Is Pain Intensity Really That Important to Assess in Chronic Pain Patients? A Study Based on the Swedish Quality Registry for Pain Rehabilitation (SQRP)

被引:48
作者
Milton, Maria Bromley [1 ]
Borsbo, Bjorn [1 ,4 ]
Rovner, Graciela [3 ]
Lundgren-Nilsson, Asa [3 ]
Stibrant-Sunnerhagen, Katharina [3 ]
Gerdle, Bjorn [1 ,2 ]
机构
[1] Linkoping Univ, Fac Hlth Sci, Dept Med & Hlth Sci IMH, Linkoping, Sweden
[2] Linkoping Univ Hosp, Pain & Rehabil Ctr, Cty Council, S-58185 Linkoping, Sweden
[3] Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Gothenburg, Sweden
[4] Cty Hosp Ryhov, Clin Dept Rehabil Med, Jonkoping, Sweden
来源
PLOS ONE | 2013年 / 8卷 / 06期
关键词
MULTIDIMENSIONAL SUCCESS CRITERIA; COGNITIVE-BEHAVIORAL THERAPY; MUSCULOSKELETAL PAIN; MENTAL-DISORDERS; CLINICAL-TRIALS; FEAR-AVOIDANCE; RISK-FACTORS; BACK-PAIN; CENTRAL SENSITIZATION; FIBROMYALGIA PATIENTS;
D O I
10.1371/journal.pone.0065483
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Incorporating the patient's view on care and treatment has become increasingly important for health care. Patients describe the variety of consequences of their chronic pain conditions as significant pain intensity, depression, and anxiety. We hypothesised that intensities of common symptoms in chronic pain conditions carry important information that can be used to identify clinically relevant subgroups. This study has three aims: 1) to determine the importance of different symptoms with respect to participation and ill-health; 2) to identify subgroups based on data concerning important symptoms; and 3) to determine the secondary consequences for the identified subgroups with respect to participation and health factors. Methods and Subjects: This study is based on a cohort of patients referred to a multidisciplinary pain centre at a university hospital (n = 4645, participation rate 88%) in Sweden. The patients answered a number of questionnaires concerning symptoms, participation, and health aspects as a part of the Swedish Quality Registry for Pain Rehabilitation (SQRP). Results: Common symptoms (such as pain intensity, depression, and anxiety) in patients with chronic pain showed great variability across subjects and 60% of the cohort had normal values with respect to depressive and anxiety symptoms. Pain intensity more than psychological symptoms showed stronger relationships with participation and health. It was possible to identify subgroups based on pain intensity, depression, and anxiety. With respect to participation and health, high depressive symptomatology had greater negative consequences than high anxiety. Conclusions: Common symptoms (such as pain intensity and depressive and anxiety symptoms) in chronic pain conditions carry important information that can be used to identify clinically relevant subgroups.
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页数:13
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