Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with multiple sclerosis and pain

Osborne, Travis L.; Jensen, Mark P.; Ehde, Dawn M.; Hanley, Marisol A.; Kraft, George H.

doi:10.1016/j.pain.2006.07.017

Cited by 158 publications

(148 citation statements)

References 47 publications

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“…Truini et al's study reports trigeminal neuralgia with 2-5%, Lhermitte finding with 15%, extremity pain with 12-18%, painful tonic spasms with 6-12%, tension type headaches with 21%, migraine with 34% and treatment related pain with ?% (unknown) prevalence (8). There are various other reports (4,(12)(13)(14).…”

Section: Discussionmentioning

confidence: 98%

“…It is classified as acute, subacute and chronic in addition to being investigated as neurological and non-neurological pain. While inflammation is held accountable for neurological pain, conditions like spasticity, osteoporosis, bladder dysfunction and infections can be the cause of non-neurological pain (13). These pains are mostly muscle and joint pains.…”

Section: Discussionmentioning

confidence: 99%

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Multipl sklerozda ağrı ve klinik özelliklerle ilişkisi

Akpınar¹,

Tokgöz²,

Gümüş³

2014

tnd

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Objective: Multiple sclerosis (MS) is an autoimmune-neurodegenerative disease of the central nervous system. The prevalence of pain is between 29% and 86% and besides neuropathic pain, somatic pain types may also emerge together or separately. In this study we aimed to analyze the relationship between pain and other clinical features in MS. Ma te ri als and Met hods: One-hundred cases who were followed in MS clinic and who have complaints of pain, were included in this study. We evaluated pain type and localization during patients were filling in the forms. We applied Visual Pain Scale (VPS), Ashworth Spasticity Scale (ASS) and Beck Depression Scale (BDS). Re sults: When female and male patients were compared, there were no statistical differences between age, disease duration and EDDS scores. Seventy seven percent of cases complained of neuropathic pain, 21% of cases had Lhermitte symptoms. Trigeminal neuralgia has been observed in 1% of cases and 55% of neuropathic extremity pain. In 60% of the cases nociceptive pains, in 12% of the cases joint-extremity-muscle pain, in 47% headache and in 1% painful tonic spasms were present. Pain depending on the treatment was observed only in 2% of the cases. The pain score was high in patients with spasticity and depression. Although there was reasonable positive correlation between age, EDDS score and VPS, poor correlation was obtained between disease period and number of attacks. Conclusion: These findings indicate that MS pain is related with spasticity, disability and depression and these clinical findings should be taken into account during pain treatment. (Turkish Journal of Neurology 2014; 20:79-83) Key Words: Multiple sclerosis, pain, neuropathic pain, headache, trigeminal neuralgia Amaç: Multipl Skleroz (MS), santral sinir sisteminin otoimmün-nörodejeneratif bir hastalığıdır. Ağrı prevalansının %29-%86 arasında değiştiği bu hastalıkta nöropatik, somatik ağrı tipleri bir arada veya tek olarak ortaya çıkabilir. Bu çalışmada MS'te ağrı ve diğer klinik özellikler arasındaki ilişkiyi araştırmayı amaçladık. Ge reç ve Yön tem: Çalışmaya MS polikliniğinde takip edilen ve ağrı şikayeti olan 100 olguyu dahil ettik. Olgulara hazırladığımız anket formunu doldurtarak ağrı tipi ve lokalizasyonunu sorguladıktan sonra Vizüel Ağrı Skalası (VAS), Ashworth Spastite Skalası (ASS) ve Beck Depresyon Ölçeği (BDÖ) uyguladık. Bulgular: Kadın ve erkek hastalar karşılaştırıldığında yaş, hastalık süresi, atak sayısı, EDSS skorları arasında istatistiksel olarak anlamlı fark yoktu. Olguların %77'sinde nöropatik ağrı; %21'inde Lhermitte belirtisi, %1'inde trigeminal nevralji, %55'inde nöropatik ekstremite ağrısı vardı. Olguların %60'ında nosiseptif ağrı; %12'sinde yaygın eklem-ekstremite kas ağrısı, %47'sinde baş ağrısı, %1'inde ağrılı tonik spazm mevcuttu. Olguların sadece %2'sinde tedaviye bağlı ağrı vardı. Ağrı skoru, spastisitesi ve depresyonu olanlarda anlamlı derecede yüksekti. Yaş ve EDSS skoru ile VAS arasında orta derecede pozitif korelasyon varken, hastalık süresi ve atak sayısı ile...

