Chronic pain in the Republic of Ireland-Community prevalence, psychosocial profile and predictors of pain-related disability: Results from the Prevalence, Impact and Cost of Chronic Pain (PRIME) study, Part 1
Chronic pain in the Republic of Ireland-Community prevalence, psychosocial profile and predictors of pain-related disability: Results from the Prevalence, Impact and Cost of Chronic Pain (PRIME) study, Part 1
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DOI：
10.1016/j.pain.2011.01.019
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发表时间：
2011-05-01
期刊：
影响因子：
7.4
通讯作者：
McGuire, Brian E.
中科院分区：
文献类型：
--
作者：
Raftery, Miriam N.;Sarma, Kiran;McGuire, Brian E.
Prime研究(慢性疼痛的患病率、影响和成本)的目的有3个方面：(1)确定爱尔兰慢性疼痛的时点流行率；(2)比较患有和不患有慢性疼痛的人的心理和身体健康状况；以及(3)探索疼痛相关残疾的预测模型。对3136人进行了邮寄调查，以具有代表性的社区成年人为样本。对社会人口统计变量、身体和心理健康、抑郁症状、疼痛的存在、疼痛严重程度、疼痛相关的残疾和疾病认知进行了测量。共收到1204人的回复。慢性疼痛发生率为35.5%(95%CI=32.8~38.2)(n=428)。未发现患病率的性别差异。疼痛的患病率随着年龄的增长而增加，并与体力工作有关。最常见的疼痛部位是下背部(47.6%)；然而，多个疼痛部位是常态，超过80%的参与者报告不止一个疼痛部位。大约12%的参与者因疼痛而无法工作或工作时间减少。在有慢性疼痛的人中，15%的人符合临床相关抑郁症的标准，而没有疼痛的人中这一比例为2.8%。预测67%的方差的多元回归分析表明，疼痛强度是疼痛相关残疾的最强预测因子。在控制了疼痛强度的影响后，抑郁和疾病感知也预测了疼痛相关的残疾。慢性疼痛在爱尔兰是一个普遍的健康问题，与严重的心理和功能残疾有关。心理因素似乎会影响疼痛相关残疾的程度。(C)2011年国际疼痛研究协会。爱思唯尔出版，版权所有。
The aims of the PRIME study (Prevalence, Impact and Cost of Chronic Pain) were 3-fold: (1) to determine the point prevalence of chronic pain in Ireland; (2) to compare the psychological and physical health profiles of those with and without chronic pain; and (3) to explore a predictive model of pain-related disability. A postal survey of 3136 people was conducted with a representative community-based sample of adults. Measures were obtained for sociodemographic variables, physical and psychological well-being, depressive symptoms, presence of pain, pain severity, pain-related disability, and illness perceptions. Responses were received from 1204 people. The prevalence of chronic pain was 35.5% (95% CI = 32.8-38.2) (n = 428). No gender difference in prevalence was found. Prevalence of pain increased with age and was associated with manual employment. The most commonly reported site of pain was the lower back (47.6%); however, multiple pain sites was the norm, with more than 80% of participants reporting more than 1 pain site. Approximately 12% of participants were unable to work or were on reduced work hours because of pain. Of those with chronic pain, 15% met the criteria for clinically relevant depression compared with 2.8% of those without pain. A multiple regression analysis, predicting 67% of variance, showed that pain intensity was the strongest predictor of pain-related disability. Depression and illness perceptions were also predictive of pain-related disability, after controlling for the effects of pain intensity. Chronic pain is a prevalent health problem in Ireland and is associated with significant psychological and functional disability. Psychological factors appear to influence the level of pain-related disability. (C) 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.