Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

Walankar, Prachita; Panhale, Vrushali; Patil, Manali M

doi:10.4081/hpr.2020.8874

Cited by 21 publications

(27 citation statements)

References 36 publications

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“…Observations in the setting of chronic pain (pain persisting longer than 3 months) usually exceed the duration of the noxious stimulus and have deleterious effects on the psychosocial elements of the individual (Hart et al, 2000;Treede et al, 2019;Walankar et al, 2020). Although chronic pain has long been shown to alter cognitive outcomes, emerging studies over the past decade have drawn particular attention to the multi-dimensional effects of pain on various cognitive domains (Nadar et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Cognition and Pain: A Review

2021

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Cognition is defined as the brain’s ability to acquire, process, store, and retrieve information. Pain has been described as an unpleasant sensory or emotional experience, and for experiencing pain consciously, cognitive processing becomes imperative. Moreover, evaluation of pain strongly depends on cognition as it requires learning and recall of previous experiences. There could be a possible close link between neural systems involved in cognition and pain processing, and studies have reported an association between pain and cognitive impairment. In this narrative review, we explore the available evidence that has investigated cognitive changes associated with pain. We also examine the anatomical, biochemical, and molecular association of pain and neuro-cognition. Additionally, we focus on the cognitive impairment caused by analgesic medications. There is a need to improve our understanding of pathophysiology and cognitive impairment mechanisms associated with chronic pain and its treatment. This area provides a diverse opportunity for grounding future research, aiding institution of timely interventions to prevent chronic pain and associated cognitive decline, ultimately improving patient care.

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Section: Introductionmentioning

confidence: 99%

Cognition and Pain: A Review

2021

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“…Central sensitization is characterized by an increased excitability of central nociceptive circuits, caused by hypersensitivity to sensory inputs, even in the absence of inflammation or other peripheral noxious stimuli [ 87 ]. High scores on the central sensitization scale were positively correlated with high disability in a Dutch study of patients with chronic spinal pain [ 22 ], other musculoskeletal pain disorders [ 21 , 23 ], or pain-related disability after oncological surgery [ 24 ]. Taken together, women with endometriosis who experience high disability may be at risk for central sensitization and at a higher risk for chronification of their pain; therefore, they may benefit from additional therapeutic options with centrally acting treatments, such as pregabalin or duloxetine [ 87 ].…”

Section: Discussionmentioning

confidence: 99%

“…As a result of their chronic pain, women with endometriosis experience a significant increase in physical and mental disabilities, and a decrease in their quality of life compared with that of normative populations [ 2 , 15 , 16 , 17 , 18 , 19 , 20 ]. Moreover, correlations between central sensitization and pain-induced disability have been reported in various chronic pain conditions, such as chronic spinal pain, musculoskeletal pain, and chronic pain in patients with cancer [ 21 , 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic

Schwab

Stewen

Kottmann³

et al. 2022

IJERPH

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(1) Background: The main aim of this research was to examine the factors leading to pain-induced disability by assessing the impact of demographic, endometriosis-specific, pandemic-specific, and mental health factors. (2) Methods: Women with endometriosis who attended online support groups were invited to respond to an online survey during the first wave of the COVID-19 pandemic in Germany. The Pain Disability Index (PDI) was employed to assess disability-related daily functioning. Independent predictors of pain-induced disability were determined using univariate and multivariate logistic regression analyses. (3) Results: The mean PDI score of the study population was 31.61 (SD = 15.82), which was significantly higher (p < 0.001) than that reported in a previously published normative study of the German population. In the present study, a high level of pain-induced disability, as defined by scores equal to or higher than the median of the study population, older age (OR 1.063, 95% CI 1.010–1.120, p = 0.020), dysmenorrhea (OR 1.015, 95% CI 1.005–1.026, p = 0.005), dysuria (OR 1.014; 95% CI 1.001–1.027, p = 0.029), lower back pain (OR 1.018, 95% CI 1.007–1.029, p = 0.001), and impaired mental health (OR 1.271, 95% CI 1.134–1.425, p < 0.001) were found to be independent risk factors. Pandemic-specific factors did not significantly influence the pain-induced disability of the participants in this study. (4) Conclusions: The level of pain-induced disability was significantly higher among the women with endometriosis than among women in the normative German validation study. Our findings identified risk factors for experiencing a high level of pain-induced disability, such as demographic and specific pain characteristics. Pandemic-specific factors did not significantly and independently influence the pain-induced disability during the first wave of the COVID-19 pandemic in Germany. Impaired mental health negatively influenced functioning during daily activities. Thus, women with endometriosis should be managed by a multidisciplinary team of healthcare professionals to prevent negative effects of pain-induced disability on their quality of life.

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“…Shoulder pain and disability lower quality of life [ 9 , 10 ]. An individual’s assessment of satisfaction with the physical, mental, social, and psychological aspects of life is defined as quality of life [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women

Lee

2022

Health Qual Life Outcomes

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Background This study analyzed the mediating effects of shoulder pain, disability, and depression on the relationship between stress and health-related quality of life among middle-aged women using a serial mediation model. Methods. Data on stress, health-related quality of life, shoulder pain, shoulder disability, and depression were collected from 565 women aged 35–64 years living in Seoul, South Korea, from May 13 to 23, 2021, using a self-reported, structured survey. SPSS PROCESS macro (Model 6) and serial mediation analysis were used to analyze the relationship between stress and health-related quality of life among participants, with shoulder pain, shoulder disability, and depression as mediators. Results. The results indicate that stress had a statistically direct impact on health-related quality of life. In the serial mediation analysis, shoulder pain, disability, and depression were found to be statistically significant, thus affecting the relationship between stress and health-related quality of life, with an explanatory power of 33%. Therefore, the relationship between stress and health-related quality of life was partially mediated by these variables. Conclusions. Thus, this study suggests the need for healthcare workers to develop methods, such as exercise intervention programs based on various degrees and types of physical activity, to improve health-related quality of life and reduce stress caused by shoulder pain, shoulder disability, and depression among middle-aged women.

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Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

Cited by 21 publications

References 36 publications

Cognition and Pain: A Review

Cognition and Pain: A Review

Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic

Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women

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