Pain Symptom Profiles in Persons with Spinal Cord Injury
Pain Symptom Profiles in Persons with Spinal Cord Injury
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DOI：
10.1111/j.1526-4637.2009.00713.x
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发表时间：
2009-10-01
期刊：
影响因子：
3.1
通讯作者：
Widerstrom-Noga, Eva G.
中科院分区：
文献类型：
--
作者：
Cruz-Almeida, Yenisel;Felix, Elizabeth R.;Widerstrom-Noga, Eva G.
目的：持续性疼痛是脊髓损伤的常见后果。量身定制的治疗方法需要结合疼痛症状识别和心理社会因素的针对患者的评估。这项研究的目的是定义脊髓损伤患者的疼痛症状特征，并确定其与心理社会因素的关系。设计、面对面的访谈和检查。背景：退伍军人医学中心和迈阿密治疗瘫痪项目，迈阿密，佛罗里达州。患者。脊髓损伤患者(135名男性和21名女性)提供了330例神经性疼痛的详细描述。结果：美国脊髓损伤分级，疼痛病史和疼痛干预措施，生活满意度，控制点，社会支持和抑郁。结果：探索性因素分析和回归分析发现三种明显的症状特征：1)疼痛，跳动，疼痛，寒冷的天气和随机性心理控制点和较低的生活满意度相结合预测的便秘；2)刺痛、穿透和持续的高强度疼痛，通过疼痛干扰、局部疼痛、强大的他人控制点和抑郁情绪的组合预测；以及3)因触摸和肌肉痉挛而加重的灼热、电击和刺痛。结论：虽然这些结果需要在其他脊髓损伤样本中复制，但我们的研究结果表明，疼痛症状谱可能是一种有用的方法，可以在综合评估策略中进一步表征疼痛。
Objective.Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury.Design.Face-to-face interview and examination.Setting.VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida.Patients.Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains.Outcome Measures.The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression.Results.The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference.Conclusions.Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.