신체형장애 환자의 통각예민도와 정신중상 및 주의집중도의 상관관계에 관한 연구

Abstract

The authors examined the correlation of pain sensitivity and somatization, anxiety, depression indices and attentional level in somatoform disorder patients under the preposition that these patients may have different pain modulatory mechanism affected by their psychiatric symptom state or cognitive function such as sustained attentional level. 18 somatoform disorder patients and 18 control subjects had taken electrical pain stimuli with NEUROSTIM T4, Type 219N stimulator and checked their level of pain sensitivity on a VAS scale. Somatization index, anxiety, depression indices were measured by SCL-90-R, objective and subjective psychological scales respectively. Attentional level were measured by Cognitrone test of Vienna neuropsychological test system.

Compared to control group, the patient group showed higher somatization index and psychiatric symptom scores and lower attentional level. The pain sensitivity of the patient group was not correlated with their age, somatization, anxiety, depression indices and attentional level. But the tendency of higher correlation between 5mA electrical stimulus and objective depression index suggests that distinct correlation can be elucidated between psychiatric symptom scores and pain sensitivity if higher electrical pain stimuli were applied in future study.

The authors examined the correlation of pain sensitivity and somatization, anxiety, depression indices and attentional level in somatoform disorder patients under the preposition that these patients may have different pain modulatory mechanism affected by their psychiatric symptom state or cognitive function such as sustained attentional level. 18 somatoform disorder patients and 18 control subjects had taken electrical pain stimuli with NEUROSTIM T4, Type 219N stimulator and checked their level of pain sensitivity on a VAS scale. Somatization index, anxiety, depression indices were measured by SCL-90-R, objective and subjective psychological scales respectively. Attentional level were measured by Cognitrone test of Vienna neuropsychological test system.

Compared to control group, the patient group showed higher somatization index and psychiatric symptom scores and lower attentional level. The pain sensitivity of the patient group was not correlated with their age, somatization, anxiety, depression indices and attentional level. But the tendency of higher correlation between 5mA electrical stimulus and objective depression index suggests that distinct correlation can be elucidated between psychiatric symptom scores and pain sensitivity if higher electrical pain stimuli were applied in future study.