Is Pain Intensity Really That Important to Assess in Chronic Pain Patients? A Study Based on the Swedish Quality Registry for Pain Rehabilitation (SQRP).
Is Pain Intensity Really That Important to Assess in Chronic Pain Patients? A Study Based on the Swedish Quality Registry for Pain Rehabilitation (SQRP).
复制标题
DOI：
10.1371/journal.pone.0065483
复制
发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Gerdle B
中科院分区：
文献类型：
--
作者：
Bromley Milton M;Börsbo B;Rovner G;Lundgren-Nilsson A;Stibrant-Sunnerhagen K;Gerdle B
阐明病人对护理和治疗的看法对卫生保健越来越重要。患者将其慢性疼痛状况的各种后果描述为显著的疼痛强度、抑郁和焦虑。我们假设，慢性疼痛的常见症状强度携带着重要的信息，可用于识别临床相关的亚组。这项研究有三个目的：1）确定不同症状对参与和健康不良的重要性; 2）根据重要症状的数据确定亚组; 3）确定所确定的亚组在参与和健康因素方面的次要后果。本研究基于瑞典一所大学医院多学科疼痛中心的患者队列（n = 4645，参与率88%）。 作为瑞典疼痛康复质量登记处（SQRP）的一部分，患者回答了一些关于症状、参与和健康方面的问卷。慢性疼痛患者的常见症状（如疼痛强度、抑郁和焦虑）在不同受试者中表现出很大的变异性，60%的队列在抑郁和焦虑症状方面具有正常值。疼痛强度比心理症状表现出更强的参与和健康的关系。可以根据疼痛强度、抑郁和焦虑来确定亚组。在参与和健康方面，高抑郁情绪比高焦虑情绪有更大的负面影响。慢性疼痛状况中的常见症状（如疼痛强度和抑郁和焦虑症状）携带可用于识别临床相关亚组的重要信息。
Incorporating the patient's view on care and treatment has become increasingly important for health care. Patients describe the variety of consequences of their chronic pain conditions as significant pain intensity, depression, and anxiety. We hypothesised that intensities of common symptoms in chronic pain conditions carry important information that can be used to identify clinically relevant subgroups. This study has three aims: 1) to determine the importance of different symptoms with respect to participation and ill-health; 2) to identify subgroups based on data concerning important symptoms; and 3) to determine the secondary consequences for the identified subgroups with respect to participation and health factors. This study is based on a cohort of patients referred to a multidisciplinary pain centre at a university hospital (n = 4645, participation rate 88%) in Sweden. The patients answered a number of questionnaires concerning symptoms, participation, and health aspects as a part of the Swedish Quality Registry for Pain Rehabilitation (SQRP). Common symptoms (such as pain intensity, depression, and anxiety) in patients with chronic pain showed great variability across subjects and 60% of the cohort had normal values with respect to depressive and anxiety symptoms. Pain intensity more than psychological symptoms showed stronger relationships with participation and health. It was possible to identify subgroups based on pain intensity, depression, and anxiety. With respect to participation and health, high depressive symptomatology had greater negative consequences than high anxiety. Common symptoms (such as pain intensity and depressive and anxiety symptoms) in chronic pain conditions carry important information that can be used to identify clinically relevant subgroups.
登录
查看更多内容
影响因子：
7.4
作者：
Bergström, G;Jensen, IB;Carlsson, SG
通讯作者：
Carlsson, SG
影响因子：
4.8
作者：
BRESLAU, N;DAVIS, GC
通讯作者：
DAVIS, GC
影响因子：
3
作者：
Buitenhuis, Jan;de Jong, Peter J.
通讯作者：
de Jong, Peter J.
影响因子：
4
作者：
Gambassi, G.
通讯作者：
Gambassi, G.
影响因子：
4
作者：
Azevedo, Luis Filipe;Costa-Pereira, Altamiro;Castro-Lopes, Jose Manuel
通讯作者：
Castro-Lopes, Jose Manuel