Skip to main content
Log in

Historique de la douleur en santé mentale

History of pain in mental health

  • Revue de la Littérature / Literature Review
  • Published:
Douleur et Analgésie

Résumé

L’insensibilité à la douleur chez les patients schizophrènes est suggérée par les observations cliniques, les études des cas et les études expérimentales. L’analyse de la littérature ne permet pas de conclure à une réelle analgésie chez les patients schizophrènes mais à un mode d’expression différent de la douleur, un langage et un comportement en lien avec la pathologie psychiatrique. Les travaux récents viennent confirmer cette hypothèse.

Abstract

Several lines of evidence (case report, epidemiological studies, experimental studies) suggest that patients with schizophrenia show an insensitivity to pain. We reviewed the literature on this specific topic. There is a lack of evidence to prove a real analgesia. Patients with schizophrenia express their emotion in general and pain in particular in a different way. The most recent research works confirm this hypothesis. Patients feel pain but do not express it by adapted social skills.

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.

Références

  1. Albus M, Ackenheil M, Engel RR, Müller F (1982) Situational reactivity of autonomic functions in schizophrenia patients. Psychiatry Res 6:361–370

    Article  PubMed  CAS  Google Scholar 

  2. Apter JT (1981) The “silent” acute abdomen of schizophrenia. J Med Soc N J 78:679–680

    PubMed  CAS  Google Scholar 

  3. Arena JG (2002) Chronic pain: psychological approaches for the front-line clinician. J Clin Psychol 58:1385–1396

    Article  PubMed  Google Scholar 

  4. Ballenger JC, Post RM, Sternberg DE, et al (1979) Headaches after lumbar puncture and insensitivity to pain in psychiatric patients. N Engl J Med 301:110

    Article  PubMed  CAS  Google Scholar 

  5. Bender L, Schilder P (1930) Unconditioned and conditions reactions to pain in schizophrenia. Am J Psychiatry 87:365–384

    Google Scholar 

  6. Bickerstaff LK, Harris SC, Leggett RS, Cheah KC (1988) Pain insensitivity in schizophrenic patients. A surgical dilemma. Arch Surg 123:49–51

    CAS  Google Scholar 

  7. Bleuler M, Bleuler R (1986) Dementia praecox oder die Gruppe der Schizophrenien: Eugen Bleuler. Br J Psychiatry 149:661–662

    Article  PubMed  CAS  Google Scholar 

  8. Chatuverdi SK (1989) Pain sensitivity in psychosis and the endorphin theory of psychosis. Adv Biosci 75:687–690

    Google Scholar 

  9. Clay GS, Brougham LR (1975) Haloperidol binding to an opiate receptor site. Biochem Pharmacol 24:1363–1367

    Article  PubMed  CAS  Google Scholar 

  10. Davis GC, Buchsbaum MS, Bunney WE Jr (1979) Research in endorphins and schizophrenia. Schizophr Bull 5:244–250

    PubMed  CAS  Google Scholar 

  11. Davis GC, Buchsbaum MS, Naber D, et al (1982) Altered pain perception and cerebrospinal endorphins in psychiatric illness. Ann NY Acad Sci 398:366–373

    Article  PubMed  CAS  Google Scholar 

  12. Dworkin RH (1994) Pain insensitivity in schizophrenia: a neglected phenomenon and some implications. Schizophr Bull 20:235–248

    PubMed  CAS  Google Scholar 

  13. Dworkin RH, Caligor E (1988) Psychiatric diagnosis and chronic pain: DSM-III-R and beyond. J Pain Symptom Manage 3:87–98

    Article  PubMed  CAS  Google Scholar 

  14. Dworkin RH, Clark WC, Lipsitz JD, et al (1993) Affective deficit and pain insensitivity in schizophrenia. Motiv Emot 17: 245–276

    Article  Google Scholar 

  15. Earle A, Earle BV (1955) The blood pressure response to pain and emotion in schizophrenia. J Nerv Ment Dis 121:132–139

    Article  PubMed  CAS  Google Scholar 

  16. Fishbain D (1982) Pain insensitivity in psychosis. Ann Emerg Med 11:630–632

    Article  PubMed  CAS  Google Scholar 

  17. Foucault M (1972) Histoire de la folie à l’âge classique. Gallimard, Paris

    Google Scholar 

  18. Geschwind N (1977) Insensitivity to pain in psychotic patients. N Engl J Med 296:1480

    PubMed  CAS  Google Scholar 

  19. Guieu R, Samuélian JC, Coulouvrat H (1994) Objective evaluation of pain perception in patients with schizophrenia. Br J Psychiatry 164:253–255

