在慢性疼痛患者中,不可信的投诉和症状有效性
Jared G Smith1, Linda Monaci2, Martin D van den Broek3
1St George's School of Health and Medical Sciences, City St. George's University of London, London SW17 0RE, UK.
Pain research & management
|October 2, 2025
概括
个人问题问卷 (PPQ) 发现,许多慢性疼痛患者报告了不可信的症状,这可能并不总是故意夸大. 这个工具有助于评估疼痛管理中的症状有效性.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 临床评估 临床评估
背景情况:
- 在慢性疼痛中评估症状的有效性是具有挑战性的,因为它的多因素性质.
- 个人问题问卷 (PPQ) 是为了区分真实的投诉和不可信的投诉而开发的.
- 本研究检查了使用PPQ的慢性疼痛患者中不可靠的症状报告.
研究的目的:
- 调查使用PPQ的慢性疼痛患者中不可信的投诉的患病率.
- 探索非可信投诉,疼痛严重程度和认知表现有效性之间的关系.
- 评估慢性疼痛人群中的症状过度报告.
主要方法:
- 75名慢性疼痛患者完成了PPQ,SF-MPQ和MSVT.
- 一个子样本 (n=27) 也完成了PAI.
- 用多变量分析分析数据,以确定不可信的响应的预测因素.
主要成果:
- 在PPQ的认知,情感和身体领域发现了显著的升高.
- 很大一部分患者支持不可信的投诉 (35.6%的身体,19.2%的认知,33.3%的情绪).
- 疼痛严重程度的增加与所有领域中不可信的反应的更高几率相关.
结论:
- PPQ是评估慢性疼痛患者的一个有价值的工具.
- 有相当数量的患者报告了不可思议的症状,但这可能不表明有意夸大.
- 需要进一步的研究,以了解慢性疼痛中症状报告的细微差别.
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