Organic Status, Psychological Disturbance, and Pain Report Characteristics in Low-Back-Pain Patients on Compensation

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Abstract
The relationship between compensation and 3 variables.sbd.psychologic disturbance, organic status, and pain report characteristics.sbd.was assessed. Patients on compensation were clinically similar to patients not on compensation in the relative frequency of cases of psychologic disturbance and nonorganic findings in each group. Patients on compensation differed only when objective evidence of organic disease and psychologic stability was present. Under these circumstances, the compensation group used 43% more words to describe their pain and endorsed more pain qualities on 5 independent dimensions of pain. Evidently, compensation primarily affects the description of low-back pain in cases where objective evidence of injury is present and leads to an intensification of sensory discomfort. Little justification was found for the atmosphere of suspicion that surrounds patients on compensation who have no evidence of organic disease.

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