    Article  PubMed  CAS  Google Scholar 

  20. Heresco-Levy U, Javitt DC (1998) The role of NMDA receptormediated neurotransmission in the patho-physiology and therapeutics of psychiatric syndromes. Eur Neuropsychopharmacol 8:141–152

    Article  PubMed  CAS  Google Scholar 

  21. Hussar AE (1996) Leading causes of death in institutionalized chronic schizophrenic patients; a study of 1,275 autopsy protocols. J Nerv Ment Dis 142:45–57

    Google Scholar 

  22. Javitt DC, Balla A, Burch S, et al (2004) Reversal of phencyclidine-induced dopaminergic dysregulation by N-methyl-D-aspartate receptor/glycine-site agonists. Neuropsychopharmacology 29:300–307

    Article  PubMed  CAS  Google Scholar 

  23. Julien N, Marchand S (2006) Endogenous pain inhibitory systems activated by spatial summation are opioid-mediated. Neurosci Lett 401:256–260

    Article  PubMed  CAS  Google Scholar 

  24. Katz E, Kluger Y, Rabinovici R, et al (1990) Acute surgical abdominal disease in chronic schizophrenic patients: a unique clinical problem. Isr J Med Sci 26:275–277

    PubMed  CAS  Google Scholar 

  25. Kraeplin E (1919) Dementia praecox et paraphrenia ES. Livingstone, Scotland

    Google Scholar 

  26. Lewis C (1937) Diagnostic problems of acute surgical conditions of the abdomen in psychotic patients. Med Bull Veterans Admin 13:314–320

    Google Scholar 

  27. Malbie AA, Cavenar JO, Sullivan JL, et al (1979) Analgesia and haloperidol: a hypothesis. J Clin Psychiatry 40:323–326

    Google Scholar 

  28. Marchand S, Potvin S, et al (2008) De l’hypoalgésie à l’hyperalgésie. La lettre de l’IUD 28

  29. Marchand WE (1955) Occurrence of painless myocardial infarction in psychotic patients. N Engl J Med 253:51–55

    Article  PubMed  CAS  Google Scholar 

  30. Marchand WE (1958) The practice of medicine in a neuropsychiatric hospital. AMA Arch Neurol Psychiatry 80:599–611

    PubMed  CAS  Google Scholar 

  31. Marchand WE (1959) Practice of surgery in a neuropsychiatric hospital. Arch Gen Psychiatry 1:123–131

    PubMed  CAS  Google Scholar 

  32. Marchand WE, Sarota B, Marble H, et al (1959) Occurrence of painless acute surgical disorders in psychotic patients. N Engl J Med 260:580–585

    Article  PubMed  CAS  Google Scholar 

  33. Merskey H, Gillis A, Marszalek KS (1962) A clinical investigation of reaction to pain. J Ment Sci 108:347–355

    PubMed  CAS  Google Scholar 

  34. Potvin S, Stip E, Tempier R, et al (2007) Deficient pain sensitization in schizophrenia. In: Third international forum on pain. Communication affichée, Montréal no 37

  35. Pellizzi GB (1896) Fenomeni di analgesia nelle malatie mentali. Annali di Frenatria

  36. Petrovich DV (1960) Pain perception in chronic schizophrenics. J Projective Techn 24:21–27

    CAS  Google Scholar 

  37. Pinel (An 10) Traité médicophilosophique, Paris. pp 60–61

  38. Rosenthal SH, Porter KA, Coffey B (1990) Pain insensitivity in schizophrenia, case report and review of the literature. Gen Hosp Psychiatry 12:319–322

    Article  PubMed  CAS  Google Scholar 

  39. Shattock FM, Oxon MA, London DP (1950) The somatic manifestation of schizophrenia: a clinical study of their significance. J Ment Sci 96:32–142

    Google Scholar 

  40. Spear FG (1967) Pain in psychiatric patients. J Psychosom Res 11:187–193

    Article  PubMed  CAS  Google Scholar 

  41. Torrey EF (1979) Headaches after lumbar puncture and insensitivity to pain in psychiatric patients. N Engl J Med 301:110

    Article  PubMed  CAS  Google Scholar 

  42. Watson GD, Chandarana PC, Merskey H (1981) Relationships between pain and schizophrenia. Br J Psychiatry 138:33–36

    Article  PubMed  CAS  Google Scholar 

  43. Willer JC (1984) Nociceptive flexion reflex as a physiological correlate of pain sensations in humans. In: Bromm B. (ed) Pain measurement in man. Neurophysiollogical correlate of pain. Elsevier, Amsterdam, pp 87–110

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Saravane.

About this article

Cite this article

Saravane, D. Historique de la douleur en santé mentale. Douleur analg 24, 171–175 (2011). https://doi.org/10.1007/s11724-011-0256-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11724-011-0256-6

Mots clés

Keywords

Navigation