Advertisement

Douleur et Analgésie

, Volume 1, Issue 4, pp 151–157 | Cite as

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

  • F. Boureau
  • J. L. Mogenet
  • D. Engelhart
Article
  • 4 Downloads

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.

Key words

Chronic pain illness behavior abnormal illness behavior 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliographie

  1. 1.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 3rd edn., Washington, d.c., 1980.Google Scholar
  2. 2.
    Blumer D. andHeilbronn M.: Chronic pain as a variant of depressive disease. The Pain prone disorder.J. Nerv. Ment. Dis. 170, 381–406, 1982.PubMedGoogle Scholar
  3. 3.
    Boureau F. etDoubrère J. F.: Le concept de douleur. Du symptôme au syndrome.Doul. et Analg. 1, 11–17, 1988.CrossRefGoogle Scholar
  4. 4.
    Boureau F., Doubrère J. F., Luu M., Combes A. andPaquette C.: Chronic Pain Symptomatology Assessment.In: The Pain Clinic II, Scherpereel Ph., Meynadier J., Blond S. (Ed) VNU Science Press, p. 11–21, 1987.Google Scholar
  5. 5.
    Chapman C. R., Sola A. E. andBonica J. J.: Illness behavior and depression compared in pain center and private practice patients.Pain 6, 1–7, 1979.PubMedCrossRefGoogle Scholar
  6. 6.
    Demjen S. andBakal D.: Illness behavior and chronic headache.Pain 10, 221–229, 1981.PubMedCrossRefGoogle Scholar
  7. 7.
    Engel G.: «Psychogenic» pain and the pain-prone patient.Am. J. Med. 26, 899–918, 1959.PubMedCrossRefGoogle Scholar
  8. 8.
    Fordyce W. E.:Behavioral methods for chronic pain and illness. C. V. Mosby St Louis, 1976.Google Scholar
  9. 9.
    Gordon A. andHitchcock E. R.: Illness behavior and personality in intractable facial pain syndromesPain 17, 267–276, 1983.PubMedCrossRefGoogle Scholar
  10. 10.
    Large R. G. andMullins P. R.: Illness behaviour profiles in chronic pain: the Auckland experience.Pain 10, 231–239, 1981.PubMedCrossRefGoogle Scholar
  11. 11.
    Main C. J. andWaddell G.: Psychometric construction and validity of the Pilowsky Illness Behaviour Questionnaire in british patients with chronic low back pain.Pain 28, 13–25, 1987.PubMedCrossRefGoogle Scholar
  12. 12.
    Mechanic D.: The concept of illness behavior.J. Chronic Dis. 15, 189–194, 1962.PubMedCrossRefGoogle Scholar
  13. 13.
    Parsons T.: Social structure and personality. Collier McMillan, 1964.Google Scholar
  14. 14.
    Pilowsky I.: Communication personnelle, 1983.Google Scholar
  15. 15.
    Pilowsky I. andBassett D. L.: Pain and depression.Brit. J. Psychiat. 141, 30–36, 1982.PubMedCrossRefGoogle Scholar
  16. 16.
    Pilowsky I. andSpence N. D.: Patterns of illness behaviour in patients with intractable pain.J. Psychosom. Res. 19, 279–287, 1975.PubMedCrossRefGoogle Scholar
  17. 17.
    Pilowsky I. andSpence N. D.: Manual for the illness behavior questionnaire. Department of Psychiatry, University of Adelaide, 1981.Google Scholar
  18. 18.
    Pilowsky I., Chapman C. R. andBonica J. J.: Pain, depression and illness behavior in a pain clinic population.Pain 4, 183–192, 1977.PubMedCrossRefGoogle Scholar
  19. 19.
    Pilowsky I., Spence N., Cobb J. andKatsikitis M.: The illness behavior questionnaire as an aid to clinical assessment.Gen. Hosp. Psych. 6, 123–130, 1984.CrossRefGoogle Scholar
  20. 20.
    Reuchlin M.:Méthodes d’analyses factorielle à l’usage des psychologues. PUF, Paris, 1964.Google Scholar
  21. 21.
    Skevington S. M.: Activities as indices of illness behaviour in chronic pain.Pain 15, 295–307, 1983.PubMedCrossRefGoogle Scholar
  22. 22.
    Speculand B., Goss A. N., Spence N. D. andPilowsky I.: Intractable facial pain and illness behaviour.Pain 11, 213–219, 1981.PubMedCrossRefGoogle Scholar
  23. 23.
    Speculand B., Goss A. N., Hughes A., Spence N. D. andPilowsky I.: Temporo-mandibular joint dysfunction: pain and illness behavior.Pain 17, 139–150, 1983.PubMedCrossRefGoogle Scholar
  24. 24.
    Sternbach R. A.: Pain patients, traits and treatment. Academic press, 1974.Google Scholar
  25. 25.
    Turk D. C. andFlor H.: Pain behaviours: the utility and limitations of the behaviour construct.Pain 31, 277–295, 1987.PubMedCrossRefGoogle Scholar
  26. 26.
    Williams J. B. W. andSpitzer R. L.: Idiopathic pain disorder: a critique of pain-prone disorder and a proposal for a revision of the DSM Ill category psychogenic pain disorder.J. Nerv. Ment. Dis. 170, 415–419, 1982.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • F. Boureau
    • 1
  • J. L. Mogenet
    • 2
  • D. Engelhart
    • 2
  1. 1.Unité d’Evaluation et de Traitement de la Douleur. Laboratoire d’Explorations fonctionnelles en NeurophysiologieHôpital Saint AntoineParis
  2. 2.Laboratoire de Psychologie expérimentale et différentielleParis X, Nanterre

Personalised recommendations