YJ .
ARTHRITIS AND RHEUMATISM, 1987, 30 (11) :1247-1253
[8]  
DEYO RA, 1983, JAMA-J AM MED ASSOC, V250, P1057
[9]   THE MMPI IN EVALUATION OF FUNCTIONAL VERSUS ORGANIC LOW-BACK-PAIN [J].
ELKINS, GR ;
BARRETT, ET .
JOURNAL OF PERSONALITY ASSESSMENT, 1984, 48 (03) :259-264
[10]  
FRYMOYER JW, 1987, CLIN ORTHOP RELAT R, P89