EARLY APPEARANCE OF THE CHRONIC PAIN PATTERN IN SUBACUTE MUSCULOSKELETAL PATIENTS

Authors

  • Leticia León Rheumatology Unit, Hospital Clinico San Carlos Universidad Camilo José Cela
  • Marta Redondo Universidad Camilo José Cela
  • Miguel Ángel Pérez-Nieto Universidad Camilo José Cela
  • Juan A. Jover Rheumatology Unit, Hospital Clínico San Carlos
  • Lydia Abasolo Rheumatology Unit, Hospital Clínico San Carlos

DOI:

https://doi.org/10.22235/cp.v6i1.74

Keywords:

chronic pain, negative emotions, disability, musculoskeletal diseases

Abstract

The chronic pain pattern implies high levels of negative emotions, pain and perceived disability disability perceived. Up to date few studies have assessed when this chronic pain pattern appears. This study is aimed at exploring this issue. Methods: were evaluated  146 subjects with 4 weeks sick leave due to musculoskeletal diseases (MSDs) and 95 with Rheumatoid Arthritis (RA). All patients completed the following assessment instruments: the Sadness and Depression Questionnaire (CTD), Anxiety situations and responses. Inventory –Brief form- (ISRA-B), Health Assessment Questionnaire (HAQ), a visual analogy scale for intensity of pain and a likert type scale for the frequency of pain. The analyses included a comparison on the scores of the tests between patients on sick leave due to MD compared to RA patients. Descriptive and bivariate analyses were performed. Results: Patients on sick leave due to MD and RA patients reported similar perception of their disability, showing a high HAQ score mean. Patients on sick leave due to MD reported more perceived frequency and intensity of pain than RA patients. In relation to negative emotions, both groups reported similar high levels with some poorer levels for RA patients compared to patients on sick leave due to MD for cognitive, evaluation and life situations anxiety. Depression scores presented the same levels for both patients groups. Conclusions: Our study shows that patients with subacute pain/disability and chronic pain/disability report very similar pattern for negative emotions and perception of pain and disability, suggesting that these factors appear in an early stage and contributing to the transition from acute to chronic pain/disability.

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References

Abásolo, L.,Blanco, M., Bachiller, J., Candelas, G., Collado, P., Lajas, C.,...Jover J. A. (2005). A Health System Program To Reduce Work Disability Related to Musculoskeletal Disorders. Annals of Internal Medicine, 143(6), 404-414.

Arnett, F.C., Edworthy, S.M., Bloch, D.A., McShane, D.J., Fries, J.F., Cooper, N.S,... Hunder, G.G. (1988). The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum, 31, 315-324.

Brox, J. I., Storheim, K., Holm, I., Friis, A. & Reiker, O. (2005). Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: a case-control study. J Rehabil Med, 37 (2), 95-99.

Daffner, S. D., Hilibrand, A. S., Hanscom, B. S., Brislin, B. T., Vaccaro, A. R. & Albert, T. J. (2003). Impact of neck and arm pain on overall health status. Spine, 17, 2030-2035.

Esteve, J., Batlle, E., Reig, A. & Grupo para la adaptación del HAQ a la población española. (1993). Spanish version of the health assessment questionnaire: reliability, validity and transcultural equivalency. J Rheumatol, 20, 2116-2122.

Ferrer, V. A., Gonzalez, R. & Manassero, M. A. (1993). El West Haven Yale Multidimensional Pain Questionnaire: Un instrumento para evaluar al paciente con dolor crónico. Dolor, 8, 153-160.

Fries, J. F., Spitz, P. W. & Young, D. Y. (1982). The dimensions of health outcomes: the Health Assessment Questionnaire disability and pain scales. J Rheumatol, 9, 789-793.

Hamilton, N.A., Zautra, A.J. & Reich, J.W. (2005). Affect and pain in rheumatoid arthritis: do individual differences in affective regulation and affective intensity predict emotional recovery from pain?. Ann Behav Med,29(3):216-24.

Huyser, B.A. & Parker, J.C. (1999). Negative affect and pain in arthritis. Rheum Dis Clin N Am, 1, 105-121.

Jiménez, García, G. I. & Miguel,Tobal, J. J. (2003). El cuestionario tridimensional para la depresión (CTD): un nuevo instrumento para medir la tristeza/depresión. Ansiedad y Estrés, 9 (1), 17-34.

