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Z Psychosom Med Psychother. 2010;56(1):34-46.

[The psychic structure of chronic pain patients].

[Article in German]

Author information

  • 1Universitätsklinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, A-1090 Wien. melitta.fischer-kern@meduniwien.ac.at

Abstract

OBJECTIVES:

The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization.

METHODS:

We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed using the SCID (DSM-IV). Psychic structure was assessed using the Structured Interview of Personality Organization (STIPO).

RESULTS:

At least one psychiatric diagnosis was found in 94 % of the patients, and 63 % of the patients met the criteria of at least one diagnosis of a personality disorder. In 58 % of the patients, we diagnosed a borderline personality organization, with high deficits in the dimensions of coping, defence mechanisms and identity.

CONCLUSIONS:

The high prevalence of borderline personality organization confirms the importance of a diagnostic investigation of the psychic structure and the necessity for psychotherapeutic treatment in chronic pain patients.

PMID:
20229490
[PubMed - indexed for MEDLINE]
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