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Multipl sklerozda ağrı ve klinik özelliklerle ilişkisi

Akpınar¹,

Tokgöz²,

Gümüş³

2014

tnd

View full text Add to dashboard Cite

show abstract

“…27,30,33,34,48 Further, psychosocial influences on the pain experience have widely been acknowledged in the literature. 7,23,36,44,46 Using an online experimental design, the present study had four objectives. First, we investigated the effects of both absence or presence of medical evidence and psychosocial influences on healthcare practitioner (physiotherapists and general practitioners) appraisals (i.e., estimates of pain, interference, sympathy, adequacy of pain medication and self-efficacy)…”

Section: Introductionmentioning

confidence: 99%

Health Care Professionals' Reactions to Patient Pain: Impact of Knowledge About Medical Evidence and Psychosocial Influences

Ruddere

Goubert

Stevens

et al. 2014

The Journal of Pain

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AND PERSPECTIVEThis study examined the impact of evidence concerning the presence of: a) a biomedical basis for pain, and b) psychosocial influences, on practitioner appraisals of patient pain experiences.Further, the potential moderating role of patient pain behaviour was examined. In an online study, 52 general practitioners (GPs) and 46 physiotherapists (PTs) viewed video sequences of 4 patients manifesting pain, with accompanying vignettes describing presence or absence of medical evidence and psychosocial influences. Participants estimated pain intensity, daily interference, felt sympathy, effectiveness of pain medication, self-efficacy, their likability and suspicions of deception. Primary findings indicated lower perceived pain and daily interference, less sympathy, lower expectations of medication impact, and less self-efficacy when medical evidence was absent. The same results were found when psychosocial influences were present, but only when the patient displayed higher levels of pain behavior.Further, absence of medical evidence was related to less positive evaluations of the patients and to higher beliefs in deception in both professions. The presence of psychosocial influences was related to less positive evaluations and higher beliefs in deception in both professions. In sum, a range of contextual factors influence healthcare practitioner responses to patient pain. Implications for caregiving behavior are discussed.Perspective: The present study indicates that in the absence of clear medical evidence and in the presence of psychosocial influences patient pain might be taken less seriously by healthcare practitioners. These findings are important to further understand the difficulties that relate to the clinical encounter between pain patients and healthcare practitioners.

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“…Most affected were items that could be classified as mobility-related and physically demanding, underlining the importance of developing and using evidence-based exercise treatments and rehabilitation to increase independence in persons with MS. The association between psychosocial factors and pain intensity in MS patients was analyzed by Osborne et al; these authors concluded that social support may be important for adjustment to pain in persons with MS [29].…”

Section: Discussionmentioning

confidence: 99%

Anxiety and social activities in multiple sclerosis patients

Leonavičius

Adomaitienė

2012

Open Medicine

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AbstractDespite that the prevalence of depression has been thoroughly analyzed in multiple sclerosis (MS) patients and affects approximately 15%–20% of the MS population, attention paid to social activities concomitant with anxiety is still too sporadic. The aim of this study was to find the prevalence of anxiety and social activities aggraded/aggravated with anxiety in the MS population in Lithuania and to analyze how it correlates with socio-demographic factors, clinical outcomes of MS and depression. Three hundred twelve MS patients took part in this study; anxiety prevalence was pointed in 20.2%. Only 23.4% of the study population was socially active. Our study shows a significant level of anxiety and low level of social activity in people with MS. Anxiety in MS patients was strongly related with younger age, shorter MS duration, prevalence of depression and lower level of social activity. A higher level of social activity was significantly related with older urban MS patients who indicated family status as living together and longer MS duration.

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Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with multiple sclerosis and pain

Cited by 158 publications

References 47 publications

Multipl sklerozda ağrı ve klinik özelliklerle ilişkisi

Multipl sklerozda ağrı ve klinik özelliklerle ilişkisi

Health Care Professionals' Reactions to Patient Pain: Impact of Knowledge About Medical Evidence and Psychosocial Influences

Anxiety and social activities in multiple sclerosis patients

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