Relationship of patient semantic pain descriptions to physician diagnostic judgements, activity level measures and NMPI

Wilbert E. Fordyce, Steven F. Brena, Richard J. Holcomb, Barbara Jane De Lateur, John D. Loeser

Research output: Contribution to journalArticle

Abstract

A consecutive sample of chronic pain patients presenting themselves for evaluation was studied. A set of 25 bi-polar adjectives was developed from medical records of previous pain patients' descriptions of their pain. Using the Semantic Differential (S-D) method, each patient rated the extent to which his/her pain was best described by either of the adjective pairs. The S-D findings were then compared with three other data sets and those data sets were compared with each other. First, six physicians classified each patient along an "organic"-"non-organic" continuum based on ratings derived from the full set of medical diagnostic labels each patient had accrued. Secondly, each patient, prior to examination, had completed up to two weeks of diary forms at home on which were recorded amount and distribution of time among sitting, standing/walking, and reclining. Finally, each patient completed a Minnesota Multiphasic Personality Inventory (MMPI). Few and only marginally significant relationships between patient semantic descriptions of their pain and the other measures were found. Secondly, physician agreement to the "organic"-"non-organic" criterion, using diagnostic labels as their data, was statistically significant but clinically modest. The most substantial findings were between walking hours per week recorded on diary forms and five MMPI scales. Patients who walked more were less depressed, had fewer diffuse somatic complaints, and described themselves as less frustrated or angry and as less hypersensitive in interpersonal situations.

Original languageEnglish (US)
Pages (from-to)293-303
Number of pages11
JournalPain
Volume5
Issue number3
DOIs
StatePublished - 1978
Externally publishedYes

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Semantics
Physicians
Pain
Semantic Differential
MMPI
Walking
Chronic Pain
Medical Records

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neuroscience(all)
  • Neurology
  • Pharmacology
  • Clinical Psychology

Cite this

Relationship of patient semantic pain descriptions to physician diagnostic judgements, activity level measures and NMPI. / Fordyce, Wilbert E.; Brena, Steven F.; Holcomb, Richard J.; De Lateur, Barbara Jane; Loeser, John D.

In: Pain, Vol. 5, No. 3, 1978, p. 293-303.

Research output: Contribution to journalArticle

Fordyce, Wilbert E. ; Brena, Steven F. ; Holcomb, Richard J. ; De Lateur, Barbara Jane ; Loeser, John D. / Relationship of patient semantic pain descriptions to physician diagnostic judgements, activity level measures and NMPI. In: Pain. 1978 ; Vol. 5, No. 3. pp. 293-303.
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