RESUMO
This study investigated the High Risk Model of Threat Perception (HRMTP) in middle-aged, urban chronic pain patients who had been referred to a secondary pain clinic after failing to respond to standard medical management. Relationships among absorption, social desirability (SD), and negative (e.g., depressive or anxious) affect were studied in 24 male and 73 female patients, (age range 22-88 years). Subjects completed the Tellegen Absorption Scale, the Marlowe-Crowne Social Desirability Scale, the Beck Depression Inventory--Second Edition, and the Beck Anxiety Inventory. The sample was significantly higher in SD and lower in absorption than normative groups. High SD patients endorsed significantly fewer items related to depression than those with low SD, but reported anxious ideation at about the same rate. These findings lend credence to the concept of chronic pain as a transduction of depressive, but not anxious, affect into somatic symptoms.
Assuntos
Modelos Psicológicos , Inventário de Personalidade/estatística & dados numéricos , Transtornos Somatoformes/diagnóstico , Adulto , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Doença Crônica , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Análise Fatorial , Feminino , Humanos , Hipnose/estatística & dados numéricos , Masculino , Clínicas de Dor , Psicometria , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/psicologia , Encaminhamento e Consulta , Repressão Psicológica , Fatores de Risco , Desejabilidade Social , Transtornos Somatoformes/psicologia , Estresse Psicológico/diagnóstico , Estresse Psicológico/psicologiaRESUMO
This study examined the utility of the Suicide Probability Scale (SPS) by comparing results obtained with a sample of 217 normal adolescents (M = 16.2 years) to the findings obtained in Cull and Gill's (1988) standardization effort. The present sample scored significantly higher than Cull and Gill's normative sample in SPS item, subscale, and total scores. In addition, the SPS generally failed to discriminate between the present, adolescent sample and Cull and Gill's inpatient psychiatric sample. Moreover, item-subscale correlations obtained for the present sample often differed from those reported by Cull and Gill, and factor analysis of SPS item scores failed to replicate Cull and Gill's four-factor solution. Findings suggest the need for caution when using the SPS to assess adolescent suicide potential and underscore the need for additional research regarding the instrument's efficacy in distinguishing between normal and suicidal adolescents.