Assessment of patients' reporting of pain: an integrated perspective

A common assumption about pain is that it always results from the presence of underlying organic pathology. In the absence of objective pathology, an individual's report of pain may be ascribed to psychological causes. There is a wide variation in patient's experience of pain and organic factors alone cannot explain individual differences in patients' reports. Assessment of patients who report pain requires attention to psychosocial, behavioural, and organic factors. We describe a comprehensive approach to the assessment of psychological and behavioural variables that affect patients' reports of pain. We counter the duality of the somatogenic versus psychogenic perspective and suggest a more integrated assessment that encompasses not only the severity of pain and related physical pathology but also the person who is reporting the presence of pain.

[1]  C. Chapman,et al.  Suffering: the contributions of persistent pain , 1999, The Lancet.

[2]  M. Jensen,et al.  Coping with chronic pain: a critical review of the literature , 1991, Pain.

[3]  R A Koeppe,et al.  Positron emission tomographic analysis of cerebral structures activated specifically by repetitive noxious heat stimuli. , 1994, Journal of neurophysiology.

[4]  M. Roland,et al.  A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. , 1983, Spine.

[5]  A M Jette,et al.  The Functional Status Index: reliability and validity of a self-report functional disability measure. , 1987, The Journal of rheumatology. Supplement.

[6]  M. Bergner,et al.  The Sickness Impact Profile: Development and Final Revision of a Health Status Measure , 1981, Medical care.

[7]  J C Fairbank,et al.  The Oswestry low back pain disability questionnaire. , 1980, Physiotherapy.

[8]  R. Deyo.  Measuring the functional status of patients with low back pain. , 1988, Archives of physical medicine and rehabilitation.

[9]  Ronald Melzack,et al.  Handbook of pain assessment , 1992 .

[10]  K. Craig,et al.  Medically incongruent chronic back pain: physical limitations, suffering, and ineffective coping , 1988, Pain.

[11]  A. K. Jones,et al.  Cerebral responses to a continual tonic pain stimulus measured using positron emission tomography , 1998, Pain.

[12]  R. Deyo,et al.  Measuring Physical and Psychosocial Function in Patients with Low-Back Pain , 1983, Spine.

[13]  N. Obuchowski,et al.  Magnetic Resonance Imaging of the lumbar spine in people without back pain , 2017, AL-QADISIYAH MEDICAL JOURNAL.

[14]  J. Frymoyer,et al.  Disc Excision and Spine Fusion in the Management of Lumbar Disc Disease: A Minimum Ten-Year Followup , 1978, Spine.

[15]  D. Mechanic,et al.  Pain and Disability , 1987 .

[16]  D. Turk,et al.  Chronic pain and depression: role of perceived impact and perceived control in different age cohorts , 1995, Pain.

[17]  R. Melzack.  The McGill Pain Questionnaire: Major properties and scoring methods , 1975, PAIN.

[18]  D. Long,et al.  Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. , 1991, Neurosurgery.

[19]  J. Bonica,et al.  THE MANAGEMENT OF PAIN , 1954 .

[20]  J. Marshall.  THE SKIN SENSES , 1969 .

[21]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[22]  P. Wall,et al.  Textbook of pain , 1989 .

[23]  G. Mellin.  Correlations of Spinal Mobility with Degree of Chronic Low Back Pain after Correction for Age and Anthropometric Factors , 1987, Spine.

[24]  Nicholas,et al.  Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. , 1990, The Journal of bone and joint surgery. American volume.

[25]  J. Turner,et al.  Chronic pain and depression: does the evidence support a relationship? , 1985, Psychological bulletin.

[26]  D. Turk,et al.  Detecting depression in chronic pain patients: adequacy of self-reports. , 1994, Behaviour research and therapy.

[27]  Ronald Melzack,et al.  The short-form McGill pain questionnaire , 1987, Pain.

[28]  S. Braver,et al.  The measurement of clinical pain intensity: a comparison of six methods , 1986, Pain.

[29]  L. Radloff.  The CES-D Scale , 1977 .

[30]  G. Waddell,et al.  1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain , 1987, Spine.