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© 1979 British Society for Rheumatology

research-article

A PSYCHIATRIC STUDY OF PATINTS WITH PERSISTENT LOW BACK PAIN

G. G. LLOYD*,, S. N. WOLKIND, R. GREENWOOD{dagger} and D. J. HARRIS{ddagger}

Departments of Psychiatry and Rheumatology, The London Hospital London E1 1BB

Correspondence to: Request for reprints to Dr. G. G. Lloyd

Psychological screening with the Middlesex Hospital Questionnaire at initial assessment failed to identify those patients with low back pain who became persistent attenders or those later judged to have psychiatric disorder. Of those whose symptoms had failed to respond to conventional rheumatological treatment and who were still attending after 90 days, 35% were diagnosed as having definite psychiatric morbidity. In the absence of a control group the significance of this finding is uncertain, but its possible implications are discussed.

*Present addresses: Institute of Psychiatry, De Crespingny Park, Denmark Hill, London SE5 8AF

{dagger}Present addresses: Clinical Research Centre, Watford Road, Harrow, Middlesex HA1 3UJ

{ddagger}Present addresses: Ottawa General Hospital, Ottawa, Ontaria, Canada


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