Hello frank,
I don't think it matters whether it is the chick or egg - if they have
yellow flags or develop psych probs, they must be dealt with or considered
in how you manage the chronic pain or your physical treatment will be
unsuccessful or less successful.
we as physios are often best placed to pick up these clues and refer them
on. the APA has quite a good publication on testing if you are interested
let me know
Cheers,
Anna.
Anna Lee
Principal,
Work Ready Industrial Athlete Centre
Physiotherapist & Occupational Health Consultant
Write to me at: [log in to unmask]
Visit me at: www.workready.com.au
Snail mail:
Suite 3, 82 Enmore Road,
Newtown NSW 2042
Australia
Phone: (612) 9519 7436
Fax: (612) 9519 7439
Mob: 0412 33 43 98
----- Original Message -----
From: "Frank Conijn" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, October 07, 2001 6:40 AM
Subject: Re: Psychological testing of patients with Pain
> Dear Kevin,
>
> There is one major problem IMO: the chicken or the egg-question. I'd
suggest
> we realise that patients with serious physical problems can get
> psychologically ill because of them. As far as I know, there is no paper
> instrument that can determine whether the psychosocial 'illness' caused
the
> physical complaints, or the other way around.
>
> To my knowledge, only Waddell's signs and symptoms are of help in
> identifying (back) patients with dominant or significant PS influences.
Not
> that they can answer the chicken-egg question, but at least they identify
> patients with CE (complaint exaggeration) syndrome.
>
> I'd very much like to know what others think of this.
>
> R.,
> Frank
>
>
> ----- Original Message -----
> From: "Kevin Wright" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: zaterdag 6 oktober 2001 21:53
> Subject: Psychological testing of patients with Pain
>
>
> Dear colleaques,
>
> I am interested in the testing of patients psychologically or establishing
> related key areas such as depression. Research is recommending that there
> is more to pain than the signals that we recieve from body matter. What
> tests/questionnaires do clinicians use in normal practise ( not for
> Research or Audit) and what are the patients and clinicians experiences of
> usablity and relevance at the individual level rather than the group or
> type of patient? Has any one been able to use a test/questionnaire in the
> changes that occur over the different phases that a patient passes? If you
> work with ethnic patients have you been able to cutomise these with good
> effect. Have there been any barriers?
> If you interest also involves the social side to pain, can I ask the
> same questions as above.
>
> Awaiting your response,
>
> Kevin Wright MCSP
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