Quality of life in chronic pain is more associated with beliefs about pain, than with pain intensity

Lamé, Inge; Peters, Madelon L.; Vlaeyen, Johan W.S.; Kleef, Maarten van; Patijn, Jacob

doi:10.1016/j.ejpain.2004.02.006

Cited by 295 publications

(246 citation statements)

References 42 publications

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“…Convergent validity was examined by investigating the strength of the relationship between the PCS scores and the scores for other pain-related constructs such as fear-avoidance, disability, depression, and somatization. Similar to the findings of previous studies (5,18,25,26) correlation coefficients for these relationships ranged from 0.31-0.61. This represents moderate agreement, which confirms that the PCS assesses a different construct, but one that is related to the above-mentioned constructs, and it can thus be considered suitable as part of the multidimensional battery of assessments in chronic LBP patients.…”

Section: Construct Validity Of the Pcssupporting

confidence: 79%

“…The underlying construct of chronic pain is complex, and biopsychosocial factors influence both its development and its maintenance: psychological components, such as unhelpful pain cognitions (4), depression and fearful or catastrophizing thoughts, can influence perceived pain, quality of life (5), physical performance (4,6), and subjective disability (6).…”

Section: Introductionmentioning

confidence: 99%

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Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale

Meyer¹,

Sprott²,

Mannion

2008

Journal of Psychosomatic Research

223

181

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OBJECTIVE: In patients with chronic pain, catastrophizing is a significant determinant of self-rated pain intensity and disability. The Pain Catastrophizing Scale (PCS) was developed to assist with both treatment planning and outcome assessment; to date, no German version has been validated. METHODS: A cross-cultural adaptation of the PCS into German was carried out, strictly according to recommended methods. A questionnaire booklet containing the PCS, visual analogue scales (numeric rating scale) for pain intensity and general health, the ZUNG self-rating depression scale, the Modified Somatic Perception Questionnaire (MSPQ), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Roland-Morris (RM) disability questionnaire was completed by 111 patients with chronic low back pain (mean age, 49 years), 100 of which also completed it again 7 days later. RESULTS: Cronbach's alpha (internal reliability) for the three subsections of the PCS--helplessness, magnification, rumination--and for the whole questionnaire (PCSwhole) were .89, .67, .88, and .92, respectively. The intraclass correlation coefficients of agreement for the reproducibility were .81, .67, .78, and .80, respectively. The PCSwhole scores correlated with the other scores as follows: pain intensity r=.26, general health r=-.29, ZUNG r=.52, MSPQ r=.53, FABQactivity r=.51, FABQwork r=.61 and RM r=.57. Factor analysis revealed three factors, with an almost identical factor structure to that reported in previous studies. CONCLUSION: The psychometric properties of our German version of the PCS were comparable to those reported in previous studies for the original English version. It represents a valuable tool in the assessment of German-speaking chronic low back pain patients. Cross-cultural adaptation, reliability and validity of the German version of the Pain Catastrophizing Scale AbstractObjective In patients with chronic pain, catastrophizing is a significant determinant of self-rated pain intensity and disability. The Pain Catastrophizing Scale (PCS) was developed to assist with both treatment planning and outcome assessment; to date, 2

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Section: Construct Validity Of the Pcssupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale

Meyer¹,

Sprott²,

Mannion

2008

Journal of Psychosomatic Research

223

181

View full text Add to dashboard Cite

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“…It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms.…”

mentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

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Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

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“…Kronik ağrı ise 3-6 aydan daha uzun süren ve uzun süreli tedavi gerektiren, öznel ve çok boyutlu yaşan¬tısı olan, duyusal, duygusal, davranışsal ve bilişsel bileşenleri içeren ağrı olarak tanımlanmaktadır [13]. Kronik ağrı stres yaratan bir durumdur, sıklıkla kişisel yetenekleri ve çevresel kaynakları etkileyerek kişide kötü psikolojik dengeye, yaşam kalitesinde azalmaya, disabilitede artmaya ve kişi-ler arası ilişkilerde zorluklara neden olur [14]. Boyun ağrısı genel popülasyonun %45-%54'ünde görülür [15].…”

