title: The use of the pain drawing as a screening measure to predict psychological distress in chronic low back pain.
abstract: METHODS
  The ability of three new methods of scoring the Pain Drawing to predict psychological distress in two cohorts of 100 patients with chronic low back pain was investigated.
  
  
  OBJECTIVE
  Patients completed a Pain Drawing and questionnaire measures of psychological distress and were given a standard physical examination.
  
  
  BACKGROUND
  The two cohorts were significantly different on all variables (except for disability).
  
  
  METHODS
  The relationship between the three new scoring systems and measures of distress, physical factors, and disability was investigated.
  
  
  RESULTS
  The new scoring methods had high reliability. Pain Sites was a more accurate predictor of distress, but was unable to do so with sufficient specificity/sensitivity. Body Map did not correlate with physical/disability measures.
  
  
  CONCLUSIONS
  Using the new scoring systems, it was not possible to identify distressed patients with sufficient sensitivity/specificity, nor to differentiate between organic and nonorganic pain patterns.
authors.affiliation: Department of Behavioural Medicine, Salford Royal Hospitals NHS Trust, United Kingdom.
authors.forename: H
authors.initials: H
authors.lastname: Parker
authors.forename: P L
authors.initials: PL
authors.lastname: Wood
authors.forename: C J
authors.initials: CJ
authors.lastname: Main
mesh_terms: D002908:Chronic Disease / Q000523:psychology; D015331:Cohort Studies; D006801:Humans; D017116:Low Back Pain / Q000523:psychology*; D008950:MMPI / Q000592:standards; D008403:Mass Screening / Q000379:methods*; D010147:Pain Measurement / Q000523:psychology*; D011237:Predictive Value of Tests; D013315:Stress, Psychological