Do psychological states associate with pain and disability in chronic neck pain patients?
Do psychological states associate with pain and disability in chronic neck pain patients?
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DOI：
10.3233/bmr-150587
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发表时间：
2015-01-01
影响因子：
1.6
通讯作者：
Oldham, Jacqueline
中科院分区：
文献类型：
--
作者：
Dimitriadis, Zacharias;Kapreli, Eleni;Oldham, Jacqueline
背景：慢性颈部疼痛是最常见的神经肌肉骨骼疼痛病症之一，可导致患者慢性残疾。与其他疼痛状况类似，这些患者心理状态的变化被认为与他们的疼痛状况和残疾有关。然而，特发性颈部疼痛患者的心理状态与其疼痛强度和残疾之间的关系却很少被探讨。 目的：本研究旨在调查慢性特发性颈部疼痛患者的心理状态（焦虑、抑郁、运动恐惧症、灾难化）与自我报告的疼痛和残疾之间的关系。方法：45 名特发性慢性颈部疼痛患者（6 个月以上，每周至少一次）参与研究。他们的心理状态通过医院焦虑和抑郁量表、疼痛灾难化量表和坦帕运动恐惧量表进行评估。自我报告的残疾情况记录在颈部残疾指数中。使用视觉模拟量表记录疼痛强度。结果：颈部疼痛强度与焦虑显着相关（p < 0.05）。残疾与焦虑、抑郁和灾难化显着相关（p < 0.05）。多元回归分析显示，焦虑和灾难化可以显着预测疼痛引起的残疾（p < 0.05）。结论：可以得出结论，慢性颈部疼痛患者的焦虑、抑郁和灾难化与其自我报告的残疾有关，而焦虑也与其疼痛强度有关。焦虑和灾难化可能是患者自我报告残疾的重要预测标志。
BACKGROUND: Chronic neck pain is one of the most usual neuromusculoskeletal pain conditions which can lead patients to chronic disability. Similarly to other pain conditions, the changed psychological status of these patients is believed to be associated with their pain condition and disability. However, the association between the psychological status of patients with idiopathic neck pain and their pain intensity and disability is minimally explored.OBJECTIVE: This study was aimed at investigating the association between psychological states (anxiety, depression, kinesiophobia, catastrophizing) of patients with chronic idiopathic neck pain and self-reported pain and disability.METHODS: Forty five patients with idiopathic chronic neck pain (more than 6 months, at least once a week) participated. Their psychological states were assessed by using the Hospital Anxiety and Depression scale, Pain Catastrophizing scale and Tampa Scale for Kinesiophobia. Self-reported disability was recorded with the Neck Disability Index. Pain intensity was recorded by using a visual analog scale.RESULTS: Neck pain intensity was significantly correlated with anxiety (p < 0.05). Disability was significantly correlated with anxiety, depression and catastrophizing (p < 0.05). Multiple regression analysis showed that pain-induced disability can be significantly predicted by anxiety and catastrophizing (p < 0.05).CONCLUSIONS: It can be concluded that anxiety, depression and catastrophizing of patients with chronic neck pain is associated with their self-reported disability, whereas anxiety is also associated with their pain intensity. Anxiety and catastrophizing may be important predicting markers of patients' self-reported disability.