Psychological, numeric, and graphic methods of assessment in chronic pain patients

Aims: Chronic pain patients use linguistic but also symbolic ways to express their pain and disability. The objectives of the study were to examine the associations between pain intensity, Pain Drawings (PD), Pain Words (PW), psychological and socio-demographic variables and to investigate their imp...

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Veröffentlicht in:Journal of psychosomatic research 2018-06, Vol.109, p.87-87
Hauptverfasser: Allaz, A.F., Sarid, O., Piguet, V., Kossovsky, M., Desmeules, J., Cedraschi, C.
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container_end_page 87
container_issue
container_start_page 87
container_title Journal of psychosomatic research
container_volume 109
creator Allaz, A.F.
Sarid, O.
Piguet, V.
Kossovsky, M.
Desmeules, J.
Cedraschi, C.
description Aims: Chronic pain patients use linguistic but also symbolic ways to express their pain and disability. The objectives of the study were to examine the associations between pain intensity, Pain Drawings (PD), Pain Words (PW), psychological and socio-demographic variables and to investigate their impact on functional ability. Patients' Pain Drawings were included as an indicator of their depiction of pain extent. Methods: Cross-sectional study with chronic pain patients referred to our Pain Center over one year. Patients completed self-administered questionnaires: SF-36 including physical component summary (PCS) as an indicator of functional ability, McCill Pain Questionnaire, Visual Analogue Scales (VAS), Hospital Anxiety and Depression Scale. Pain Drawings characteristics (lines, arrows, crosses) were analyzed and summed. Full data were available for 236 of 285 patients; 63% women, 65%
doi_str_mv 10.1016/j.jpsychores.2018.03.015
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The objectives of the study were to examine the associations between pain intensity, Pain Drawings (PD), Pain Words (PW), psychological and socio-demographic variables and to investigate their impact on functional ability. Patients' Pain Drawings were included as an indicator of their depiction of pain extent. Methods: Cross-sectional study with chronic pain patients referred to our Pain Center over one year. Patients completed self-administered questionnaires: SF-36 including physical component summary (PCS) as an indicator of functional ability, McCill Pain Questionnaire, Visual Analogue Scales (VAS), Hospital Anxiety and Depression Scale. Pain Drawings characteristics (lines, arrows, crosses) were analyzed and summed. Full data were available for 236 of 285 patients; 63% women, 65% &lt;10 years of education. Mean pain duration: 8 years SDzhll. Pearson correlations between PCS, VAS, PD, PW and psychological measures were performed and linear regressions were performed with PCS score as the dependent variable. Results: Socio-demographic data (gender, age, educational level) and pain duration were not related to PCS levels. PCS was negatively correlated with PD (r=-.238, p=0.000), PW (r=-315, p=0.000), anxiety (r=-.238, p=0.000), depression (r=-.601, p=0.000), and VAS scores (r=-.458, p=0.000). The final model explained 48% of the variance in PCS with patients using more PD (log transformed) (-11 points for every log unit; p=.0000), having higher VAS (-0.3 points/unit on VAS; p=.0000), and expressing higher levels of depression (-2.3 for 1 additional point on HADS; p=.000) displaying lower PCS scores. Conclusion: Psychological, numeric, and graphic facets of pain appraisal enabled assessing linguistic as well as symbolic ways patients use to define their suffering and functional ability. Extra-linguistic ways of assessment can be useful in chronic pain patients.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2018.03.015</identifier><language>eng</language><publisher>London: Elsevier Inc</publisher><subject>Ability ; Academic achievement ; Anxiety ; Chronic pain ; Disability ; Linguistics ; Mental depression ; Pain ; Patients ; Psychological tests ; Questionnaires ; Sociodemographics ; Stress intensity factors ; Suffering ; Visual analogue scales ; Women</subject><ispartof>Journal of psychosomatic research, 2018-06, Vol.109, p.87-87</ispartof><rights>2018</rights><rights>Copyright Elsevier Science Ltd. 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The objectives of the study were to examine the associations between pain intensity, Pain Drawings (PD), Pain Words (PW), psychological and socio-demographic variables and to investigate their impact on functional ability. Patients' Pain Drawings were included as an indicator of their depiction of pain extent. Methods: Cross-sectional study with chronic pain patients referred to our Pain Center over one year. Patients completed self-administered questionnaires: SF-36 including physical component summary (PCS) as an indicator of functional ability, McCill Pain Questionnaire, Visual Analogue Scales (VAS), Hospital Anxiety and Depression Scale. Pain Drawings characteristics (lines, arrows, crosses) were analyzed and summed. Full data were available for 236 of 285 patients; 63% women, 65% &lt;10 years of education. Mean pain duration: 8 years SDzhll. Pearson correlations between PCS, VAS, PD, PW and psychological measures were performed and linear regressions were performed with PCS score as the dependent variable. Results: Socio-demographic data (gender, age, educational level) and pain duration were not related to PCS levels. PCS was negatively correlated with PD (r=-.238, p=0.000), PW (r=-315, p=0.000), anxiety (r=-.238, p=0.000), depression (r=-.601, p=0.000), and VAS scores (r=-.458, p=0.000). The final model explained 48% of the variance in PCS with patients using more PD (log transformed) (-11 points for every log unit; p=.0000), having higher VAS (-0.3 points/unit on VAS; p=.0000), and expressing higher levels of depression (-2.3 for 1 additional point on HADS; p=.000) displaying lower PCS scores. Conclusion: Psychological, numeric, and graphic facets of pain appraisal enabled assessing linguistic as well as symbolic ways patients use to define their suffering and functional ability. 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The objectives of the study were to examine the associations between pain intensity, Pain Drawings (PD), Pain Words (PW), psychological and socio-demographic variables and to investigate their impact on functional ability. Patients' Pain Drawings were included as an indicator of their depiction of pain extent. Methods: Cross-sectional study with chronic pain patients referred to our Pain Center over one year. Patients completed self-administered questionnaires: SF-36 including physical component summary (PCS) as an indicator of functional ability, McCill Pain Questionnaire, Visual Analogue Scales (VAS), Hospital Anxiety and Depression Scale. Pain Drawings characteristics (lines, arrows, crosses) were analyzed and summed. Full data were available for 236 of 285 patients; 63% women, 65% &lt;10 years of education. Mean pain duration: 8 years SDzhll. Pearson correlations between PCS, VAS, PD, PW and psychological measures were performed and linear regressions were performed with PCS score as the dependent variable. Results: Socio-demographic data (gender, age, educational level) and pain duration were not related to PCS levels. PCS was negatively correlated with PD (r=-.238, p=0.000), PW (r=-315, p=0.000), anxiety (r=-.238, p=0.000), depression (r=-.601, p=0.000), and VAS scores (r=-.458, p=0.000). The final model explained 48% of the variance in PCS with patients using more PD (log transformed) (-11 points for every log unit; p=.0000), having higher VAS (-0.3 points/unit on VAS; p=.0000), and expressing higher levels of depression (-2.3 for 1 additional point on HADS; p=.000) displaying lower PCS scores. Conclusion: Psychological, numeric, and graphic facets of pain appraisal enabled assessing linguistic as well as symbolic ways patients use to define their suffering and functional ability. 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source Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals Complete
subjects Ability
Academic achievement
Anxiety
Chronic pain
Disability
Linguistics
Mental depression
Pain
Patients
Psychological tests
Questionnaires
Sociodemographics
Stress intensity factors
Suffering
Visual analogue scales
Women
title Psychological, numeric, and graphic methods of assessment in chronic pain patients
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