Chronic pain in a large community sample of persons with multiple sclerosis

Ehde, Dawn M.; Gibbons, Laura E.; Chwastiak, Lydia; Bombardier, Charles H.; Sullivan, Mark D.; Kraft, George H.

doi:10.1191/1352458503ms939oa

Cited by 164 publications

(187 citation statements)

References 31 publications

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“…Some previous studies have reported that MS-related disability is associated with pain, 3,6 whereas others have found no association. 34,35 Possible explanations for conflicting findings include vast differences in sample sizes (with larger, survey studies more likely to find significant associations), different aspects of pain explored (acute pain, chronic pain, experience of any pain, frequency, intensity, or pain interference), different instruments used to measure different aspects of pain, and differences in how MS-related disability is measured (clinical examination or self-report).…”

Section: Discussionmentioning

confidence: 85%

“…3,4 Pain often interferes with activities of daily living and sleep, compromising occupational and social roles for many. 5,6 People experience various types of pain, including central neuropathic pain (eg, dysesthetic extremity pain, tonic muscle spasm, or trigeminal neuralgia), musculoskeletal pain (such as low back pain), or mixed neuropathic and nonneuropathic forms of pain (eg, headaches).…”

mentioning

confidence: 99%

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Association Between Pain and Mindfulness in Multiple Sclerosis

Senders¹,

Borgatti²,

Hanes³

et al. 2018

International Journal of MS Care

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Background: Chronic pain is a common symptom in people with multiple sclerosis (MS) and often requires a multimodal approach to care. The practice of mindfulness has been shown to decrease the experience of pain in other conditions, yet little is known about the relationship between mindfulness and pain in people with MS. The objective of this study was to evaluate the association between pain interference and trait mindfulness in people with MS.

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Section: Discussionmentioning

confidence: 85%

mentioning

confidence: 99%

Association Between Pain and Mindfulness in Multiple Sclerosis

Senders¹,

Borgatti²,

Hanes³

et al. 2018

International Journal of MS Care

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show abstract

“…Osterberg et al (45) surveyed 364 patients registered in their multiple sclerosis clinic and found that 27.5% had central pain, including almost 5% with trigeminal neuralgia. Most of the time the pain was severe, occurred daily, lasted years and was rated by the patients as a heavy burden (46).…”

Section: Multiple Sclerosismentioning

confidence: 99%

Prevalence of Neuropathic Pain and the Need for Treatment

Morley-Forster¹

2006

Pain Research and Management

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Recent publications have suggested that more than two million adults in the United States suffer from neuropathic pain, but this number seems to be a significant underestimate. The prevalence of neuropathic pain from diabetes and postherpetic neuralgia alone, using the most conservative estimates of incidence, would equal two million Americans. Lesions of the nervous system responsible for pain genesis can occur either in the central or the peripheral nervous system. The most common causes of peripheral neuropathic pain syndromes worldwide are diabetes, HIV infection, cancer-related neuropathy (due to tumour invasion, surgical nerve damage, radiation or chemotherapy-induced nerve damage) and lumbar degenerative disc disease. Other less common, but significant, sources of suffering are postherpetic neuralgia, complex regional pain syndrome, phantom limb pain and postsurgical nerve trauma. Central neuropathic pain can be caused by stroke (infarct or hemorrhage), multiple sclerosis, spinal cord injury and syringomyelia. Certain pain syndromes such as trigeminal neuralgia and vulvodynia, although clearly neuropathic and a source of tremendous suffering, are not discussed in the present article due to space constraints. There is an unmet need for the treatment of neuropathic pain as evidenced by reports of pain despite the use of opioids and anticonvulsants, continuing psychological difficulties, lack of access to treatments and patients seeking access to complementary therapy.

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“…Participants were selected from a sample of community-dwelling persons with MS who had previously been contacted through the Multiple Sclerosis Association (MSA) of King County, Washington, USA, as part of a survey that assessed a variety of symptoms and other aspects of living with MS [26][27][28] and who indicated that they were interested in being contacted in the future regarding additional research studies. A consent form and a cover letter inviting the potential study participants to participate in the study accompanied each survey.…”

Section: Sample Populationmentioning

confidence: 99%

Measuring participation in people living with multiple sclerosis: A comparison of self-reported frequency, importance and self-efficacy

Yorkston

Kuehn

Johnson

et al. 2008

Disability and Rehabilitation

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Purpose-To compare three dimensions related to participation in everyday situations in community-dwelling adults with multiple sclerosis (MS).Methods-Mail survey was obtained from 112 respondents. Data were analyzed using Kendall's tau-b correlation coefficients between responses to participation items relative to three question dimensions (importance, frequency, and self-efficacy) and criterion variables (mobility, depression, general health, fatigue and pain).Results-No significant associations were found between item responses in the importance dimension and the criterion variables. Weak associations were found for items in the frequency dimension, and stronger associations were found for items in the self-efficacy dimension.Conclusions-Different dimensions of participation in specific life situations yielded different responses and associations of those responses with key criterion measures. Subjective importance of participating in everyday situations is relatively independent of measures of mobility, general health, depression, fatigue and pain. Subjective judgments of self-efficacy for participation are more closely linked to these criterion measures. Caution is warranted when interpreting scales of participation because participation is a complex construct, potentially composed of several dimensions.

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Chronic pain in a large community sample of persons with multiple sclerosis

Abstract: Approximately a fourth of this sample described having a chronic pain problem characterized by severe pain intensity and significant pain-related interference with activities. Disability due to pain may be more important than previously recognized for the MS population.

Cited by 164 publications

References 31 publications

Association Between Pain and Mindfulness in Multiple Sclerosis

Association Between Pain and Mindfulness in Multiple Sclerosis

Prevalence of Neuropathic Pain and the Need for Treatment

Measuring participation in people living with multiple sclerosis: A comparison of self-reported frequency, importance and self-efficacy

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