Section: Discussionunclassified

Pain, Depression and Quality of Life in Patients with Chronic Cervical Miyofascial Pain Syndrome

Dündar¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmanın amacı kronik servikal miyofasiyal ağrı sendromlu (MAS) hastalarda depresyon, ağrı ve disabilite seviyesini araştırmak ve yaşam kalitesi ile ilişkisini belirlemektir. Gereç ve Yöntem: 40 kronik servikal MAS'lı hasta ve yaş ve cinsiyet açısından benzer 40 sağlıklı kontrol çalışmaya dahil edildi. Hastalar ve kontroller görsel anolog skala (GAS) ile gece, istirahat ve hareket ağrısı açısından değerlendirildi. Fonksiyonel disabiliteyi hesaplamak için boyun disabilite indeksi (BDİ) kullanıldı. Yaşam kalitesi kısa form-36 (SF-36) ile ölçüldü. Hastaların ve kontrol grubunun emosyonel durumları Beck depresyon ölçeği (BDÖ) ile değerlendirildi. Bulgular: Hastalar ve kontroller arasın-da demografik veriler açısından fark yoktu. Kronik servikal MAS'lı hastaların SF-36 skorları kontrollerden daha düşüktü. Hastalarda BDİ, BDÖ ve GAS skorları kontrollere göre yüksekti. Kronik servikal MAS'lı hastaların BDÖ skorları ile SF-36'nın alt parametreleri arasında negatif ve çok yakın bir ilişki bulundu (fiziksel işlevler (r:-0,599, p<0,001), fiziksel problemlere bağlı olarak rollerde engellenme (r:-0,558, p<0,001), bedensel acı (r:-0,540, p<0,001), genel sağ-lık algısı (r:-0,708, p<0,001), yaşam enerjisi (r:-0,692, p<0,001), sosyal işlev-ler (r:-0,559, p<0,001), duygusal sorunlara bağlı olarak rollerde engellenme (r: -0,537, p<0,001) ve ruhsal sağlık (r: -0,787, p<0,001). Tartışma: Kronik servikal MAS'lı hastalarda BDÖ skorları sağlıklı kontrollere göre daha yüksektir ve yaşam kalitelerini olumsuz etkiler. Kronik servikal MAS'lı hastaların psikiyatrik yönden değerlendirmeleri yaşam kalitelerini artıracak ve tedavi sonuçları-nın iyileşmesini sağlayacaktır. Anahtar KelimelerKronik Servikal Miyofasyal Ağrı Sendromu; Depresyon; Yaşam Kalitesi Abstract Aim: The aim of this study was to investigate the levels of depression, pain and disability in patients with chronic cervical miyofascial pain syndrome (MPS) and to determine their association with quality of life. Material and Method: Forty patients with Cervical MPS and 40 age and sex-matched healthy controls enrolled in this study. The social and demographic characteristics of the patients and controls were examined. All patients and controls were evaluated with respect to pain (at night, rest and movement) and assessed by visual analog scale (VAS). Neck disability index (NDI) was used to calculate functional disability. Quality of life was evaluated with the the Short Form 36 Health Survey (SF-36). Also all of the patients and controls underwent Beck depression inventory (BDI). Results: There was no statistical difference between the patients and control cases according to demographical data. The SF-36 scores of the study patients were lower than controls. NDI, BDI and VAS scores were higher in the patients with chronic cervical MPS compared to controls. BDI scores of the patients with chronic cervical MPS were negatively and closely associated with subparameters of the SF-36 (physical function (r:-0,599, p<0.001), role limitations due to physical functioning (r:-0...

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Quality of life in chronic pain is more associated with beliefs about pain, than with pain intensity

Cited by 295 publications

References 42 publications

Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale

Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale

Providers' roles in enhancing patients' adherence to pain self management

Pain, Depression and Quality of Life in Patients with Chronic Cervical Miyofascial Pain Syndrome

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