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

Two hundred and eighty-three chronic pain patients, consecutive admissions to the Comprehensive Pain Center of the University of Miami School of Medicine, received an extensive psychiatric evaluation based upon the American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders (DSM-III) criteria and flowsheets. All patients received the following type of diagnoses: DSM-III axis I; DSM-III axis II, and personality type. The distribution of assigned diagnoses for the entire patient sample was reviewed and a statistical comparison between male and female patients was performed with regards to the prevalence of each diagnosis. Anxiety syndromes and depression of various diagnostic types were the most frequently assigned axis I diagnoses with over half the patient sample receiving each of these diagnoses. Males were significantly overrepresented in the axis I diagnoses of intermittent explosive disorders, adjustment disorders with work inhibitions, and alcohol abuse and other drug dependence, while females were significantly overrepresented in disorders of current depression of various diagnostic types and somatization disorders. 58.4% of the patients fulfilled criteria for axis II personality disorder diagnoses. The most frequently personality disorders found in the patient group were dependent (17.4%), passive aggressive (14.9%), and histrionic (11.7%). Males were significantly overrepresented in paranoid and narcissistic disorders while females were overrepresented in histrionic disorder. The most frequent personality types found in the patient group were compulsive (24.5%) and dependent (10.6%). All personality types were similarly distributed between the sexes. The results of the present study were compared to a previous study of DSM-III diagnoses in chronic pain patients and are discussed in terms of the prevalence of DSM-III diagnoses in the general population. Questions are raised as to the applicability of certain DSM-III diagnoses in the chronic pain population.
Pain 1986 Aug
PMID:Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. 376 32

The relationships specified in DSM-III between somatization disorder and depression, and somatization disorder and hypochondriasis require further validation and easier methods of detection for use by primary care physicians. The authors investigated hypochondriacal and depressive symptoms in 13 family practice outpatients with somatization disorder. Pain complaints and depressive symptomatology were present in over 75% of this group, while hypochondriacal symptoms were present in 38%. The mean score on the somatization scale of the Hopkins Symptom Check List (HSCL-90) was greater than that reported for any other group. These findings support the separation of somatization disorder and hypochondriasis and suggest the need for better delineation of depressive subtypes in somatization disorder. The somatization scale of the HSCL-90 should be a useful screen for somatization disorder in future research.
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PMID:Depression and hypochondriasis in family practice patients with somatization disorder. 406 50

The presence of pain as a symptom has been studied in a series of 51 depressed elderly inpatients and in a control group of 71 subjects. The frequency of patients with moderate to severe pain was significantly higher in the experimental group (72%) than in the controls (33.8%). Of the various categories diagnosed according to the DSM III degree criteria, the highest scores for pain were gained by the subjects suffering from dysthymic disorder and atypical depression, while those obtained by the patients with major depression and adjustment disorder with depressive mood were lower. The difference does not seem to depend on the quantity of anxiety present.
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PMID:Pain as a symptom in elderly depressed patients. Relationship to diagnostic subgroups. 409 11

The complaints of depressed patients were investigated in a private, single-physician family practice clinic. Complaints and visits of depressives were compared to those of age- and sex-matched non-depressed controls over a period of 3 years beginning 18 months prior to the diagnosis of depression. Pain, functional and anxiety complaints signalled the onset and paralleled the course of depression. Somatic complaints were a conspicuous mode of presentation in this family practice. These somatic features are not among the usual diagnostic and research criteria for depression (DSM-III, Feighner Criteria and RDC) although they appear to be a major feature in the natural history of depression.
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PMID:Somatic symptoms. A major feature of depression in a family practice. 622 32

A patient with chronic pain and DSM-III unipolar and cyclothymic disorders was treated with L-tryptophan, 3000 mg before bed for 3 nights, and showed no response. She then began to take L-tryptophan, 1000 mg every 4 hours, with a high carbohydrate, low protein meal and immediately showed a clear improvement in exercise tolerance (reduced pain) and alleviation of affective symptoms. The importance of pharmacokinetic factors in the clinical use of L-tryptophan is emphasized.
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PMID:Pharmacokinetic factors in the clinical use of tryptophan. 651 6

Seventy patients suffering from post-traumatic headache were studied. Pain characteristics, personality and intellectual functions were assessed to be related to cranial trauma. No evident signs of brain damage were present, but an impairment related to pain in personal adjustment and well-being reducing work and study capabilities was identified. A psychopathological condition described as anxiety with somatizations and conversion mechanisms was found and when compared with the psychopathological characteristics from a group of common headache patients no differences were obtained between the two groups. DSM III diagnostic possibilities for post-traumatic headache patients were discussed.
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PMID:Post-traumatic headache: neuropsychological and clinical aspects. 661 6

Using DSM-III, the authors reviewed the psychiatric diagnoses of 43 patients evaluated over a 1-year period by a university medical center pain board and found that 98% of the patients had an axis I disorder and 37% had an axis II disorder. The findings are discussed in relationship to earlier findings and treatment implications.
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PMID:Psychiatric diagnosis of chronic pain patients. 662

Sixteen suicidal preschoolers age 21/2 to 5 years who were referred to a university child psychiatry outpatient clinic were compared with 16 behaviorally disordered preschoolers matched by age, sex, race, and parental marital and socioeconomic status. The suicidal group showed significantly more nonsuicidal self-directed aggression, loss of interest, morbid ideas, depression (according to the Weinberg criteria, but not DSM-III), impulsivity and hyperactivity, and running away behavior. They also showed significantly less pain and crying after injury; more of the children were unwanted and abused or neglected by parents. Four subgroups of suicidal motivation are identified and discussed.
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PMID:Suicidal behavior by preschool children. 670 30

In a multiaxial system for classifying the sexual dysfunctions, the axes specify sexual problems associated with the desire, arousal, and orgasm phases of the sexual response cycle, as well as types of coital pain, dissatisfaction with the frequency of sex, and certain other information relevant to sexual functioning. In contrast to DSM-III and other existing diagnostic systems for sexual dysfunctions, this new multiaxial system is based on highly specific empirical descriptions of sexual behavior. There are no inferences made about the cause of the dysfunctions.
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PMID:Multiaxial problem-oriented system for sexual dysfunctions: an alternative to DSM-III. 709 93

A telephone survey based on 504 interviews, representative of the French population over 18, allowed to gauge the annual prevalence and identify the characteristics of somatoform disorders. This study was based on the inventory of 19 symptoms divided into 5 categories: gastrointestinal, pain, dermatological, cardiorespiratory and gynaecologic/urinary. "Medical somatoform disorders" (MSD) were defined as the repeated occurring, during the previous year, of not less than 1 symptom with an evolution duration equal or superior to 6 months, and causing personal and familial or professional problems. Such disorders had, in addition, to motivate one or more medical consultations concluding to the lack of somatic disease. These criteria included those proposed in DSM IV for the diagnosis of "Undifferentiated Somatoform Disorder", except for the exclusion criteria (E) which was not included in this study. Three out of four subjects (76% of the population) declared to endure not less than 1 somatic symptom in the course of the previous year. Near 1 out of 5 subjects (19%) had one MSD. MSD were more frequent among females than among males (sex-ratio F/M = 1.82). This data traces 3 types of phenomena: the somatic disorders prevalence and the consultation ratio in case of somatic disorders were higher among females than males; conversely, MSD ratio among somatic disorders consultants is higher among males than females. MSD prevalence does not vary with age, except for an underrepresentation among patients aged over 65 (13%).(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Epidemiology of somatoform disorders in the general French population]. 764 69


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