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Evaluation du comportement vis-à-vis de la maladie chez les patients douloureux chroniques

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Résumé

Dans une première étude, cent dix malades souffrant de douleurs chroniques ont rempli une version française du questionnaire de Pilowsky appréciant le comportement vis-à-vis de la maladie (IBQ). Ce questionnaire explore la façon dont un sujet perçoit, évalue et se comporte vis-à-vis de la maladie. La matrice des intercorrélations des réponses aux items a été étudiée par une analyse en composante principale suivie d’une rotation Varimax. L’hypothèse des 7 échelles a été étudiée par une analyse avec rotation sur critère. L’ensemble des résultats indique une stabilité relative de la structure factorielle du questionnaire.

Dans une seconde étude, les scores du IBQ ont permis de comparer 5 sous-groupes de 25 patients présentant des douleurs post-zostériennes, des douleurs par désafférentation, des lombosciatalgies post-chirurgicales, des migraines, des douleurs idiopathiques. L’intérêt clinique et la signification des différences observées sont discutés.

Summary

In a first study, 110 chronic pain patients were administered a french version of the Pilowsky’s illness behavior questionnaire (IBQ). This instrument assess the ways in which symptoms are perceived, evaluated and acted upon by individuals. A principal component analysis with varimax rotation was applied to the intercorrelation matrix. To verify the IBQ 7 scales hypothesis, a criteria analysis was performed. Taken together, our results indicate a rather satisfactory but not perfect stability of the factorial structure of the questionnaire.

In a second study, we compared the 7 IBQ scores in five subroups of 25 patients: postherpetic pain, deafferentation pain, post-surgery low back pain, migraine and idiopathic pain. Clinical usefulness and observed differences are discussed.

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Correspondence to F. Boureau.

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Boureau, F., Mogenet, J.L. & Engelhart, D. Evaluation du comportement vis-à-vis de la maladie chez les patients douloureux chroniques. Doul. et Analg. 1, 151–157 (1988). https://doi.org/10.1007/BF03007246

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Key words

  • Chronic pain
  • illness behavior
  • abnormal illness behavior