The impact of chronic pain in the community
The impact of chronic pain in the community
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DOI：
10.1093/fampra/18.3.292
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发表时间：
2001-06-01
期刊：
影响因子：
2.2
通讯作者：
Penny, K
中科院分区：
文献类型：
--
作者：
Smith, BH;Elliott, AM;Penny, K
背景。众所周知，慢性疼痛在社区中非常常见。对于更严重或更严重的慢性疼痛的流行病学知之甚少。慢性疼痛对社区的总体健康、就业和日常活动干扰方面的影响尚未量化。目标。本研究的目的是描述社区中定义为“显着”和“严重”的慢性疼痛的患病率和分布，并探讨慢性疼痛对健康和活动的影响。方法。对苏格兰格兰屏地区的一般人群进行了问卷调查。调查问卷随机发送给 4511 名 25 岁及以上的个体，按年龄和性别分层，这些个体是从 29 个全科诊所的执业名单中选出的（执业人口总数 136 383 人）。研究工具包括一份病例定义调查问卷，从中识别出患有“任何慢性疼痛”（疼痛持续至少 3 个月）的个体。该工具还包括表达需求水平调查问卷和慢性疼痛等级调查问卷，从中得出“显着慢性疼痛”（基于报告的治疗需求和专业建议）和“严重慢性疼痛”（基于报告的强度和与疼痛相关的残疾）的定义。还包括 SF-36 一般健康问卷和人口统计问题。结果。在样本中，14.1% 的人报告“明显的慢性疼痛”，这种情况在女性和老年人群中更为普遍。共有 6.3% 的人报告“严重的慢性疼痛”，这在老年人群中更为常见。在多元逻辑回归模型中，发现女性性别、住房保有权、就业类别和教育程度与“显着”和“严重”慢性疼痛独立相关。 “任何”、“显着”和“严重”慢性疼痛的存在与就业、对日常活动的干扰以及一般健康的所有测量维度的不利关联逐渐变得更加明显。结论。将“显着慢性疼痛”和“严重慢性疼痛”与“任何慢性疼痛”的流行病学进行比较，可以了解慢性疼痛谱系中临床上更重要的一端。这些结果支持这样的观点，即慢性疼痛在其病因学和影响方面都是多维的，尤其是在这方面。这必须在管理和进一步研究中得到解决。
Background. Chronic pain is known to be very common in the community. Less is known about the epidemiology of more significant or severe chronic pain. The impact of chronic pain in the community, in terms of general health, employment and interference with daily activity, has not been quantified.Objectives. The aim of this study was to describe the prevalence and distribution in the community of chronic pain defined as 'significant' and 'severe', and to explore the impact of chronic pain on health and activity.Methods. A questionnaire survey was carried out of a sample drawn from the general population in the Grampian region of Scotland. Questionnaires were sent to a random sample of 4511 individuals aged 25 years and over, stratified for age and gender, selected from the practice lists of 29 general practices (total practice population 136 383). The study instrument included a case definition questionnaire, from which were identified individuals with 'any chronic pain' (pain of at least 3 months duration). The instrument also included a level of expressed need questionnaire and the chronic pain grade questionnaire, from which were derived definitions for 'significant chronic pain' (based on the reported need for treatment and professional advice) and 'severe chronic pain' (based on reported intensity and pain-related disability). The SF-36 general health questionnaire and demographic questions were also included.Results. Of the sample, 14.1% reported 'significant chronic pain', and this was more prevalent among women and older age groups. A total of 6.3% reported 'severe chronic pain', and this was more common in older age groups. On multiple logistic regression modelling, female gender, housing tenure, employment category and educational attainment were found to be independently associated with both 'significant' and 'severe' chronic pain. The presence of 'any', 'significant' and 'severe' chronic pain had progressively more marked adverse associations with employment, interference with daily activities and all measured dimensions of general health.Conclusions. Comparison of the epidemiology of 'significant chronic pain' and 'severe chronic pain' with 'any chronic pain' allows an understanding of the more clinically important end of the chronic pain spectrum. These results support the suggestion that chronic pain is multidimensional, both in its aetiology and in its effects, particularly at this end of the spectrum. This must be addressed in management and in further research.