Compensation and non-compensation chronic pain patients compared for DSM-III operational diagnoses.
Two hundred and eighty-three mixed chronic pain patients, consecutive admissions, were diagnostically evaluated as per DSM-III, Axis I, Axis II or personality type psychiatric operational criteria. Controlling for primary organic treatment diagnosis, age and race, statistical comparisons were made between male compensation patients (n = 93) and male non-compensation patients (n = 23) and between female compensation patients (n = 38) and female non-compensation patients (n = 28) for all DSM-III diagnoses. Male compensation patients were significantly overrepresented for these diagnostic groups: conversion disorder (somatosensory type); combined personality disorders; and passive-aggressive personality disorder. Male non-compensation patients were significantly overrepresented for these diagnostic groups: no diagnosis on Axis I; combined personality types; and compulsive personality type. Female compensation patients were significantly overrepresented for conversion disorder (somatosensory) only. Female non-compensation patients were significantly overrepresented for generalized anxiety disorder and combined anxiety syndromes. Compensation chronic pain patients may be at risk for some psychiatric disorders not previously identified: conversion disorder (somatosensory), and personality disorders.
Fishbain
David A
DA
University of Miami School of Medicine, Comprehensive Pain and Rehabilitation Center, South Shore Hospital, South Miami Beach, FL 33139 U.S.A.
Goldberg
Myron
M
Labbe
E
E
Steele
Renee
R
Rosomoff
Hubert
H
D000328:Adult; D000342:Affective Symptoms / Q000150:complications; D001007:Anxiety / Q000150:complications; D002908:Chronic Disease; D003863:Depression / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D008875:Middle Aged; D010146:Pain / Q000209:etiology* / Q000523:psychology; D010554:Personality Disorders / Q000150:complications; D013001:Somatoform Disorders / Q000150:complications; D019966:Substance-Related Disorders / Q000150:complications; D014942:Workers' Compensation