Document Detail

Personality traits, pain duration and severity, functional impairment, and psychological distress in patients with persistent low back pain.
MedLine Citation:
PMID:  9272795     Owner:  NLM     Status:  MEDLINE    
The relationships between psychological distress, pain duration, neuroticism, extraversion, pain severity, and functional impairment were examined in a large group of patients with persistent complaints of low back pain. We evaluated patients on a host of relevant variables before treatment and at 1 year and 2 years after treatment which permitted assessment of the stability of the relationships over time. We found that the levels of psychological distress reported by patients were not related to the duration of their complaint. Rather, levels of psychological distress are related to both aspects of the patients' personalities, and characteristics of their illness. Patients who scored high on neuroticism reported higher levels of psychological distress than patients who scored low on this trait. Similarly, patients who had more severe pain and were more functionally impaired also reported higher levels of psychological distress due to pain. The relative strengths of these relationships varied with treatment status. Before treatment, psychological distress and neuroticism were strongly related, but after treatment, the relationship was moderate. In contrast, the relationship of psychological distress to pain severity and functional impairment was significantly strengthened after treatment. We attributed this shift in the relative strengths of the relationships to change in the patient perception of their illness.
M BenDebba; W S Torgerson; D M Long
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pain     Volume:  72     ISSN:  0304-3959     ISO Abbreviation:  Pain     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-10-16     Completed Date:  1997-10-16     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7508686     Medline TA:  Pain     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  115-25     Citation Subset:  IM    
Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.
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MeSH Terms
Extraversion (Psychology)
Follow-Up Studies
Low Back Pain / psychology*
Middle Aged
Neurotic Disorders / psychology
Pain Measurement*
Personality Assessment*
Predictive Value of Tests
Psychological Tests
Regression Analysis
Time Factors
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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