Perception de la douleur en santé mentale

Goffaux, Ph.; Léonard, Guillaume; Lévesque, M.

doi:10.1007/978-2-8178-0307-4_4

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…3 Older adults living with chronic pain experience greater levels of depression and anxiety and decreased quality of life when compared with those living without pain. [4][5][6] In older adults, chronic musculoskeletal conditions and pain are also associated with important health implications, including decreased physical activity and mobility, reduced cognitive function and an increased risk of falls. 7 Pain intensity has been associated with an increased risk of falls, 8 altered movement patterns, 9 and an increased risk of chronic pain.…”

Section: Introductionmentioning

confidence: 99%

<p>Pain Intensity and Functional Outcomes for Activities of Daily Living, Gait and Balance in Older Adults Accessing Outpatient Rehabilitation Services: A Retrospective Study</p>

Pelletier¹,

Purcell-Lévesque²,

Girard³

et al. 2020

JPR

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Purpose: Older adults are referred for outpatient physical therapy to improve their functional capacities. The goal of the present study was to determine if pain had an influence on functional outcomes in older adults who took part in an outpatient physical rehabilitation program. Patients and Methods: A retrospective study was performed on the medical records of patients aged 65 and over referred for outpatient physical therapy to improve physical functioning (n=178). Pain intensity (11-point numeric pain scale) and results from functional outcome measures (Timed Up and Go [TUG], Berg Balance Scale [BBS], 10-meter walk test, 6-minute walk test and Functional Autonomy Measuring System [SMAF]) were extracted at initial (T1) and final (T2) consultations. Paired t-tests were performed to determine if there were differences in functional outcome measures between T1 and T2 in all the patients. Patients were stratified to those with pain (PAIN, n=136) and those without pain (NO PAIN, n=42). Differences in functional outcome measures between T1 and T2 (delta scores) were compared between groups with independent t-tests with Welch corrections for unequal variances. Pearson correlation coefficients between initial pain intensity and changes in functional outcome measures (T2-T1) were also performed. Correcting for multiple comparisons, a p-value of p≤0.01 was considered as statistically significant. Results: The TUG, BBS, 10-meter walk test, 6-minute walk test all demonstrated improvement between T1 and T2 (all p<0.01). There was no difference between groups for delta scores for TUG (p=0.14), BBS (p=0.03), 10-meter walk test (p=0.54), 6-minute walk test (p=0.94) and SMAF (p=0.23). Pearson correlation coefficients were weak between initial pain intensity and changes in functional outcome scores between T1 and T2 (r= −0.16 to 0.15, all p-values >0.10). Conclusion: These results suggest that pain is not an impediment to functional improvements in older individuals who participated in an outpatient physical rehabilitation program.

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Section: Introductionmentioning

confidence: 99%

<p>Pain Intensity and Functional Outcomes for Activities of Daily Living, Gait and Balance in Older Adults Accessing Outpatient Rehabilitation Services: A Retrospective Study</p>

Pelletier¹,

Purcell-Lévesque²,

Girard³

et al. 2020

JPR

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“…On the other hand, for the emotional component, the probability of having pain was lower only in patients with increased inhibition (apathetic). Notably, Kraepelin and Bleuler already suggested that affective flattening partially explains pain insensitivity [62]. Conversely, patients who reported emotional hyper-reactivity and normal reactivity were more prone to report pain.…”

Section: Discussionmentioning

confidence: 98%

Self-Reported Pain and Emotional Reactivity in Bipolar Disorder: A Prospective FACE-BD Study

Risch

Dubois

M’Baïlara

et al. 2022

JCM

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In patients with bipolar disorder (BD), pain prevalence is close to 30%. It is important to determine whether pain influences BD course and to identify factors associated with pain in BD in order to guide BD management. This naturalistic, prospective study used data on 880 patients with BD from the French FACE-BD cohort who were divided into two groups according to the presence or absence of pain. Multivariate models were used to test whether pain was associated with affective states and personality traits while controlling for confounders. Then, multivariate models were used to test whether pain at baseline predicted global life functioning and depressive symptomatology at one year. At baseline, 22% of patients self-reported pain. The pain was associated with depressive symptomatology, levels of emotional reactivity in a quadratic relationship, and a composite variable of personality traits (affective lability, affective intensity, hostility/anger, and impulsivity). At one year, the pain was predictive of depression and lower global life functioning. Pain worsens mental health and well-being in patients with BD. The role of emotions, depression, and personality traits in pain has to be elucidated to better understand the high prevalence of pain in BD and to promote specific therapeutic strategies for patients experiencing pain.

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Douleur en psychiatrie

Saravane

2015

Annales Médico-psychologiques, revue psychiatrique

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Perception de la douleur en santé mentale

Cited by 4 publications

References 38 publications

<p>Pain Intensity and Functional Outcomes for Activities of Daily Living, Gait and Balance in Older Adults Accessing Outpatient Rehabilitation Services: A Retrospective Study</p>

<p>Pain Intensity and Functional Outcomes for Activities of Daily Living, Gait and Balance in Older Adults Accessing Outpatient Rehabilitation Services: A Retrospective Study</p>

Self-Reported Pain and Emotional Reactivity in Bipolar Disorder: A Prospective FACE-BD Study

Douleur en psychiatrie

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