The Use of Pain Drawings in Screening for Psychological Involvement in Complaints of Low-Back Pain

Hildebrandt, J.; Franz, Claudia; Choroba-Mehnen, Beate; Temme, Marita

doi:10.1097/00007632-198806000-00016

Cited by 28 publications

(40 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, the inter-observer reliability was 73%-89% exact agreement, with a κ-coefficient of 0.43-0.74, i.e. similar to earlier reports demonstrating exact agreement for 73%-93% [6,21] and κ-coefficients of between 0.25 and 0.71 [43], using the Ransford or Udén methods. The quantitative method appears to have a greater reliability, as measured with the intra-class correlation coefficient, which, at 0.91-0.98, is comparable to the results of an earlier report [5].…”

Section: Discussionsupporting

confidence: 91%

“…While there is evidence of an association between non-organic or widespread pain drawing and psychological distress [6,8,24,31,33,35,45,48,59], there is also evidence that no significant association exists [15,16,21,39]. The original association of an abnormal pain drawing with hysteria/ hypochondriasis characteristics [41] has been replicated in one study [49], while others have found no such association [15,57].…”

Section: Introductionmentioning

confidence: 99%

“…While the majority of the studies include several diagnostic groups, making the study populations heterogeneous, low-back pain, with or without sciatica, is the predominant symptom in all of them. In studies of low-back pain without sciatica, there are reports demonstrating an association with psychological distress [6,33,59], but there are also those that show no such association [16,21,39]. In sciatica, the pain drawing has predicted radiographic findings [2,55], but has also demonstrated an absence of association with magnetic resonance imaging (MRI) findings [40].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

et al. 2003

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

et al. 2003

View full text Add to dashboard Cite

“…Die Beurteilung der Schmerzzeichnung soll Aufschluss über die somatische Adäquatheit der angegebenen Beschwerden geben [23].Anatomische Verhältnis-mäßigkeit, mögliche Expansion oder Übertreibung und übermäßige oder zusätzliche Erklärungen können anhand eines Kodierungssystems beurteilt werden. Eine auffällige Schmerzzeichnung erlaubt allerdings nicht zwingend den Rückschluss auf eine psychische Konfundierung [10] und sollte daher nur als Hinweis für die Notwendigkeit einer erweiterten psychosozialen Diagnostik gewertet werden. Ein Freitextfeld bietet dem Patienten die Möglichkeit, die Schmerzausdehnung, Art der Ausstrahlung und weitere Charakteristika zusätz-lich in seinen eigenen Worten zu beschreiben.…”

Section: Development and Evaluation Of The Multidimensional German Paunclassified

Entwicklung und empirische �berpr�fung des Deutschen Schmerzfragebogens der DGSS

Nagel

Gerbershagen

Lindena³

et al. 2002

Der Schmerz

226

View full text Add to dashboard Cite

The German pain questionnaire (DSF) has been developed and validated by the Task force on "Standardization and Economy in Pain Management" of the German Chapter of the International Association for the Study of Pain (DGSS). The concept of the DSF is based on a bio (medical) - psycho - social pain model. The modular approach to pain assessment consists of:demographic data,pain variables (e. g. pain sites, temporal characteristics, duration, intensity),pain associated symptoms,affective and sensory qualities of pain (adjective list by Geissner, SESCopyright ),pain relieving and intensifying factors,previous pain treatment procedures,pain-related disability (Pain Disability Index by Tait et al.),depression test CES-D (Center for Epidemiological Studies Depression Test),comorbid conditions,social factors (educational level, occupation, retirement status, compensation and/or litigation status, disability for work),health related quality of life (SF-36Copyright ). Practicability and content validity were tested in some 3000 patients. Comparison with external criteria (e. g. medical and psychiatric-psychological diagnoses, physician-determined chronicity of pain) proved good content validity and excellent reliability of patients statements in the questionnaire. The great majority of patients stated that the DSF covered their pain history completely and in an orderly fashion. Difficulty to answer the questions was considered low. The German pain questionnaire is a reliable and valid instrument for recording the multidimensional experience of pain. Data from such questionnaires are indispensable for follow-up studies and internal and external quality assessments. The DSF can be ordered from the German Society for the Study of Pain (www.dgss.org) and is a core instrument of the computer program "quality assurance in pain management" (QUAST) of this society.

show abstract

“…Pain drawing has been used to evaluate patients with low back pain and it has been claimed that the method helps in deciding whether pain is functional or has a psychological component [4,7,8,10,11]. The patient is asked to indicate the area of symptoms, such as pain or numbness, on an outline of the human body.…”

Section: Introductionmentioning

confidence: 99%

Pain drawing in the evaluation of low back pain

Takata

Hirotani

1995

International Orthopaedics

View full text Add to dashboard Cite

Pain drawings were obtained from three groups of patients: 51 with lumbar disc herniation; 55 with lumbar stenosis, and 42 with benign low back pain. On grid assessment, patients with disc herniation and stenosis who complained of radiating pain or intermittent claudication had a significantly larger number of grids for the extremities than those with benign low back pain. In studies of the relation between the characteristics of the pain drawing and the outcome of treatment, most patients with 19 grids or less, or a score of 3 points or less, had a satisfactory outcome. Those with more grids or a higher score tended to be unsatisfactory. Pain drawing permits differentiation of the three patterns of pain and is useful for predicting the outcome of treatment.

show abstract

The Use of Pain Drawings in Screening for Psychological Involvement in Complaints of Low-Back Pain

Cited by 28 publications

References 0 publications

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

Entwicklung und empirische �berpr�fung des Deutschen Schmerzfragebogens der DGSS

Pain drawing in the evaluation of low back pain

Contact Info

Product

Resources

About