This study examined symptom judgments made by medical students of hypothetical chronic low back pain patients.
Eight vignettes were varied as to the pain intensity reported by the hypothetical patient (low vs. moderate vs. high vs. very high) and the availability of medical evidence supportive of the pain report (present vs. absent).
Ninety-five subjects read vignettes and made judgments of patient emotional distress, pain intensity, and pain-related disability.
Subjects significantly discounted pain level when intensity was high but slightly augmented pain level when intensity was low.
Judgments of pain and disability were higher for patients for whom medical evidence was present compared to those for whom it was absent.
The results support and extend previous research on the effects of situational and patient variables on observer pain judgments.
Future research should examine the influence of these biasing variables on the assessment and treatment of chronic pain patients.
Mots-clés Pascal : Lombalgie, Chronique, Nociception, Diagnostic, Etudiant, Médecine, Contexte, Maladie, Homme, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Low back pain, Chronic, Nociception, Diagnosis, Student, Medicine, Context, Disease, Human, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0396642
Code Inist : 002B30A05. Création : 12/09/1997.