Caratteristiche cliniche delle sindromi da dolore non spiegabile esclusivamente su base somatica (DSM-IV Pain disorder)

Translated title of the contribution: Clinical features of the DSM-IV Pain disorder

Massimiliano Aragona, Donatella Perinelli, Lara Bancheri, Alessia Pizzimenti, Antonella Conte, Maurizio Inghilleri

Research output: Contribution to journalArticlepeer-review

Abstract

Aim. The DSM-IV "pain disorder" presents clinical and diagnostic problems, mainly due to the few experimental data available on its characteristics. In the present study, the clinical, phenomenological and social features of the "pain disorder" are investigated. Material and method. 37 patients with "pain disorder" completed the McGill Pain Questionnaire and the Rome Pain Questionnaire. Results. Mean age is 51 ± 16.15, the females/males ratio is 3:1.55.5% of the patients studied 8 years or less. Pain intensity, measured on the PPI and PRI McGill's indexes, is respectively 3.59 ± 1.01 and 37.14 ± 17.58 (a quite intense pain).The most frequent localisation is on the skull (54.05% of the cases), followed from the lombosacral region (40.54%).The most frequent is a multiple localisation, but the 18.91% of the cases showed a unique localisation. In the sample, pain is often continuous (67%). At the Rome Pain Questionnaire (range 0-5) pain duration is 4.95 ± 0.93, its frequency 4.48 ± 0.93, the social-working interference 3.10 ±1.30. Respect to the type of pain, the sensitive PRI is 17.72 ± 9.36 and the affective PRI is 9.2 ±6.2, the two indexes being significanti)' correlated (r=0.69; a= 0.05). The most employed words for pain description are wretched (51.35%), tender (48.64%), lancinating (43.24%), unbearable . (40.54%). Discussion. From these data a clinically-useful experimental characterisation of the "pain disorder" emerges. The reported correlation between the affective and the sensitive components of the pain experience can explain: the difficulties arising when a psychological reformulation of the pain is made, and the tendency to abuse somatic therapies that are often useless or iatrogenic.

Translated title of the contributionClinical features of the DSM-IV Pain disorder
Original languageItalian
Pages (from-to)286-291
Number of pages6
JournalRivista di Psichiatria
Volume36
Issue number5
Publication statusPublished - 2001

ASJC Scopus subject areas

  • Psychiatry and Mental health

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