Psychological characteristics of Japanese patients with chronic pain assessed by the Rorschach test

Yamamoto, Kazumi; Kanbara, Kenji; Mutsuura, Hiromi; Ban, Ikumi; Mizuno, Yasuyuki; Abe, Tetsuya; Yoshino, Maki; Tajika, Aran; Nakai, Yoshihide; Fukunaga, Mikihiko
January 2010
BioPsychoSocial Medicine;2010, Vol. 4, p20
Academic Journal
Background: The increasing number of patients with chronic pain in Japan has become a major issue in terms of the patient's quality of life, medical costs, and related social problems. Pain is a multi-dimensional experience with physiological, affective, cognitive, behavioral and social components, and recommended to be managed via a combination of bio-psycho-social aspects. However, a biomedical approach is still the dominant method of pain treatment in Japan. The current study aimed to evaluate comprehensive psychological functions and processes in Japanese chronic pain patients. Methods: The Rorschach Comprehensive System was administered to 49 in-patients with non-malignant chronic pain. Major variables and frequencies from the test were then compared to normative data from non-patient Japanese adults by way of the t-test and chi-square test. Results: Patients exhibited high levels of emotional distress with a sense of helplessness with regard to situational stress, confusion, and ambivalent feelings. These emotions were managed by the patients in an inappropriate manner. Cognitive functions resulted in moderate dysfunction in all stages. Information processing tended to focus upon minute features in an inflexible manner. Mediational dysfunction was likely to occur with unstable affective conditions. Ideation was marked by pessimistic and less effective thinking. Since patients exhibited negative self-perception, their interpersonal relationship skills tended to be ineffective. Originally, our patients displayed average psychological resources for control, stress tolerance, and social skills for interpersonal relationships. However, patient coping styles were either situation- or emotion-dependent, and patients were more likely to exhibit emotional instability influenced by external stimuli, resulting in increased vulnerability to pain. Conclusions: Data gathered from the Rorschach test suggested psychological approaches to support chronic pain patients that are likely to be highly beneficial, and we thus recommend their incorporation into the course of current pain treatments.


Related Articles

  • Item-level informant discrepancies between children and their parents on the PROMIS pediatric scales. Varni, James; Thissen, David; Stucky, Brian; Liu, Yang; Magnus, Brooke; He, Jason; DeWitt, Esi; Irwin, Debra; Lai, Jin-Shei; Amtmann, Dagmar; DeWalt, Darren // Quality of Life Research;Aug2015, Vol. 24 Issue 8, p1921 

    Objective: The study objective was to describe the individual item-level discrepancies between children ages 8-17 years and their parents for the PROMIS pediatric scales. Contextual effects on item-level informant discrepancies for the pediatric pain interference items were further analyzed...

  • The complexity of the relationship between chronic pain and quality of life: a study of the general Norwegian population. Wahl, Astrid K.; Rustøen, Tone; Rokne, Berit; Lerdal, Anners; Knudsen, Øistein; Miaskowski, Christine; Moum, Torbjørn // Quality of Life Research;Oct2009, Vol. 18 Issue 8, p971 

    The aims of this paper were to evaluate the relationship between chronic pain and global quality of life (GQOL) and to explore the effect of possible confounders, mediators, and moderators such as selected demographic variables, chronic illnesses, stress-related symptoms, fatigue, and subjective...

  • Art herapy for Chronic Pain: Applications and Future Directions. Angheluta, Anne-Marie; Lee, Bonnie K. // Canadian Journal of Counselling & Psychotherapy / Revue Canadien;2011, Vol. 45 Issue 2, p112 

    Chronic pain is acknowledged as a phenomenological experience resulting from biological, psychological, and social interactions. Consequently, treatment for this complex and debilitating health phenomenon is often approached from multidisciplinary and biopsycho social perspectives. One approach...

  • Cost of Chronic and Episodic Migraine: a pilot study from a tertiary headache centre in northern Italy. Berra, E; Sances, G; Icco, R; Avenali, M; Berlangieri, M; Paoli, I; Bolla, M; Allena, M; Ghiotto, N; Guaschino, E; Cristina, S; Tassorelli, C; Sandrini, G; Nappi, G // Journal of Headache & Pain;6/1/2015, Vol. 16 Issue 1, p1 

    Background: Chronic migraine (CM) has a high impact on functional performance and quality of life (QoL). CM also has a relevant burden on the National Health Service (NHS), however precise figures are lacking. In this pilot study we compared the impact in terms of costs of CM and episodic...

  • Global Patterns of QALY and DALY Use in Surgical Cost-Utility Analyses: A Systematic Review. Rios-Diaz, Arturo J.; Lam, Jimmy; Ramos, Margarita S.; Moscoso, Andrea V.; Vaughn, Patrick; Zogg, Cheryl K.; Caterson, Edward J. // PLoS ONE;2/10/2016, Vol. 11 Issue 2, p1 

    Background: Surgical interventions are being increasingly recognized as cost-effective global priorities, the utility of which are frequently measured using either quality-adjusted (QALY) or disability-adjusted (DALY) life years. The objectives of this study were to: (1) identify surgical...

  • Pain & Women's Health.  // National Women's Health Report;Jun2005, Vol. 27 Issue 3, p1 

    Provides tips on how to manage chronic pain. Determination of the pain and treatment options; Basis of improving the quality of life and ability to function if experiencing chronic pain; Range of psychological and behavioral pain management. INSETS: Pain and Depression;Pain Perception is Reality.

  • Development of a pain and discomfort module for use with the WHOQOL-100. Mason, Victoria L.; Skevington, Suzanne M.; Osborn, Mike // Quality of Life Research;Aug2004, Vol. 13 Issue 6, p1139 

    Clinicians and researchers have become increasingly interested in the impact of chronic pain (CP) on quality of life (QoL). This report describes the qualitative stages of developing a pain and discomfort module for persons with CP to be used with the UK World Health Organisation generic measure...

  • Square Pegs and Round Holes? A Review of Economic Evaluation in Complementary and Alternative Medicine. Hulme, Claire; Long, Andrew F. // Journal of Alternative & Complementary Medicine;Feb2005, Vol. 11 Issue 1, p179 

    Economic evaluation, linking the costs and consequences of an intervention to indicate the potential benefits of alternative interventions, is becoming established as one of the core tools for decision making in health care. As knowledge of the safety and effectiveness of complementary and...

  • Trajectories of health care service utilization and differences in patient characteristics among adults with specific chronic pain: analysis of health plan member claims. Ruetsch, Charles; Tkacz, Joseph; Kardel, Peter G.; Howe, Andrew; Pai, Helen; Levitan, Bennett // Journal of Pain Research;2013, Vol. 6, p137 

    Introduction: The lack of consistency surrounding the diagnosis of chronic non-cancer pain, treatment approaches, and patient management suggests the need for further research to better characterize the chronic non-cancer pain population. Objective: The purpose of this study was to identify...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics