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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pre-injection psychological test scores, surgeon ratings, and patient biographical data were evaluated as predictors of success of chymopapain injection therapy in 130 patients who would otherwise have been treated by laminectomy. Three psychological tests were administered to each patient: the Minnesota Multiphasic Personality Inventory, the Cornell Medical Index, and the Quick Test (a measure of mental ability). In addition, the surgeons rated their patients on a five-point scale immediately after injection relative to their suitability for injection therapy and at one year relative to the objective and symptomatic results. The MMPI hysteria and hypochondriasis scales and the surgeon's rating of the psychogenic component of the patient's pain were predictive of the result of chemonucleolysis. The patient's biographical data which consisted of age, sex, marital status, occupation, and education were not related to postoperative outcome.
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PMID:Preoperative psychological tests as predictors of success of chemonucleolysis in the treatment of the low-back syndrome. 12 36

Preoperative psychologic test scores derived from the Minnesota Multiphasic Personality Inventory (MMPI) were evaluated as predictors of success after elective knee surgery. The patients were examined 1 to 3 years after surgery and were evaluated in terms of subjective improvement, pain, level of activity, work restrictions, swelling, and strength. Patients that had scored high on the hysteria and hypochondriasis scales of the MMPI showed less improvement after surgery than those patients scoring lower on these scales. The results indicate that personality factors may play an important part in the symptomatic success after elective knee surgery.
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PMID:Preoperative psychologic testing as a predictor of success in knee surgery. A preliminary report. 49 40

Functional overlay is not a recognized psychiatric diagnosis. Evaluating functional overlay and differentiating between this concept and organic conditions is important in medicolegal areas in which financial values are placed on pain and disability. Functional overlay is not malingering: the former is based on preconscious or unconscious mechanisms, the latter is consciously induced. In considering psychologic reactions to pain and disability, a gradient of simulation, malingering, symptom exaggeration, overvaluation, functional overlay and hysteria is useful. The dynamics of overlay are a combination of anxiety from body-image distortion and depression from decreased efficiency of the body, as well as the resulting psychosocial disruption in a patient's life.
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PMID:Functional overlay: an illegitimate diagnosis? 51 98

Forty patients with chronic pain below the waist level were evaluated in a multidisciplinary pain clinic using a refined differential spinal block (DSB) technique. The refinements consisted of verbal instructions to prevent biasing the patients, coupled with a thorough evaluation of verbal and physiologic responses to the block. When demographic and psychologic data were assessed according to pain mechanisms, a pattern of patient groups emerged along a chronic pain continuum. Stress, anxiety, depression, and hysteria, as well as the neurophysiologic and demographic factors, modified the responses to the block. Long-term follow-up of these patients, including repeat DSB procedures and confirmatory anatomic blocks of sympathetic and somatic nerves, validated these impressions. The findings indicate a link between pain mechanisms and psychosocial factors that may directly influence responses to DSB.
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PMID:Towards an understanding of chronic pain mechanisms: the use of psychologic tests and a refined differential spinal block. 76 May 99

A brief historical introduction traces the evolution of the concept of hypochondriasis. It is suggested that the term should now be used only as a descriptive adjective when there is a morbid preoccupation with health or body. Social and cultural factors are outlined, as well as problems of measurement. The psychopathology, as formulated by Freud and others, is also described. Clinical aspects are discussed under the headings of general symptoms, pain, smell, bodily appearance, sexual, gastro-intestinal, cardio-respiratory, eyes, and ears, nose and throat. Psychiatric syndromes mentioned are: hypochondria as a possible primary state, personality disorders, phobic-anxiety state, neurashthenia, obsessional neurosis, hysteria, depression, paranoid psychosis and organic. In general, hypochondriacal symptoms seem to make the prognosis rather worse. Treatment is to be aimed at the primary condition, which is most commonly depression, anxiety state or conversion reaction.
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PMID:Hypochondriacal states. 77 13

A type of abnormal nervousness and hysteria, e.g., adding nests and perches to community cages and and hysteria affecting White Leghorn female chickens 35 or more weeks of age was investigated in nine experiments. Experimental flocks in which the malady consistently occurred were housed in large group (community) cages. Limited information was obtained on three cases in commercial flocks housed on the floor. Social pressure resulting from high population density appeared to be primary causative factor, with pain apparently contributing to the final break to hysteria. Claw removal at one day of age prevented hysteria but not nervousness in one experiment. Colored light, feeding added niacin or a mild tranquilizer were not successful preventives. Short term feeding of a high level of niacin, claw trimming and forced molting afforded relief in some cases while a heavy sedative was ineffective as a curative. Modification of the environment to reduce social pressure was successful in preventing nervousness and hysteria, e.g., adding nests and perches to community cages and moving flocks to less crowded housing. Strain differences in tendency to develop hysteria were demonstrated. There were positive indications of physiological changes associated with hysteria.
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PMID:Nervousness and hysteria of mature female chickens. 94 68

