Illness Behavior: Pain Clinic Patients vs. Psychiatry Clinic Patients
Asian Journal of Medicine and Health,
Page 120-124
DOI:
10.9734/ajmah/2022/v20i930497
Abstract
Aims: To investigate the difference of illness behavior with pain between psychiatric and pain clinic outpatient.
Study Design: Cross-sectional study
Place and Duration of Study: A survey on psychiatric and pain outpatients, Saga Medical School, Saga 849-8501, Japan. Duration of this study was three months between April 1, 2011, and June 30, 2011.
Methodology: The subjects of this research included 40 patients (62.9±16.5 yr., M/F:15/25) in pain clinic outpatients and 43 patients (49.7±15.9 yr., M/F:13/30) in psychiatric clinic outpatient. Psychiatric patients were diagnosed as the somatoform disorders according to the DSM-IV. To clarify the difference of psychological status and illness behavior, we examined them using two psychological instruments: Illness Behavior Questionnaire (IBQ) and General Health Questionnaire-12 (GHQ-12).
Results: Pain clinic patients’ group was significantly older than psychiatric patient’s group. In terms of IBQ, the scores of psychological vs. somatic perception and affective disturbance among psychiatric outpatient group were significantly higher than those of pain clinic group. On the other hand, the score of denial among pain clinic group was significantly higher than those of psychiatric outpatient group.
Conclusion: According to the IBQ, the subscale of denial has significant difference between the pain clinic patients and the psychiatric patients with pain. Pain clinic patients tend to deny their psychological problem.
Keywords:
- Pain
- psychiatric clinic
- pain clinic
- illness behavior questionnaire
- denial
How to Cite
References
Varma KV. Cultural psychodynamics in health and illness. Indian J Psychiatry. 1986;28(1):13-34.
Pilowsky I. Abnormal illness behaviour Br J Med Psychol. 1969;42(4):347-51.
Pilowsky I. Abnormal illness behavior. Am J Psychiatry. 1993;150(3):531.
Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979;9:139-145.
Goldberg DP, Gater R, Sartorius N, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997;27:191-197.
Werneke U, Goldberg DP, Yalcin I, et al. The stability of the factor structure of the General Health Questionnaire. Psychol Med. 2000;30:823-829.
Costa E, Barreto SM, Uchoa E, et al. Is the GDS-30 better than the GHQ-12 for screening depression in elder people in the community? The Bambui Health Aging Study (BHAS). 2006;18:493-503.
Quek KF, Low WY, Razack AH, et al. Beck Depression Inventory (BDI): a reliability and validity test in the Malaysian urological population. Med J Malaysia. 2001;56:285-292.
Sirri L, Grandi S. Illness Behavior. Fava GA, Sonino N, Wise TN (eds): The Psychosomatic Assessment Strategies to Improve Clinical Practice. Adv Psychosom Med. Basel, Karger. 2012;11:160-181.
Pilowsky I. Abnormal Illness Behaviour. Chichester, Wiley; 1997.
Lazarus RS. The costs and benefits of denial: Breznitz S (ed): The Denial of Stress. New York, International Universties Press. 1983:3-30.
Goldbeck R. Denial in physical illness. J Psychosom Res. 1997; 53:575-593.
Leventhal H, Nerenz DR, Steele DS. Illness representations and coping with health threats; Baum A, Singer JE (eds): Handbook of Psychology and Health. New York, Erlbaum. 1984;221-252.
Anagnostopoulos F, Spanea E. Assessing illness representations of breast cancer: A comparison of patients with healthy and benign controls. J Psychosom Res. 2005;58:327-334.
Kirsty NP, Bond MJ. Patterns of ‘abnormal’ illness behavior among healthy individuals. Am J Health Behav. 2017;41:139-146.
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