The course of non‐malignant chronic pain: a 12‐year follow‐up of a cohort from the general population

Andersson, Heléne

doi:10.1016/s1090-3801(03)00064-8

Cited by 148 publications

(138 citation statements)

References 19 publications

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“…Reporting >90 days with NSP the past three months was of particular prognostic value for severe persistent NSP, which is consistent with previous reports (7). People with NSP often report comorbidity of pain in other body sites, which has been associated with a poor prognosis (36,37). However, we found that comorbidity of pain at baseline was not a significant predictor for any trajectory class in the multivariate model.…”

Section: Symptom Characteristics and Individual Predictors Of Pain Trcontrasting

confidence: 76%

“…Prognostic studies indicate that current or past symptoms, eg, the occurrence, intensity and duration of NSP and comorbidity of pain in other body sites, predict future NSP (6)(7)(8)36). This was corroborated by the present study showing that the NSP characteristics at baseline accounted for 54% of the variance in explaining NSP trajectories.…”

Section: Symptom Characteristics and Individual Predictors Of Pain Trmentioning

confidence: 99%

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Time course of neck-shoulder pain among workers: A longitudinal latent class growth analysis

Hallman

Rasmussen

Jørgensen

et al. 2017

Scand J Work Environ Health

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Knowledge about the time course of neck-shoulder pain (NSP) among workers is sparse. Latent class growth modeling was used to distinguish NSP trajectories based on repeated measurements over one year. Six distinct pain trajectories were identified. Pain characteristics, personal and occupational factors predicted severe persistent NSP. The study contributes with novel information about the time course of NSP among workers.

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Section: Symptom Characteristics and Individual Predictors Of Pain Trcontrasting

confidence: 76%

Section: Symptom Characteristics and Individual Predictors Of Pain Trmentioning

confidence: 99%

Time course of neck-shoulder pain among workers: A longitudinal latent class growth analysis

Hallman

Rasmussen

Jørgensen

et al. 2017

Scand J Work Environ Health

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“…8,24 Indeed, chronic pain can be classified as regional or widespread, depending on the number of pain sites affected. 2,7,23 Regional pain appears as single pain sites in, e.g., lower back, shoulder, or neck, with lower back and neck pain as the most frequently reported sites, 11,24 whereas widespread pain has commonly been categorized as pain in the trunk, in upper and lower limbs, and on both sides of the body.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Changes in Musculoskeletal Pain Sites in the General Population: The HUNT Study

Mundal

Bjørngaard

Nilsen

et al. 2016

The Journal of Pain

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In a Norwegian prospective population-based cohort study, we examined whether the number of chronic musculoskeletal pain sites changed over an 11-year period, and if the number of pain sites at follow-up was associated with health-related and lifestyle factors at baseline. The study included data on 78,973 adults participating in the Nord-Trøndelag Health Study (HUNT) in 1995-1997 (HUNT2) and 2006-2008. Based on three categories of baseline pain sites, associations between baseline health-related, lifestyle, and demographic factors and number of pain sites at follow-up were analysed with linear regression models adjusted for age, sex, marital status, physical activity, education, and other chronic diseases.We also estimated within-subject associations. Regardless of pain extent at baseline, anxiety and/or depression, sleeping problems, smoking, and obesity were positively associated with number of pain sites at follow-up, while education and physical activity were inversely associated with number of pain sites. The within-subject analyses showed largely similar associations for the health-related factors, whereas associations of lifestyle factors were attenuated. The mean number of pain sites remained unchanged between the two surveys.Overall, our study revealed prospective associations between several factors and pain sites 11 years later, regardless of the number of pain sites at baseline. PerspectiveThis prospective study examines the association between development of pain and risk factors in the general population, on the basis of three categories of baseline pain sites. It also examines how these factors influence possible long-term changes in pain within individuals.We demonstrate that having no or few baseline pain sites may not differ in its risk factors compared with having multiple pain sites. This article provides an important contribution to the ongoing debate regarding the association between lifestyle, demographic, and M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 3 psychosocial risk factors, versus the course of multisite chronic pain. Additionally, we provide discussion on potential directions for clinical relevance and further research in this field.

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“…Många med långvarig smärta söker vård, beräkningar som gjorts visar att 20-40 % av besöken i primärvården har varit föranledda av smärta, av dessa är ca hälften långvarig smärta (8). När smärtan väl är etablerad är möjligheterna till smärtfrihet relativt små (9). Mycket tyder på att tidig rehabilitering är av största vikt (5).…”

Section: Förekomstunclassified

“…Det fysiska obehaget leder till att individen inte längre känner igen sin kropp. Frågor väcks hur hon eller han ska kunna agera i och handskas med sin sociala och fysiska omgivning (9)(10)(11)(12)(13)(14). Värken kommer att styra uppmärksamheten och därmed också existensen (50).…”

Section: Det Biografiska Perspektivetunclassified

Att leva med en kropp som värker : samtal med fysioterapeuten

Afrell¹

2014

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Background and aim: Physiotherapists in primary care meet, assess and treat patients with long-standing benign musculoskeletal pain. As a clinical condition, long-standing pain is common but nonetheless it is quite complex. The aim of this thesis has been, from a bodily existential perspective, to investigate and conceptualise the experience of living with longstanding benign musculoskeletal pain, and from there, to work out a method for conversation and assessment within non-specialised physiotherapy. Methods: Our first study was an interview study where we applied a phenomenological approach and investigated the ways individuals suffering from long-standing pain experienced their body and their illness. Four aspects of body experience were described, and based on these aspects, four typologies of attitudes to pain were distinguished. In the second study, we made two group interviews with six physiotherapists about their experiences of using, in their clinical work, questions from the interview guide in study I that had given particularly rich responses. Transcripts were analysed using phenomenography. In the third study, patients’ verbal responses to the key questions, directed to them by physiotherapists in clinical situations, were investigated, and the four aspects of body experience from study I formed the concepts of a deductive analysis. In study IV, finally, the key questions and typologies were tried by a larger group (31), and their experiences and the possible applicability of the method were studied by qualitative content analysis combined with the counting of codes. Results: We created four typologies of attitudes to long-standing pain: “Surrendering to one’s fate”, “Accepting by an active process of change”, “Balancing between hope and resignation” and “Rejecting the body”. These typologies, in turn, were based on four aspects of body experience: “The body as an aspect of identity”. “Body reliance”, “Body awareness”, and “Ways of understanding pain”. In study II, by the aid of key questions, patient and physiotherapist managed to have a conversation on bodily existential matters. The physiotherapist learnt to know the patient as a person, a process appeared to be initiated in the patient, and their relation changed. The patient was willing to talk about her body in pain, and had the words to do this. In study III, the key questions opened ways to reflections on body, existence, and biography. The four aspects of body experience were central to the patients’ descriptions. In study IV, the participating physiotherapists reported by large positive experiences from applying key questions and typologies. The patients reflected, emotions were evoked, and the relation and the communication often improved. The typologies helped in giving a comprehensive perspective of the patient’s problem, and to grasp where in the process of rehabilitation the patient was to be found. Conclusions: The method, seven key questions combined with the tentative frame of interpretation of the answers, seemed to be easily appl...

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The course of non‐malignant chronic pain: a 12‐year follow‐up of a cohort from the general population

Cited by 148 publications

References 19 publications

Time course of neck-shoulder pain among workers: A longitudinal latent class growth analysis

Time course of neck-shoulder pain among workers: A longitudinal latent class growth analysis

Long-Term Changes in Musculoskeletal Pain Sites in the General Population: The HUNT Study

Att leva med en kropp som värker : samtal med fysioterapeuten

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