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Pain threshold reflects psychological traits in patients with chronic pain: a cross-sectional study

Authors
  • Kato, Fumie1
  • Abe, Tetsuya1
  • Kanbara, Kenji1
  • Ban, Ikumi1
  • Kiba, Tadashi1
  • Kawashima, Sadanobu1
  • Saka, Yukie1
  • Mizuno, Yasuyuki1
  • Fukunaga, Mikihiko1
  • 1 Kansai Medical University, Department of Psychosomatic Medicine, 2-5-1 Shinmachi, Hirakata-shi, Osaka, Japan , Hirakata-shi (Japan)
Type
Published Article
Journal
BioPsychoSocial Medicine
Publisher
BioMed Central
Publication Date
May 12, 2017
Volume
11
Issue
1
Identifiers
DOI: 10.1186/s13030-017-0098-4
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundChronic pain enhances sensory sensitivity and induces the biased development of psychological traits such as depression and pain catastrophizing, leading to the formation of heterogeneous conditions. Fluctuations in the sensory-related thresholds of non-injured sites (with normal peripheral tissue) in patients with chronic pain are thought to be related to central sensitization. The objectives of this study were to analyze the association between pain tolerance thresholds (PTTs) in non-injured sites and the psychological traits of patients with chronic pain and to evaluate the usefulness of PTT measures in assessments of pathological conditions related to chronic pain.MethodsThis study included 57 patients with chronic pain. The PTTs were measured in non-injured sites with quantitative sensory testing (QST) with electrical stimulation and then classified with cluster analysis. The Short-Form McGill Pain Questionnaire was used to subjectively assess pain in the injured sites. The Minnesota Multiphasic Personality Inventory (MMPI) was used to assess the patients’ psychological traits.ResultsBased on the cluster analysis of PTTs, the patients were classified into a High-Sensitivity group and an Others group consisting of the remaining patients. The results of the MMPI profiles showed that the High-Sensitivity group included significantly more patients with the Neurotic Triad pattern and no patients with the Conversion V pattern. The scores of the hypochondriasis and hysteria scales were significantly lower in the High-Sensitivity group than in the Others group.ConclusionsThis study indicated that patients with chronic pain can be classified according to PTTs in non-injured sites and suggests that patients with High-Sensitivity have characteristic psychological traits. Assessment of PTTs in non-injured sites would be useful for evaluating the psychological condition of patients with chronic pain.

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