One hundred patients, referred for the management of intractable pain, completed a 52-item Illness Behaviour Questionnaire (IBQ). Responses were scored on 7 scales: general hypochondriasis, disease conviction, psychological versus somatic perception of illness, affective inhibition, affective disturbance, denial, and irritability. IBQ scale profiles were subjected to numerical analysis and 6 taxonomic clusters were identified. Patients in groups 1-3 were characterized by a relatively non-neurotic, reality-oriented attitude to illness, as indicated by low scores on the first three scales. Patients in groups 4-6 manifested greater evidence of 'abnormal illness behaviour', and presented syndromes resembling 'hysteria', 'conversion reaction', and 'hypothchondriasis' respectively.
Pain 1976 Mar
PMID:Illness behaviour syndromes associated with intractable pain. 102 21

Resistance to contraception was classified into sociocultural, medical psychological, and psychopathologic types. Normal sociocultural resistance includes ideas that contraception is unnatural, immoral, mutilating, or too much responsibility. Medical resistance either realistic, subjective, or objective fear of side effects, can occur before a woman begins contraception, e.g., fear of sterility, pain, or gynecologic exams, or resistance after experience with contraception, e.g., resistance due to frequent phychosomatic pill side effects. Psychological resistance may derive from desire for pregnancy, fear of loss of femininity, unresolved oedipal conflicts, need for a child for status, affection, creativity, or to cement a marital relationship. Normal female traits such as passivity, impulsive or irrational tendencies, laziness, fatalism and fear of change can contribute to resistance to contraception. Narcissism can generate resistance to the cost, inconvenience, or side effects such as loss of libido, weight gain, acne, or profuse menses caused by pills or IUDs. Pathological conduct that compromises contraception includes sexual inhibition, frigidity, homosexuality, phobias, obsessions, and hysteria. Women accustomed to tampons or douching and those who have experienced abortion or painless childbirth are less opposed to contraception. The attitudes and information conveyed by physicians, families, and partners are important in lessening contraceptive resistance.
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PMID:[Psychological resistances of women to the principal female methods of contraception. Clinical classification]. 123 62

Of 113 patients treated in a 2-year period, for whom complete data were available, 29 who received surgery for pain relief were compared with 84 who did not, both groups receiving psychological treatment and rehabilitation. Using an analysis of covariance to eliminate pre-treatment differences, the surgery patients showed significantly greater reductions on the MMPI Hysteria and Hypomania scales, and on the invalidism scale of a Health Index, and this was associated with a significantly greater reduction of pain. These differences obtained despite a greater increase in activity levels by the non-surgery patients at the time of testing. The results support the hypothesis that the neuroticism associated with chronic pain is the result of it, and may be reversible when the pain is reduced or abolished.
Pain 1975 Jun
PMID:Personality changes associated with reduction of pain. 123 81

Items and selected subscales of Scale 3 (Hysteria) of the MMPI were examined to pinpoint personality or emotional factors predictive of back injury reports in an industrial setting. Data were derived from a previous prospective-design study of back pain in volunteer hourly wage employees of an aircraft manufacturing company. After physical examination and completion of questionnaires pertaining to demographic, psychosocial (including the MMPI), and workplace factors, workers were followed for an average of 3 years. Those who subsequently reported back injury were compared with those who did not. In that study three variables predicted report of back injury, one of which was Scale 3 of the MMPI. Individual items, Ornduff et al. subscales of Psychological Denial and Body Concern, and the five Harris-Lingoes (1955) subscales of Scale 3 were analyzed. Three Harris-Lingoes subscales showed significant relationships to the criterion. Hy-3: Lassitude/Malaise; Hy-1: Denial of Social Anxiety; and, marginally, Hy-2: Need for Affection, significantly contributed to prediction effectiveness. Results and implications for the understanding of factors predicting back injury reports and for the medical evaluation of pain and the concept of pain are discussed.
Clin J Pain 1992 Sep
PMID:MMPI scale 3 as a predictor of back injury report: what does it tell us? 142 35


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