Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 3 (9-2018)
J Emerg Health Care 2018, 7(3): 17-24 |
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Desai G, Chaturvedi S K. A Study of Patient Clinician Interaction and Abnormal Illness Behaviours among Subjects with Chronic Non Organic Pain. J Emerg Health Care 2018; 7 (3) :17-24
URL: http://intjmi.com/article-1-332-en.html
URL: http://intjmi.com/article-1-332-en.html
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India
Abstract: (6587 Views)
Introduction: Patient clinician interaction is an important component of Abnormal Illness Behaviours (AIB) and can have significant impact on the patients’ as well health care settings. AIB has been measured more with self-report scales compared to objective rating scales. This study assessed patient clinician interaction among in chronic pain using an objective scale, Illness Behaviour Assessment Schedule (IBAS). Method: Details of demography and illness were collected using a semis-structured schedule. IBAS was administered to 301 adult subjects with chronic non-organic pain to assess patient clinical interaction and illness behaviour patterns. Findings: Majority of the sample consisted of women (N=208 69%). The mean duration of pain symptoms in years was 5.78± 5.43. Majority of the subjects did not acknowledge or were not sure of receiving any explanation for their illness. Subjects recalled the causal explanation as having both psychological and somatic causes. Nearly 70% of the subjects attributed their affective disturbance to somatic problems. Gender differences were noted in communication of affect with more men having moderate to marked inhibition. (Chi square 7.78, p=0.005). Conclusions: This study highlights that patients often do not recall the explanations provided for their symptoms and may attribute their symptoms based on their own beliefs. This may correlate to abnormal illness behaviours. It is important to patient clinician interaction regarding the pain symptoms and attribution for appropriate management.
References
1. 1. Merskey H, Bogduk N. IASP Task Force on Taxonomy Part III: Pain Terms, A Current List with Definitions and Notes on Usage [Internet]. IASP Task Force on Taxonomy. 1994. p. 209–14. Available from: http://www.iasp-pain.org/Content/NavigationMenu/GeneralResourceLinks/PainDefinitions/default.htm#Pain
2. Mechanic D. The concept of illness behavior. J Chronic Dis [Internet]. 1962 [cited 2016 Nov 1]; Available from: http://www.sciencedirect.com/science/article/pii/0021968162900681
3. Pilowsky I. Abnormal illness behaviour. Br J Med Psychol [Internet]. 1969 [cited 2016 Nov 1]; Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.2044-8341.1969.tb02089.x/full
4. Sirri L, Fava A. The Unifying Concept of Illness Behavior. Psychother psychosoamtics. 2013;82:74–81.
5. Pilowsky I, Chapman C, Bonica J. Pain, depression, and illness behavior in a pain clinic population. Pain [Internet].
1977 [cited 2016 Nov 1]; Available from: http://www.sciencedirect.com/science/article/pii/0304395977901324
6. Pilowsky I, Katsikitis M. A classification of illness behaviour in pain clinic patients. Pain [Internet]. 1994 [cited 2016 Nov 1]; Available from: http://www.sciencedirect.com/science/article/pii/0304395994901120
7. Varma V, Malhotra A. Illness behaviour questionnaire (IBQ): Translation and adaptation in India. Indian J [Internet]. 1986 [cited 2016 Nov 1]; Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3172497/
8. Pilowsky I, Bassett D, Barrett R, Petrovic L, Minniti R. The Illness Behavior Assessment Schedule: reliability and validity. Int J Psychiatry Med [Internet]. [cited 2016 Nov 1];13(1):11–28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6885261
9. Chaturvedi S, Bhandari S. Somatisation and illness behaviour. J Psychosom Res [Internet]. 1989 [cited 2016 Nov 1]; Available from: http://www.sciencedirect.com/science/article/pii/002239998990041X
10. Sarkar J, Chandra P. Alexithymia and illness behaviour among female Indian outpatients with multiple somatic symptoms. 2014;45(Iv):229–33.
11. World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992.
12. Chaturvedi S, Bhandari S, Beena M, Rao S. Screening for abnormal illness behaviour. Psychopathology [Internet]. 1996 [cited 2016 Nov 1]; Available from: http://www.karger.com/Article/Abstract/285014
13. Pilowsky I. From conversion hysteria to somatisation to abnormal illness behaviour? J Psychosom Res [Internet]. 1996 Apr [cited 2016 Nov 1];40(4):345–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8736414
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