concept

pain-related disability

Facts (38)

Sources

Associations between pain intensity, psychosocial factors ... - Nature nature.com Nature Jun 12, 2024 36 facts

claimPain-related disability is correlated with psychological distress at a level approximately equal to the correlation between pain-related disability and pain intensity.

claimThe correlation between pain intensity and pain-related disability was smaller than anticipated, suggesting that additional factors significantly influence pain-related disability.

claimPain-related disability is a multifaceted outcome influenced by medical conditions, lifestyle factors, cultural influences, and social determinants.

claimThe association between pain intensity and pain-related disability remains uncertain due to inconsistent findings in existing research.

claimFactors such as widespread pain and psychosocial co-morbidity significantly contribute to pain-related disability beyond just pain intensity.

claimThe interaction between pain duration, pain bothersomeness, and pain-related disability suggests that as pain persists over time, the perceived bothersomeness of the pain may gradually diminish in its impact on daily functioning.

measurementIn the study published in Nature, researchers observed a strong association between sleep problems and pain-related disability, comparable in strength to the association between sleep problems and pain intensity.

claimAccording to the fear-avoidance model, individuals in pain may develop excessive fear and avoidance behaviors due to their perceptions and beliefs about pain, which contributes to the exacerbation and perpetuation of pain-related disability.

measurementPsychosocial factors accounted for a quarter of the variance in pain-related disability, with sleep problems and pain intensity emerging as primary contributors, complemented by psychological distress and fatigue.

claimSelf-efficacy is defined as the belief in one's ability to cope with challenges and can positively impact various psychosocial factors and pain-related disability.

measurementPsychosocial factors, including insomnia and pain intensity, accounted for 26.5% of the variability in pain-related disability among the study participants.

claimAvoidance of pain-triggering situations predicts pain-related disability and is often accompanied by negative expectations and emotions.

claimThe study conducted at Norway’s largest multidisciplinary pain clinic found significant associations between pain-related disability and pain intensity, pain catastrophizing, psychological distress, perceived injustice, sleep, fatigue, and self-efficacy.

measurementIn a multiple regression model adjusted for gender, age, education, and employment, psychosocial variables and covariates collectively explained 40.9% of the total variance in pain-related disability (F(12,3308) = 191.089, p < 0.000).

measurementThe average pain-related disability among study participants was 42.7% (SD 17.47, n = 4,249), which is classified as severe.

referenceB. A. Arnow et al. published a study in 2011 in General Hospital Psychiatry regarding the relationships between catastrophizing, depression, and pain-related disability.

claimPerceived injustice is significantly correlated with pain-related disability at a level similar to the correlation between pain intensity and pain-related disability.

measurementThe study identified a negative correlation between self-efficacy and pain-related disability, indicating that low self-efficacy is associated with increased pain-related disability.

claimIndividuals who engage in extensive pain catastrophizing tend to experience higher levels of pain intensity in the short term and are at a greater risk of developing chronic pain and pain-related disability in the long term.

claimIndividuals living with chronic pain face a burden of physical symptoms and impacts on daily functioning, which is defined as pain-related disability.

claimThe study aims to assess how indicators of chronicity, specifically work status and duration of pain, moderate the relationship between psychosocial factors and pain-related disability.

claimThe authors hypothesize that psychosocial factors, including pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy, are linked to pain-related disability in patients with chronic pain.

claimInsomnia and pain intensity were the factors most strongly associated with pain-related disability when adjusting for all psychosocial factors.

claimBivariate regressions identified strong associations between all psychosocial variables and pain-related disability, with associations ranging from 0.31 to 0.46.

measurementIn the combined regression model used by the study, the contributions of pain catastrophizing, perceived injustice, and self-efficacy were non-significant regarding pain-related disability.

measurementThe study 'Associations between pain intensity, psychosocial factors, and pain-related disability in 4285 patients with chronic pain' analyzed a cohort of 4,285 patients with chronic pain.

claimThe study conducted at Norway’s largest multidisciplinary pain clinic identified sleep problems, pain intensity, psychological distress, and fatigue as primary contributors to pain-related disability in a multiple regression model.

referenceThe study titled 'Associations between pain intensity, psychosocial factors, and pain-related disability in 4285 patients with chronic pain' was published in Scientific Reports (Sci Rep) volume 14, article 13477 in 2024 by authors Landmark, L., Sunde, H.F., Fors, E.A., and others.

measurementWithin the multiple regression model for pain-related disability, covariates (gender, age, education, and employment) explained 14.4% of the variance, while psychosocial variables explained 26.5% of the variance.

claimPain duration moderated the relationship between pain bothersomeness and pain-related disability (p < 0.001) and between pain catastrophizing and pain-related disability (p = 0.013), with slightly stronger associations among individuals who had experienced pain for less than one year compared to those who had experienced pain for a year or more.

referenceRogers, A. H. and Farris, S. G. published 'A meta-analysis of the associations of elements of the fear-avoidance model of chronic pain with negative affect, depression, anxiety, pain-related disability and pain intensity' in the European Journal of Pain in 2022.

claimThe study found that the relationship between catastrophizing, psychological distress, perceived injustice, sleep problems, and pain-related disability was stronger than the relationship between fatigue and pain-related disability.

claimThe study found significant correlations between all investigated psychosocial variables and pain-related disability, which remained robust after adjusting for age, gender, education level, and work status.

claimThe associations between psychosocial variables and pain-related disability remained significant and robust after adjusting for demographic variables.

referenceThe study examined associations between psychosocial factors, pain intensity, and pain-related disability among 4,285 patients from the Oslo University Hospital Pain Registry.

claimFinancial benefits did not moderate any of the associations between psychosocial variables and pain-related disability.

A systematic review of cognitive behavioral therapy-based ... frontiersin.org Frontiers 2 facts

claimEvidence regarding the efficacy of Cognitive Behavioral Therapy (CBT) for pain self-efficacy, pain-related disability, fear avoidance, kinesiophobia, working capacity, and social functioning is inconsistent or insufficient.

measurementBaumeister et al. (2021) found that cognitive behavioral therapy (CBT) led to significant improvements in pain-related disability at post-treatment compared to treatment as usual (TAU), with a small effect size of d = 0.35, though this effect was not maintained at follow-up.