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Personality Assessment of Patients with Complex Regional Pain Syndrome Type I
Journal article   Peer reviewed

Personality Assessment of Patients with Complex Regional Pain Syndrome Type I

Daniel Monti, Christina Herring, Robert Schwartzman and Marc Marchese
The Clinical journal of pain, v 14(4), pp 295-302
Dec 1998
PMID: 9874007

Abstract

OBJECTIVE:There is controversy regarding the importance of psychological/psychiatric factors in the development of the Complex Regional Pain Syndrome (CRPS). Our objective was to determine whether CRPS type I patients were psychiatrically different from other chronic pain patients, with particular attention to personality pathology. DESIGN:A standardized clinical assessment of all major psychiatric categories, including personality disorders, was performed on 25 CRPS type I patients and a control group of 25 patients with chronic low back pain from disc-related radiculopathy. MEASURES:Both sections of the Structured Clinical Interview for the Diagnostic and Statistical Manual (3rd ed., rev.) and the visual analog scale. RESULTS:Both groups were similar in terms of pain intensity and duration. Statistical analysis showed both groups to have a significant amount of major psychiatric comorbidity, in particular major depressive disorder, and a high incidence of personality disorders. Therefore, intense chronic pain was associated with significant psychiatric comorbidity in both groups and in similar proportions. CONCLUSION:The high incidence of personality pathology in both groups may represent an exaggeration of maladaptive personality traits and coping styles as a result of a chronic, intense, state of pain.

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Collaboration types
Domestic collaboration
Web of Science research areas
Anesthesiology
Clinical Neurology
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