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International Journal of Psychological Research
Print version ISSN 2011-2084
Abstract
TEIXIDO-ABIOL, Laura et al. Psychopathological and Personality Pro file in Chronic Nononcologic Nociceptive and Neuropathic pain: Cross-sectional Comparative Study. int.j.psychol.res. [online]. 2022, vol.15, n.2, pp.51-67. Epub Mar 03, 2023. ISSN 2011-2084. https://doi.org/10.21500/20112084.5631.
Introduction:
Adaptation to chronic non-oncologic pain is associated with the development of psychopathology and personality disorders, creating severity, chronicity, poorer treatment response, and exacerbations in patients with neuropathy.
Objective:
To identify the psychopathological and personality profiles of patients with chronic nociceptive and neuropathic pain and their association with pain progression and intensity.
Method:
A cross-sectional, descriptive and comparative study was conducted in the Pain Treatment Unit of Hospital Universitari Sagrat Cor, with systematic randomized recruitment for 25 months; 115 patients were evaluated using the Hamilton Depression and Anxiety Rating Scale (HAM-D, HAM-A) and the Millon Clinical Multiaxial
Inventory-III (MCMI-III).
Results:
The neuropathic group achieved significantly higher scores for pain intensity and depressive and anxiety symptoms. With greater magnitude and frequency, the neuropathic group related pain intensity and progression with depressive/anxiety symptoms, clinical syndromes, and personality patterns. Both groups revealed tendencies towards a compulsive personality pattern, followed by narcissistic, histrionic, and schizoid patterns.
Conclusions:
When treating chronic pain, the presence of various psychopathological indicators requires an individualized strategy.
Keywords : Chronic non-oncologic pain; Nociceptive pain; Neuropathic pain; Depression; Anxiety; Psychopathology; Personality; Personality Patterns.