THE DISTRESS AND RISK ASSESSMENT METHOD - A SIMPLE PATIENT CLASSIFICATION TO IDENTIFY DISTRESS AND EVALUATE THE RISK OF POOR OUTCOME

被引:310
作者
MAIN, CJ
WOOD, PLR
HOLLIS, S
SPANSWICK, CC
WADDELL, G
机构
[1] Salford Behavioural Mcdicine Research Unit and Rheumatic Diseases Centre, University of Manchester
[2] Spinal Surgery Unit, Wrightington Hospital, Lancashire
[3] Computational and Statistics Unit, Hope Hospital, Salford
[4] Salford Pain Clinic, Hope Hospital, Salford
[5] Department of Orthopaedic Surgery, Western Infirmary, Glasgow
关键词
LOW-BACK PAIN; DISTRESS; PSYCHOLOGICAL CLASSIFICATION;
D O I
10.1097/00007632-199201000-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The integration of physical and psychological assessment is frequently problematic. Psychological tests are often cumbersome and difficult to interpret. There would appear to be a need for a simple assessment method that would identify distress and help alert the clinician to the need for a more comprehensive assessment. The Distress and Risk Assessment Method is derived from a simple set of scales validated for use with patients with low-back pain. It offers a simple classification of patients into those showing no psychological distress, those at risk of developing major psychological overlay, and those clearly distressed. Four patient types can be identified on the basis of scores on two short questionnaires. The construction of the Distress and Risk Assessment Method is described and validity data (both clinical and psychological) are presented. The use of the Distress and Risk Assessment Method in the prediction of outcome of treatment is presented, and the paper concludes with general guidelines for its use.
引用
收藏
页码:42 / 51
页数:10
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