Abstract
Two hundred and eighty-three mixed chronic pain patients, consecutive admissions, were diagnostically evaluated as per DSM-III, Axis I, Axis II or personality type psychiatric operational criteria. Controlling for primary organic treatment diagnosis, age and race, statistical comparisons were made between male compensation patients (n = 93) and male non-compensation patients (n = 23) and between female compensation patients (n = 38) and female non-compensation patients (n = 28) for all DSM-III diagnoses. Male compensation patients were significantly overrepresented for these diagnostic groups: conversion disorder (somatosensory type); combined personality disorders; and passive-aggressive personality disorder. Male non-compensation patients were significantly overrepresented for these diagnostic groups: no diagnosis on Axis I; combined personality types; and compulsive personality type. Female compensation patients were significantly overrepresented for conversion disorder (somatosensory) only. Female non-compensation patients were significantly overrepresented for generalized anxiety disorder and combined anxiety syndromes. Compensation chronic pain patients may be at risk for some psychiatric disorders not previously identified: conversion disorder (somatosensory), and personality disorders.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 197-206 |
| Number of pages | 10 |
| Journal | Pain |
| Volume | 32 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1988 |
Fingerprint
Keywords
- Chronic pain patients
- DSM-III
- Operational diagnoses
ASJC Scopus subject areas
- Clinical Neurology
- Psychiatry and Mental health
- Neuroscience(all)
- Neurology
- Pharmacology
- Clinical Psychology