Psychopathological and Personality Profile in Chronic Nononcologic Nociceptive and Neuropathic pain: Cross-sectional Comparative Study

• Teixidó-Abiol, Laura ^[3] ; Arriba-Arnau, Aida ^[1] ; Seguí Montesinos, Juan ^[2] ; Herradón Gil-Gallardo, Gonzalo ^[4] ; Sánchez-López, María José ^[2] ; De Sanctis Briggs, Vicente ^[2]
  1. [1] Hospital Universitari de Bellvitge

     Hospital Universitari de Bellvitge

     l'Hospitalet de Llobregat, España

     
  2. [2] Hospital Sagrado Corazón

     Hospital Sagrado Corazón

     Barcelona, España

     
  3. [3] CEU Escuela Internacional de Doctorado, Hospital Universitari Sagrat Cor, Grupo Hospitalario Quirónsalud. Barcelona, España.
  4. [4] Farmacólogo, Doctor en farmacia, Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia Universidad San Pablo-CEU. Madrid, España.

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• Localización: International Journal of Psychological Research, ISSN 2011-2084, ISSN-e 2011-2084, Vol. 15, Nº. 2, 2022 (Ejemplar dedicado a: Vol. 15, No. 2), págs. 51-67
• Idioma: inglés
• DOI: 10.21500/20112084.5631
• Títulos paralelos:
  • Perfil psicopatológico y de personalidad en dolor crónico no oncológico nociceptivo y neuropático: Estudio transversal comparativo
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• Resumen
  • español

    Introducción: La adaptación al dolor crónico no oncológico se asocia al desarrollo de psicopatología y afectaciones de la personalidad, generando severidad, cronicidad, menor respuesta al tratamiento y agravándose ante la neuropatía. Objetivo: Identificar perfiles psicopatológicos y de personalidad en pacientes con dolor crónico nociceptivo y neuropático, y su relación con la evolución e intensidad del dolor. Método: Estudio transversal, descriptivo y comparativo, realizado en la Unidad de Tratamiento del Dolor del Hospital Universitari Sagrat Cor, con reclutamiento aleatorio sistemático durante 25 meses; 115 pacientes fueron evaluados mediante la Escala de Hamilton para la Depresión y Ansiedad (HAM-D, HAM-A) y el Inventario Clínico Multiaxial de Millon III (MCMI-III). Resultados: El grupo neuropático obtuvo puntuaciones significativamente mayores en intensidad del dolor, sintomatología depresiva y ansiosa. Con más magnitud y frecuencia, relacionó la intensidad y evolución del dolor con sintomatología depresiva, ansiosa, síndromes clínicos y patrones de la personalidad. Ambos grupos revelaron tendencia al patrón de personalidad compulsiva, seguido del narcisista, histriónico y esquizoide. Conclusiones: En el tratamiento del dolor crónico, la presencia de distintos indicadores psicopatológicos requiere una estrategia individualizada.

  • English

    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.

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