Compensation and non-compensation chronic pain patients compared for DSM-III operational diagnoses

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Abstract
Ns were made between male compensation patients (n = 93) and male non-compensation patients (n = 23) and between female compensation patients (n = 38) and female non-compensation patients (n = 28) for all DSM-III diagnoses. Male compensation patients were significantly overrepresented for these diagnostic groups: conversion disorder (somatosensory type); combined personality disorders; and passive-aggressive personality disorder. Male non-compensation patients were significantly overrepresented for these diagnostic groups: no diagnosis on Axis I; combined personality types; and compulsive personality type. Female compensation patients were significantly overrepresented for conversion disorder (somatosensory) only. Female non-compensation patients were significantly overrepresented for generalized anxiety disorder and combined anxiety syndromes. Compensation chronic pain patients may be at risk for some psychiatric disorders not previously identified: conversion disorder (somatosensory), and personality disorders. ∗Correspondence to: David A. Fishbain, M.Sc., M.D., University of Miami School of Medicine, Comprehensive Pain and Rehabilitation Center, South Shore Hospital, 600 Alton Road, South Miami Beach, FL 33139, U.S.A. (Received 11 June 1987; revised 12 September 1987; accepted 15 September 1987.) © Lippincott-Raven Publishers....