Skip to main content
Log in

Similarities Between the Psychological Profiles of Complex Regional Pain Syndrome and Conversion Disorder Patients

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

The psychological profile of 17 Complex Regional Pain Syndrome type I (CRPS) and 20 Conversion Disorder (CD) patients were compared, using the Minnesota Multiphasic Personality Inventory (MMPI) and standardized, semistructured psychological interviews. Both groups presented abnormally high somatization scores. Low anxiety scores in both groups indicate that somatization may have served as a defense mechanism to bind anxiety. Depression was apparent in both groups, indicating that psychological distress accompany these syndromes. About one third of the participants in both groups presented comorbid Axis I disorders, mostly depression and PTSD. CRPS patients have traditionally been looked upon as suffering from mainly organic symptoms, whereas CD patients have been labeled as psychiatric patients. These results may indicate the need to reexamine the traditional classifications in respect to disorders that involve “body and mind.”

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders(4th ed.). Washington, DC: Author.

    Google Scholar 

  • Anderson, R. C., Matloub, H., & Dzwierzynsky, W. M. (1996). Reflex sympathetic dystrophy/Conversion disorder. Psychological Reports, 1043–1046.

  • Andreski, P., Chilcoat, H., & Breslau, N. (1998). Post-traumatic stress disorder and somatization symptoms: A prospective study. Psychiatry Research, 79, 131–138.

    Article  PubMed  Google Scholar 

  • Benedikt, R. A., & Kolb, L. C. (1986). Preliminary findings on chronic pain and posttraumatic stress disorder. American Journal of Psychiatry, 143, 908–910.

    PubMed  Google Scholar 

  • Binzer, M., Andersen, P. M., & Kullgren, G. (1997). Clinical characteristics of patients with motor disability due to conversion disorder: A prospective control group study. Journal of Neurology and Psychiatry, 63, 83–88.

    Google Scholar 

  • Binzer, M., & Gunner, K. (1998). Conversion disorder: A prospective 2-to 5-year follow up study. Psychosomatics, 39, 519–527.

    PubMed  Google Scholar 

  • Breuer, J., & Freud, S. (1966). Studies in Hysteria. New York: Avon.

    Google Scholar 

  • Bruehl, S., Husfeldt, B., Lubenow, H. N., Nath, H., Lvankovich. (1996). Psychological differences between Reflex sympathetic dystrophy and non-RSD chronic pain patients. Pain, 67, 107–114.

    Article  PubMed  Google Scholar 

  • Ciccone, D. S., Bandilla, E. B., & Wu, W. (1997). Psychological dysfunction in patients with Reflex sympathetic dystrophy. Pain, 71, 323–333.

    Article  PubMed  Google Scholar 

  • Gaston, L., Brunet, A., Koszycki, D., Bradwejn, J. (1998). MMPI scales for diagnosing acute and chronic PTSD in civilians. Journal of Traumatic Stress, 11, 355–365.

    Article  PubMed  Google Scholar 

  • Grunert, B. K., Devine, C. A., Sanger, J. R., Matlub, H. S., & Green, D. (1990). Thermal self-regulation for pain control in reflex sympathetic dystrophy syndrome. J Hand Surg, 15A, 615–618.

    Google Scholar 

  • Lebovits, A. H., Yarmush, J., & Lefkovitz, M. (1990). Reflex sympathetic dystrophy and post traumatic stress disorder. Multidisciplinary evaluation and treatment, Clinical Journal of Pain, 6, 153–157.

    Google Scholar 

  • Lynch, M. E., (1992). Psychological aspects of reflex sympathetic dystrophy: A review of the adult and pediatric literature. Pain, 49, 337–347.

    Article  PubMed  Google Scholar 

  • McCreary, C. P. (1993). Psychological evaluation of chronic pain with the MMPI. Pain Digest, 3, 246–251.

    Google Scholar 

  • McFarlane, A. C., Atchison, M., Rafalowicz, E., & Papay, P. (1994). Physical symptoms in posttraumatic stress disorder. Journal of Psychosomatic Research, 38, 715–726.

    Article  PubMed  Google Scholar 

  • Mersky, H., & Bogduk, N. (Eds.). (1994). Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms(2nd ed., pp. 40–43). International Association for the Study of Pain. Seattle, WA: IASP Press.

    Google Scholar 

  • Monty, D. A., Herring, C. L., Schwartzman, R. J., Marchese, M. (1998). Personality assessment of patients with complex regional pain syndrome type I. Clinical Journal of Pain, 14, 2295–2302.

    Google Scholar 

  • Muntag, I. (1977). The Tel Aviv MMPI. Some validation studies. Paper presented at the University of Haifa symposium on personality tests, Haifa, Israel.

  • Novy, D. M., Nelson, D. V., Francis, D. J., Turk, D. C. (1995). Perspectives of chronic pain: An evaluative comparison of restrictive and comprehensive models, Psychological Bulletin, 118, 238–247.

    Article  PubMed  Google Scholar 

  • Ochoa, J. L. (1999). Truths, errors, and lies around “reflex sympathetic dystrophy” and “complex regional pain syndrome”. Journal of Neurology, 246, 351–363.

    Article  Google Scholar 

  • Ochoa, J. L., & Verdugo, R. J. (1995). Reflex sympathetic dystrophy: A common clinical avenue for somatoform expression. Neurol-Clin, 13, 351–363.

    PubMed  Google Scholar 

  • Stanton-Hicks, M., Janig, W., Hassenbusch, S., Haddox, J. D., Boas, R., & Willson, P. (1995). Reflex sympathetic dystrophy: Changing concepts and taxonomy. Pain, 63, 127–133.

    Article  PubMed  Google Scholar 

  • Subbarao, J., & Stillwell, G. K. (1981). Reflex sympathetic dystrophy syndrome of the upper extremity: Analysis of total outcome of management of 125 cases. Archives of Physical and Medical Rehabilitatin, 62, 549–554.

    Google Scholar 

  • Swenson, W. M., Pearson, J. S., & Osborne, D. (1973). An MMPI source book: Basic item, scale and pattern data on 50,000 medical patients. Minneapolis, MN: University of Minnesota Press.

    Google Scholar 

  • Van der Kolk, B. A., Pelcovitz, D., Roth, S., Mandel, F. S., McFarlane, A., & Herman, J. L. (1996). Dissociation, somatization, and affect dysregulation: The complexity of adaptation to trauma. American Journal of Psychiatry, 153, 7, 83–93.

    Google Scholar 

  • Van Houdenhove, B., & Vasquez, G. (1993). Is there a relationship between reflex sympathetic dystrophy and helplessness? Case reports and an hypothesis, General Hospital Psychiatry, 15, 325–329.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shiri, S., Tsenter, J., Livai, R. et al. Similarities Between the Psychological Profiles of Complex Regional Pain Syndrome and Conversion Disorder Patients. Journal of Clinical Psychology in Medical Settings 10, 193–199 (2003). https://doi.org/10.1023/A:1025462829059

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025462829059

Navigation