Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain
The Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and...
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| Veröffentlicht in: | Journal of clinical medicine 2021-06, Vol.10 (13), p.2817 |
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| creator | Naiditch, Nicolas Billot, Maxime Moens, Maarten Goudman, Lisa Cornet, Philippe Le Breton, David Roulaud, Manuel Ounajim, Amine Page, Philippe Lorgeoux, Bertille Nivole, Kevin Pries, Pierre Swennen, Cecile Teyssedou, Simon Charrier, Elodie de Montgazon, Géraldine Brumauld Descoins, Pierre François Roy-Moreau, Brigitte Grimaud, Nelly David, Romain Vendeuvre, Tanguy Rigoard, Philippe |
| description | The Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and worldwide. Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome type 2 (PSPS-T2) represents one of its most fascinating and disabling conditions. However, the influence of SGH on PSPS-T2 has been poorly explored. We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (p < 0.05). High SGH patients have a higher ODI score than low SGH patients (p < 0.10). Our results suggest that SGH is a relevant factor to guide prevention, research, and ultimately intervention in PSPS-T2 patients and could be more widely transposed to chronic pain. |
| doi_str_mv | 10.3390/jcm10132817 |
| format | Article |
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It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and worldwide. Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome type 2 (PSPS-T2) represents one of its most fascinating and disabling conditions. However, the influence of SGH on PSPS-T2 has been poorly explored. We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (p < 0.05). High SGH patients have a higher ODI score than low SGH patients (p < 0.10). Our results suggest that SGH is a relevant factor to guide prevention, research, and ultimately intervention in PSPS-T2 patients and could be more widely transposed to chronic pain.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10132817</identifier><identifier>PMID: 34202362</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Anxiety ; Back surgery ; Chronic pain ; Clinical medicine ; Disability ; Education ; Educational attainment ; Health literacy ; Human health and pathology ; Illnesses ; Life Sciences ; Likert scale ; Mental depression ; Pain ; Patients ; Psychologists ; Questionnaires ; Recruitment ; Secondary education ; Sick leave ; Socioeconomic factors ; Tissues and Organs</subject><ispartof>Journal of clinical medicine, 2021-06, Vol.10 (13), p.2817</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (p < 0.05). High SGH patients have a higher ODI score than low SGH patients (p < 0.10). 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| ispartof | Journal of clinical medicine, 2021-06, Vol.10 (13), p.2817 |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Anxiety Back surgery Chronic pain Clinical medicine Disability Education Educational attainment Health literacy Human health and pathology Illnesses Life Sciences Likert scale Mental depression Pain Patients Psychologists Questionnaires Recruitment Secondary education Sick leave Socioeconomic factors Tissues and Organs |
| title | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
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