The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis.
The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis.
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DOI：
10.1016/j.ocarto.2022.100267
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Haugen, Ida K.
中科院分区：
文献类型：
--
作者：
Mulrooney, Elisabeth;Neogi, Tuhina;Dagfinrud, Hanne;Hammer, Hilde Berner;Pettersen, Pernille Steen;Gaarden, Torfinn L.;Engedal, Knut;Kvien, Tore K.;Magnusson, Karin;Haugen, Ida K.
检查心理症状和认知模式是否与手部骨关节炎(OA)患者自我报告的疼痛和疼痛敏感化有关。在非手部研究中(n==300)，手部骨关节炎患者自我报告心理症状(医院焦虑和抑郁量表)、认知模式(疼痛灾害量表和关节炎自我效能量表)以及他们手部疼痛的严重程度、全身疼痛和多关节疼痛。中枢性痛敏反应通过时间总和和压力痛阈值测试进行临床测量。我们使用线性回归检验了心理症状和认知模式是否与疼痛有关。给出了自变量每标准差的贝塔系数(β)。在有显著交互作用的情况下进行分层分析(p><；>=0.10)。在数字评定量表中，焦虑、抑郁症状和疼痛灾难性程度越高，自我效能水平越低，手部疼痛水平越高(β和分别为0.43、0.48和−0.57)。在总体疼痛方面也发现了类似的关联，但在中枢疼痛敏感化的衡量标准上则没有。在分层分析中，在年龄较小和共病负担较高的亚组中，焦虑和抑郁症状与疼痛的相关性更强。在年龄较小、超重/肥胖、共病负担较高和睡眠不佳的亚组中，疼痛灾变与疼痛的相关性更强。心理症状和认知模式与自我报告的骨性关节炎疼痛有关，特别是在年龄较小、超重/肥胖、共病负担较高和睡眠不佳的人中。没有发现心理症状和认知模式与疼痛敏感化有关。
To examine whether psychological symptoms and cognitive patterns are associated with self-reported pain and pain sensitization in people with hand osteoarthritis (OA). In the Nor-Hand study (n = 300), people with hand OA self-reported psychological symptoms (Hospital Anxiety and Depression Scale), cognitive patterns (Pain catastrophizing Scale and Arthritis Self-Efficacy Scale) as well as their pain severity in hands, overall pain and multi-joint pain. Central pain sensitization was measured clinically by temporal summation and pressure pain threshold tests. We examined whether psychological symptoms and cognitive patterns were cross-sectionally associated with pain using linear regression. Beta coefficients (β) per one standard deviation of the independent variable were presented. Stratified analyses were performed in cases of significant interactions (p < 0.10). Higher levels of anxiety, depressive symptoms and pain catastrophizing and low levels of self-efficacy were statistically significantly associated with higher levels of hand pain by Numeric Rating Scale (β = 0.43, 0.48 and −0.57, respectively). Similar associations were found for overall pain, but not for measures of central pain sensitization. In stratified analyses, anxiety and depressive symptoms were more strongly related with pain in subgroups with younger age and higher comorbidity burden. Pain catastrophizing was more strongly related with pain in subgroups with younger age, overweight/obesity, higher comorbidity burden and poor sleep. Psychological symptoms and cognitive patterns were associated with self-reported OA pain, especially in people with younger age, overweight/obesity, higher comorbidity burden and poor sleep. No associations were found for psychological symptoms and cognitive patterns with pain sensitization.
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影响因子：
27.4
作者：
Haugen, Ida Kristin;Boyesen, Pernille;Kvien, Tore K.
通讯作者：
Kvien, Tore K.
影响因子：
7
作者：
Hawker, G. A.;Stewart, L.;Gooberman-Hill, R.
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Gooberman-Hill, R.
影响因子：
4.7
作者：
BOBEY, MJ;DAVIDSON, PO
通讯作者：
DAVIDSON, PO
影响因子：
4.1
作者：
Gaarden, Torfinn Lodoen;Engedal, Knut;Castellheim, Albert
通讯作者：
Castellheim, Albert
影响因子：
2.3
作者：
Fernandes L;Storheim K;Lochting I;Grotle M
通讯作者：
Grotle M