Organic Status, Psychological Disturbance, and Pain Report Characteristics in Low-Back-Pain Patients on Compensation
| Autor: | David C. Garron, Frank Leavitt, Thomas W. McNeill, Walter W. Whisler |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurotic Disorders Psychological disturbance Organic disease Physical medicine and rehabilitation medicine Humans Orthopedics and Sports Medicine business.industry Compensation (psychology) Sensory Discomfort Middle Aged Objective Evidence Psychophysiologic Disorders Low back pain Back Pain Physical therapy Workers' Compensation Female Pain catastrophizing Illinois Neurology (clinical) Pain report medicine.symptom business |
| Zdroj: | Spine. 7:398-402 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/00007632-198207000-00010 |
| Popis: | The relationship betewwn compensation and three variables--psychologic disturbance, organic status, and pain report characteristics--was assessed. Patients on compensation were clinically similar to patients not on compensation in the relative frequency of cases of psychologic disturbance and nonorganic findings in each group. Patients on compensation differed only when objective evidence of organic disease and psychologic stability was present. Under these circumstances, the compensation group used 43% more words to describe their pain and endorsed more pain qualities on five independent dimensions of pain. These results indicate that compensation primarily affects the description of low-back pain in cases where objective evidence of injury is present and leads to an intensification of sensory discomfort. Little justification was found for the atmosphere of suspicion that surrounds patients on compensation who have no evidence of organic disease. |
| Databáze: | OpenAIRE |
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