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Personality traits in chronic pain patients related to endorphin levels in cerebrospinal fluid
Authors:Folke Johansson  Bela GL Almay  Lars von Knorring  Lars Terenius  Monica strm
Institution:1. Folke Johansson, M.D., and Bela G. L. Almay, M.D., are both Senior Neurologists, Department of Neurology, Umeå University, Umeå, Sweden;2. Lars von Knorring, M.D. is Associate Professor and Monica Åström, Ph.D., is Associate Research Psychologist, Department of Psychiatry, Umeå University, Umeå, Sweden;3. Lars Terenius, M.D. is Professor, Department of Pharmacology, Uppsala University, Uppsala, Sweden
Abstract:Interindividual differences in endorphin levels may relate to widespread changes in adaptive processes, and endorphin levels may thus be related to personality traits. In 40 patients with chronic pain syndromes of both psychogenic and organic origin, endorphin levels in cerebrospinal fluid (CSF) were determined, and the patients completed Eysenck's Personality Inventory (EPI) and the Cesarek Marke Personality Scheme. Twenty-seven of the patients also completed the Zuckerman Sensation Seeking Scale (SSS). As a comparison group 30 healthy volunteers completed the personality inventories. The chronic pain patients were characterized by guilt feelings, need for order, low need for autonomy, and low tendency toward sensation seeking. Low levels of endorphins in CSF were found in patients with high scores on all the subscales in the SSS and low scores on the neuroticism subscale in the EPI.
Keywords:Endorphins  Eysenck's Personality Inventory  Cesarek Marke Personality Scheme  Sensation Seeking Scale  chronic pain patients
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