Introduction: Patient clinician interaction is an important component of Abnormal Illness Behaviours (AIB) and can have significant impact on the patients’ as well health care settings. AIB has been measured more with self-report scales compared to objective rating scales. This study assessed patient clinician interaction among in chronic pain using an objective scale, Illness Behaviour Assessment Schedule (IBAS).
Method: Details of demography and illness were collected using a semis-structured schedule. IBAS was administered to 301 adult subjects with chronic non-organic pain to assess patient clinical interaction and illness behaviour patterns.
Findings: Majority of the sample consisted of women (N=208; 69%). The mean duration of pain symptoms in years was 5.78± 5.43. Majority of the subjects did not acknowledge or were not sure of receiving any explanation for their illness. Subjects recalled the causal explanation as having both psychological and somatic causes. Nearly 70% of the subjects attributed their affective disturbance to somatic problems. Gender differences were noted in communication of affect with more men having moderate to marked inhibition. (Chi square 7.78, p=0.005).
Conclusions: This study highlights that patients often do not recall the explanations provided for their symptoms and may attribute their symptoms based on their own beliefs. This may correlate to abnormal illness behaviours. It is important to patient clinician interaction regarding the pain symptoms and attribution for appropriate management.