Psychological Features of Patients with Complex Regional Pain Syndrome Type I Related Dystonia
Identifieur interne : 003725 ( Main/Merge ); précédent : 003724; suivant : 003726Psychological Features of Patients with Complex Regional Pain Syndrome Type I Related Dystonia
Auteurs : Wouter B. Reedijk [Pays-Bas] ; Monique A. Van Rijn [Pays-Bas] ; Karin Roelofs [Pays-Bas] ; Jolien P. Tuijl [Pays-Bas] ; Johan Marinus [Pays-Bas] ; Jacobus J. Van Hilten [Pays-Bas]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
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- Pascal (Inist)
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- topic : Homme.
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Abstract
The objective of this study was to evaluate psychological features in severely affected patients with complex regional pain syndrome type I- (CRPS-I) related dystonia. Personality traits, psychopathology, dissociative experiences, the number of traumatic experiences, and quality of life were studied in 46 patients. Findings were compared with two historical psychiatric control groups [54 patients with conversion disorder (CD) and 50 patients with affective disorders (AD)] and normative population data. The CRPS-I patients showed elevated scores on the measures for somatoform dissociation, traumatic experiences, general psychopathology, and lower scores on quality of life compared with general population data, but had significantly lower total scores on the measures for personality traits, recent life events, and general psychopathology compared with the CD and AD patients. Rates of early traumatic experiences were comparable with the CD and AD patients, and the level of somatoform dissociation was comparable to the CD patients, but was elevated in comparison to the AD patients. Early traumatic experiences were reported in 87% of the CRPS-I patients and were found to be moderately related to somatoform dissociative experiences, indicating that early traumatic experiences might be a predisposing, although not a necessary factor for the development of CRPS-I-related dystonia. Although the psychological profile of the patients with CRPS-I-related dystonia shows some elevations, there does not seem to be a unique disturbed psychological profile on a group level.
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Reedijk</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Leiden University Medical Center</s1><s2>Leiden</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Van Rijn, Monique A" sort="Van Rijn, Monique A" uniqKey="Van Rijn M" first="Monique A." last="Van Rijn">Monique A. Van Rijn</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Leiden University Medical Center</s1><s2>Leiden</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Roelofs, Karin" sort="Roelofs, Karin" uniqKey="Roelofs K" first="Karin" last="Roelofs">Karin Roelofs</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Leiden University Institute of Psychological Research: Clinical, Health and Neuropsychology Unit</s1><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Leiden University Institute of Psychological Research: Clinical, Health and Neuropsychology Unit</wicri:noRegion></affiliation></author><author><name sortKey="Tuijl, Jolien P" sort="Tuijl, Jolien P" uniqKey="Tuijl J" first="Jolien P." last="Tuijl">Jolien P. Tuijl</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Psychiatry, Leiden University Medical Center</s1><s2>Leiden</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Marinus, Johan" sort="Marinus, Johan" uniqKey="Marinus J" first="Johan" last="Marinus">Johan Marinus</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Leiden University Medical Center</s1><s2>Leiden</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Van Hilten, Jacobus J" sort="Van Hilten, Jacobus J" uniqKey="Van Hilten J" first="Jacobus J." last="Van Hilten">Jacobus J. Van Hilten</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Leiden University Medical Center</s1><s2>Leiden</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affective disorder</term><term>Dystonia</term><term>Human</term><term>Hysterical neurosis</term><term>Mood disorder</term><term>Nervous system diseases</term><term>Reflex sympathetic dystrophy</term><term>Somatic conversion</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystrophie sympathique réflexe</term><term>Dystonie</term><term>Névrose hystérique</term><term>Conversion somatique</term><term>Trouble affectif</term><term>Trouble de l'humeur</term><term>Pathologie du système nerveux</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective of this study was to evaluate psychological features in severely affected patients with complex regional pain syndrome type I- (CRPS-I) related dystonia. Personality traits, psychopathology, dissociative experiences, the number of traumatic experiences, and quality of life were studied in 46 patients. Findings were compared with two historical psychiatric control groups [54 patients with conversion disorder (CD) and 50 patients with affective disorders (AD)] and normative population data. The CRPS-I patients showed elevated scores on the measures for somatoform dissociation, traumatic experiences, general psychopathology, and lower scores on quality of life compared with general population data, but had significantly lower total scores on the measures for personality traits, recent life events, and general psychopathology compared with the CD and AD patients. Rates of early traumatic experiences were comparable with the CD and AD patients, and the level of somatoform dissociation was comparable to the CD patients, but was elevated in comparison to the AD patients. Early traumatic experiences were reported in 87% of the CRPS-I patients and were found to be moderately related to somatoform dissociative experiences, indicating that early traumatic experiences might be a predisposing, although not a necessary factor for the development of CRPS-I-related dystonia. Although the psychological profile of the patients with CRPS-I-related dystonia shows some elevations, there does not seem to be a unique disturbed psychological profile on a group level.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li></region><settlement><li>Leyde</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Reedijk, Wouter B" sort="Reedijk, Wouter B" uniqKey="Reedijk W" first="Wouter B." last="Reedijk">Wouter B. Reedijk</name></region><name sortKey="Marinus, Johan" sort="Marinus, Johan" uniqKey="Marinus J" first="Johan" last="Marinus">Johan Marinus</name><name sortKey="Roelofs, Karin" sort="Roelofs, Karin" uniqKey="Roelofs K" first="Karin" last="Roelofs">Karin Roelofs</name><name sortKey="Tuijl, Jolien P" sort="Tuijl, Jolien P" uniqKey="Tuijl J" first="Jolien P." last="Tuijl">Jolien P. Tuijl</name><name sortKey="Van Hilten, Jacobus J" sort="Van Hilten, Jacobus J" uniqKey="Van Hilten J" first="Jacobus J." last="Van Hilten">Jacobus J. Van Hilten</name><name sortKey="Van Rijn, Monique A" sort="Van Rijn, Monique A" uniqKey="Van Rijn M" first="Monique A." last="Van Rijn">Monique A. Van Rijn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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