慢性疼痛患者の脳神経外科学的ならびに臨床心理学検討

• 北見 公一

  市立札幌病院脳神経外科

• 奥瀬 哲

  札幌明和病院心療内科

• 黒田 みゆき

  札幌医科大学心理学教室

書誌事項

タイトル別名

• Neurosurgical and Clinicopsychological Analyses of Chronically Lasting Pain Patients
• 慢性疼痛患者の脳神経外科学的ならびに臨床心理学的検討
• マンセイ トウツウ カンジャ ノ ノウ シンケイ ゲカガクテキ ナラビニ リン

抄録

Purpose : This paper aims to know whether or not neurogenic pain and psychogenic pain can be separated in the clinical entity of chronic pain. Subjects and methods : Forty patients, 16 men and 24 women with the mean age of 44-ys, sufferring from long-lasting pain were divided into 3 groups from the standpoint of existence of neurosurgical organic lesions. Group A consisted of patients with organic painful lesions, group B meant patients with organic lesions but pain provoked mainly from myofascial irritation, and group C contained patients who had no organic lesions. Group A is a neurogenic pain group; groups B and C are equal to "somatoform pain disorder" in DSM-III-R. Each group had been given the same psychological tests by a psychologist. Results : All groups showed a somewhat neurotic tendency. Group A revealed a reactive neurotic tendency, group B was fully influenced by social problems associated with the patients, and group C showed a neurotic character which had mostly acted as a factor to continue activating their pain. Conclusion : In chronic pain of any kind, both neurogenic and psychogenic mechanisms react compensatively with each other.

収録刊行物

• 心身医学

  心身医学 35 (7), 569-575, 1995

  一般社団法人 日本心身医学会

キーワード

• 慢性疼痛
• 神経因性疼痛
• 心因性疼痛
• 器質的病変
• 心理検査

詳細情報

• CRID: 1390001204884469888
• NII論文ID: 110001120810
• NII書誌ID: AN00121636
• DOI: 10.15064/jjpm.35.7_569
• ISSN: 21895996
• ISSN: 03850307
• NDL書誌ID: 3645514
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I3645514
• Web Site: https://search.jamas.or.jp/link/ui/1996096483
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可