Compensation and non-compensation chronic pain patients compared for DSM-III operational diagnoses

David A. Fishbain; Myron Goldberg; E. Labbe; Renee Steele; Hubert Rosomoff

doi:10.1016/0304-3959(88)90068-1

Compensation and non-compensation chronic pain patients compared for DSM-III operational diagnoses

David A. Fishbain, Myron Goldberg, E. Labbe, Renee Steele, Hubert Rosomoff

Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article

21 Scopus citations

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	https://doi.org/10.1016/0304-3959(88)90068-1
State	Published - Feb 1988

Keywords

Chronic pain patients
DSM-III
Operational diagnoses

ASJC Scopus subject areas

Clinical Neurology
Psychiatry and Mental health
Neuroscience(all)
Neurology
Pharmacology
Clinical Psychology

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Fishbain, D. A., Goldberg, M., Labbe, E., Steele, R., & Rosomoff, H. (1988). Compensation and non-compensation chronic pain patients compared for DSM-III operational diagnoses. Pain, 32(2), 197-206. https://doi.org/10.1016/0304-3959(88)90068-1

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