The complex interplay between pain intensity, depression, anxiety and catastrophising with respect to quality of life and disability
The complex interplay between pain intensity, depression, anxiety and catastrophising with respect to quality of life and disability
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DOI：
10.1080/09638280903110079
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发表时间：
2009-01-01
影响因子：
2.2
通讯作者：
Gerdle, Bjoern
中科院分区：
文献类型：
--
作者：
Boersbo, Bjoern;Peolsson, Michael;Gerdle, Bjoern
目的.根据抑郁、焦虑和灾难化的发生率以及疼痛持续时间和疼痛强度，确定慢性疼痛患者亚组。除此之外，亚组之间的关系与背景变量，诊断，疼痛相关的残疾和感知生活质量进行了调查。本研究纳入了433例慢性疼痛患者，包括47例脊髓损伤相关疼痛患者，150例慢性挥鞭样损伤相关疾病患者和236例纤维肌痛患者。参与者回答了一份邮寄问卷，问卷提供了背景数据、疼痛强度和持续时间以及心理和健康相关的项目。根据抑郁、焦虑、灾难化、疼痛强度和持续时间，我们确定了慢性疼痛患者的亚组，这些亚组在感知生活质量、残疾和诊断方面存在差异。心理因素，尤其是抑郁，显着影响知觉的生活质量和残疾。疼痛强度和持续时间在生活质量方面起次要作用，尽管疼痛强度与感知残疾相关。这项研究的结果强调了不将慢性疼痛患者视为同质实体的重要性。详细的评估，包括心理因素，重点是抑郁症状，可能是至关重要的规划和执行通过治疗和康复。
Purpose. To identify subgroups of patients with chronic pain based on the occurrence of depression, anxiety and catastrophising and the duration of pain and pain intensity. In addition to this, the relationship between the subgroups with respect to background variables, diagnosis, pain-related disability and perceived quality of life are investigated.Methods. This study used 433 patients with chronic pain including 47 patients with spinal cord injury-related pain, 150 with chronic whiplash associated disorders and 236 with fibromyalgia. The participants answered a postal questionnaire that provided background data, pain intensity and duration and psychological and health-related items.Results. On the basis of depression, anxiety, catastrophising, pain intensity and duration, we identified subgroups of patients with chronic pain that differed with respect to perceived quality of life, disability and diagnosis. The psychological factors, especially depression, significantly influenced perceived quality of life and disability. Pain intensity and duration play a minor role with respect to quality of life, although pain intensity is associated to perceived disability.Conclusions. The results of this study highlight the importance of not looking at patients with chronic pain as a homogenous entity. A detailed assessment, including psychological factors with emphasis on depressive symptoms, might be essential for planning and carrying through treatment and rehabilitation.