Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Psychological features of patients with central pain syndrome in multiple sclerosis

https://doi.org/10.14412/2074-2711-2011-145

Full Text:

Abstract

Clinical and psychological features were studied in patients with central pain syndrome (CPS) in multiple sclerosis (MS). There was a variety of the clinical manifestations of CPS. An association of pain with the form, degree, and type of the disease was evaluated. The patients with CPS in MS were found to have psychological features (the high level of catastrophization, somatization, and psychoticism) and to use nonadaptive pain elimination strategies that can make a significant contribution to the development of CPS. The given data allow one to consider CPS in MS in the biopsychosocial model.

About the Authors

M. V. Churyukanov
I.M. Sechenov First Moscow State Medical University; Research Institute of General Pathology and Pathophysiology, Russian Academy of Medical Sciences
Russian Federation

Department of Nervous Diseases, Therapeutic Faculty

Moscow



V. V. Alekseev
I.M. Sechenov First Moscow State Medical University
Russian Federation

Department of Nervous Diseases, Therapeutic Faculty

Moscow



M. L. Kukushkin
Research Institute of General Pathology and Pathophysiology, Russian Academy of Medical Sciences
Russian Federation
Moscow


N. N. Yakhno
I.M. Sechenov First Moscow State Medical University
Russian Federation

Department of Nervous Diseases, Therapeutic Faculty

Moscow



References

1. <div><p>Боль: Рук-во для врачей. Под ред. Н.Н. Яхно. М.: МЕДпресс-информ, 2009;304 с.</p><p>Данилов А.Б., Давыдов О.С. Нейропатическая боль. М: Боргес, 2007;192 с.</p><p>Кукушкин М.Л. Патофизиологические механизмы болевых синдромов. Боль 2003;1:5-12.</p><p>Archibald C.J., McGrath P.J., Ritvo P.G. et al. Pain prevalence, severity and impact in a clinic sample of multiple sclerosis patients. Pain 1994;58:89-93.</p><p>Osterberg A., Boivie J., Thuomas K.A. Central pain in multiple sclerosis - prevalence and clinical characteristics. Eur J Pain 2005;9:531-42.</p><p>Chatel M., Lanteri-Minet M., Lebrun-Frenay C. Pain in multiple sclerosis. Rev Neurol (Paris) 2001;157:1072-8.</p><p>Торопина Г. Г. Центральные механизмы афферентации при синдромах хронической нейрогенной боли. Дис. ... докт. мед. наук. М, 2004;263 с.</p><p>da Silva C.J., da Rocha A.J., Mendes M.F. et al. Trigeminal involvement in multiple sclerosis: magnetic resonance imaging findings with clinical correlation in a series of patients. Mult Scler 2005;11:282-5.</p><p>Svendsen K.B., Jensen T.S., Hansen H.J. et al. Sensory function and quality of life in patients with multiple sclerosis and pain. Pain 2005;114:473-81.</p><p>Чурюканов М.В. Центральный болевой синдром при рассеянном склерозе: клинические, психофизиологические и нейрофизиологические аспекты. Дис. . канд. мед. наук. М., 2010;134 с.</p><p>Чурюканов М.В., Алексеев В.В., Кукушкин М.Л. и др. Клинические и электрофизиологические особенности пациентов с центральным болевым синдромом при рассеянном склерозе. Рос журн боли 2011;3; в печати.</p><p>Подчуфарова Е.В., Яхно Н.Н. Боль в спине. М.: ГЭОТАР-Медиа, 2010;356 с.</p><p>Jensen M.P., Turner J.A., Romano J.M. Correlates of improvement in multidisciplinary treatment of chronic pain. J Consult Clin Psychol 1994;62:172-9.</p><p>Jensen M.P., Turner J.A., Romano J.M. Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. J Consult Clin Psychol 2001;69:655-62.</p><p>Jensen M.P., Turner J.A., Romano J.M. et al. Coping with chronic pain: a critical review of the literature. Pain 1991;47:249-83.</p><p>Jensen M.P., Turner J.A., Romano J.M. et al. Relationship of pain-specific beliefs to chronic pain adjustment. Pain 1994;57:301-9.</p><p>Sullivan M.J., Thorn B., Haythornthwaite JA. et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001;17:52-64.</p><p>Kerns R. Psychosocial aspects of pain. Int J MS Care 2000;2:35-8.</p><p>McDonald W.I., Compston A., Edan G. et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the International Panel on the diagnosis of multiple sclerosis. Ann Neurol 2001;50:121-7.</p><p>Bouhassira D., Attal N., Alchaar H. et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 2005;114:29-36.</p><p>Кузьменко В.В., Фокин В.А., Маттис Э.Р. и др. Психологические методы количественной оценки боли. Сов мед 1986;10:44-8.</p><p>Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain 1975;1:277-99.</p><p>Krupp L.B., LaRocca N.G., Muir-Nash J. et al. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46:1121-3.</p><p>Beck A.T., Ward C.H., Mendelson M. et al. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.</p><p>Дерманова И.Б. Диагностика эмоционально-нравственного развития. СПб., 2002;124-6.</p><p>Ханин Ю.Л. Краткое руководство по применению шкалы реактивной и личностной тревожности Ч.Д. Спилбергера. Л., 1976;40 с.</p><p>Hardt J., Gerbershagen H.U., Franke P. The symptom check-list, SCL-90-R: its use and characteristics in chronic pain patients. Eur J Pain 2000;4:137-48.</p><p>Sullivan M.J.L., Bishop S.R., Pivic J. The Pain Catastrophizing Scale: Development and Validation. Psychological Assessment 1995;7(4):524-32.</p><p>Jensen M.P., Turner J.A., Romano J.M. et al. The Chronic Pain Coping Inventory: development and preliminary validation. Pain 1995;60:203-16.</p><p>Bagby R.M., Taylor G.J., Parker J.D. The Twenty-item Toronto Alexithymia Scale - II. Convergent, discriminant, and concurrent validity. J Psychosom Res 1994;38:33-40.</p><p>Taylor G.J. Alexithymia: concept, measurement, and implications for treatment. Am J Psychiatry 1984;141:725-32.</p><p>Osborne T.L., Jensen M.P., Ehde D.M. et al. Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with multiple sclerosis and pain. Pain 2007;127:52-62.</p><p>Turner J.A., Jensen M.P., Romano J.M. Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain? Pain 2000;85:115-25.</p><p>Ehde D.M., Jensen M.P. Feasibility of a cognitive-restructuring intervention for treatment of chronic pain in persons with disabilities. Rehabil Psychiatry 2004;49:254-8.</p></div><br />


For citation:


Churyukanov M.V., Alekseev V.V., Kukushkin M.L., Yakhno N.N. Psychological features of patients with central pain syndrome in multiple sclerosis. Neurology, Neuropsychiatry, Psychosomatics. 2011;3(2):42-46. (In Russ.) https://doi.org/10.14412/2074-2711-2011-145

Views: 647


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)