조선업 근로환경에서 발생한 근막통증후군 환자의 심리적 특성
Psychological Characteristics of the Patients with Myofascial Pain Syndrome in Shipyard Work
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Abstract
Objective: This study was conducted to analyze the psychological factors which influence myofascial pain syndrome and to evaluate whether the electromyographic study on the myofascial trigger point in shipyard workers satisfied the diagnostic criteria of myofascial pain syndrome. Method: We studied 61 patients who were employed in the shipbuilding industry and diagnosed myofascial pain syndrome. We investigated them using the Minnesota Multiphasic Personality Inventory (MMPI) and the visual analogue scale (VAS) and also obtained spontaneous electrical activity (SEA) by electromyographic study on myofascial trigger point. Results: Mean VAS of subjects was 5.88. On the MMPI profile, the patients scored highest in psychopathic deviate, and then in hypochondriasis, depression and hysteria, in that order. The correlation of the VAS with results of electromyographic study and with the MMPI were not significant. In the electromyographic study, 19 patients out of 61 (31%) showed initial positive deflection on spontaneous electrical activities. Conclusion: This study suggested that considering the psychosocial aspect of myofascial pain syndrome, as well as organic aspects in hard manual labor such as shipyard work might be useful for treatment.
참고문헌 (18)
- 김중술, "다면적 인성검사" (1994), 서울대학교 출판부
- 김중술, "MMPI에 나타난 Context Effect. 신경정신의학회지 1980", pp.274~277
- 나영무, "근막통증후군 환자의 심리적 고찰.", 21, pp.959~966 (1997)
- 손민균, "만성 요통 환자에서 장애 감정 여부에 따른 통증 형태와 심리적 특성.", 24, pp.125~131 (2000)
- 이영호, "섬유근통증후군의 정신의학적 특징에 대한 연구-우울장애 대 신체형장애.", 35, pp.849~860 (1996)
- 이정호, "근막통증후군의 정신과적 특성.", 36, pp.488~495 (1997)
- 정인원, "산업재해 환자의 다면적 인성검사 비교 연구.", 16, pp.226~234 (1991)
- 한태륜, "근막통점의 전기 진단학적 평가.", 21, pp.78~86 (1997)
- Durette MR, "Needle electromyographic evaluation of patients with myofascial or fibromyalgic pain.", 70, pp.154~156 (1991)
- Elliott FA, "Tender muscle in sciatica. Lancet 1994", pp.47~49
- Schiffman E, "electromyographic changes associated with local twich response. Arch Phys Med Rehabil 1985", pp.314~317
- Kroening R, "Myofascial pain syndrome of the head and neck A review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985", pp.615~623
- Haber JD, "Assessment and treatment of stress in myofascial pain-dysfunction syndrome a model for analysis. J Oral Rehabil 1983"
- Hong CZ, "Referred pain elicited by palpation and by needling of myofascial trigger points.", 78, pp.957~960 (1997)
- Hong CZ, "Pathophysiologic and eletrophysiologic mechanism of myofascial trigger points.", 79, pp.863~872 (1998)
- McGlynn FD, "Psychophysiological responses to stress in patients with myofascial pain-dysfunction syndrome. J Behav Med 1989", pp.397~406
- "Symposium on mechanism and management of pain syndrome. Proc Rudolf Virchow Med Soc 1957", pp.128~136
- Wolfe F, "Psychological status in primary fibrositis and fibrositis associated with rheumatoid arthritis. J Rheumatol 1984", pp.500~506