Karjalainen, K., Malmivaara, A., van Tulder, M., Roine, R., Jauhiainen, M., Hurri, H. & Koes, B. (2001). Multidisciplinary biopsychosocial rehabilitation for subacute low back pain in working-age adults: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine, 26(3), 262-269.

Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23, 345-356.

von Korff, M. (1994). Studying the natural history of back pain. Spine,19,2041S-2046S.

Kuijpers, T., van der Windt, D., van der Heijden, G., Twisk, J., Vergouwe, Y. & Bouter, L. (2006). A prediction rule for shoulder pain related sick leave: a prospective cohort study. BMC Musculoskeletal Disorders, 7, 97.

Leon, L., Jover, J.A., Candelas, G., Lajas, C., Vadillo, C., Blanco, M.,...Abasolo, L. (2009). Effectiveness of an early cognitive behavioral treatment for work disability due to musculoskeletal disorders. Arthritis Care & Research, 61 (7), 996–1003.

Lenthem, J., Slade, P. O., Troup, J. P. G., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception. Behav Res Ther, 21, 401-408.

Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine 25:1148-56.

Miguel-Tobal, J. J. & Cano-Vindel, A. (1994). Inventario de situaciones y respuestas de ansiedad (ISRA): Manual. / Inventory of Situations and Responses of Anxiety (ISRA). Manual (3. rev. ed.). Madrid: TEA.

Nordeman, L., Nilsson, B., Möller, M. & Gunnarsson, R. (2006). Early acces to physical therapy treatment for subacute low back pain in primary health care. Clin J Pain, 22(6), 505-511.

Philips, H. C. (1987). Avoidance behaviour and its role in sustaining chronic pain. Behav Res Ther, 25, 273-279.

Pinsky, J. J. (1983). Aspects of the psychology of pain. In B. L. Crue (Ed.), Chronic Pain. New York: Spectrum Publications.

Prieto, V. J. (1999). El dolor crónico. Aspectos psicoevolutivos en la edad adulta. Ed. Promolibro, Valencia.

Schiltenwolf M, Buchner M, Heindl B, von Reumont J, Müller A & Eich W. (2006). Comparison of a biopsychosocial therapy (BT) with a conventional biomedical therapy (MT) of subacute low back pain in the first episode of sick leave: a randomized controlled trial. European Spine Journal, 15, 1083-1092.

Shaw WS, Pransky G, Winters T, Tveito TH, Larson SM & Roter DL. (2009). Does the presence of psychosocial „yellow flags“ alter patient-provider communication for work-related, acute low back pain? J Occup Environ Med, 51(9),1032-1040.

Sternbach, R. A. (1974). Pain patients. Traits and treatment. New York: Academic Press.

Turk, D.C. (1996). Biopsychosocial perspective on chronic pain. In R. J. Gatchel and D. C. Turk (Eds.), Psychological approaches to pain management: A practitioner’s handbook (pp.3-32). New York: The Guilford Press.

Turk, D. C. (1997). The role of demographic and psychosocial factors in the transition from acute to chronic pain. In T. S. Jensen, T. A. Turner and Z. & Wiesenfeld-Hallin (Eds.), Proceedings of the 8th World Congress on Pain, progress in pain research and management, (Volume 8).Seattle: IASP Press.

Vallejo, M. A & Comeche, M. I. (1999). Depresión, ansiedad y dolor crónico. En G. Fernández-Abascal y F. Palmero (Eds), Emociones y salud. Barcelona: Ariel.

Waddell, G., Feder, G., & Lewis, M. (1997). Systematic reviews of bed rest and advice to stay active for acute low back pain. Br J Gen Pract, 47, 647-652.

Wolfe F, Hawley DJ. (1993). The relationship between clinical activity and depression in rheumatoid arthritis. J Rheumatol, 12, 2032-2037.

World Health Organization (1980). International Classification of Diseases, Ninth Revision, Clinical Modification. Washington, DC: Superintendent of Documents, US Printing office. 1980; 1-3.

Published

2012-11-30

How to Cite

León, L., Redondo, M., Pérez-Nieto, M. Ángel, Jover, J. A., & Abasolo, L. (2012). EARLY APPEARANCE OF THE CHRONIC PAIN PATTERN IN SUBACUTE MUSCULOSKELETAL PATIENTS. Ciencias Psicológicas, 6(1), 175–182. https://doi.org/10.22235/cp.v6i1.74

Issue

Section

ORIGINAL ARTICLES

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