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Life satisfaction in patients with chronic pain – relation to pain intensity, disability, and psychological factors

Authors Stalnacke B

Published 16 November 2011 Volume 2011:7(1) Pages 683—689


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Peer reviewer comments 3

Britt-Marie Stålnacke
Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden

Aims: To investigate pain intensity, posttraumatic stress, depression, anxiety, disability, and life satisfaction in patients with injury-related chronic pain and to analyze differences in these variables regarding gender.
Methods: Questionnaires addressing pain intensity (visual analogue scale [VAS]), anxiety and depression (hospital anxiety and depression [HAD] scale), posttraumatic stress (impact of event scale), disability (disability rating index, and life satisfaction [LiSat-11]) were answered by 160 patients at assessment at the Pain Rehabilitation Clinic at the Umeå University Hospital (Umeå, Sweden).
Results: High level of pain intensity was scored on the VAS (mean value 64.5 ± 21.1 mm) together with high levels of anxiety, depression, and posttraumatic stress. Activity limitations in everyday life and decreased life satisfaction were reported, especially on the items physical health and psychological health. A multivariate logistic regression model showed a statistically significant association between low scores on the overall life satisfaction on LiSat-11 and high scores on HAD-depression (odds ratio = 1.141, confidence interval 1.014–1.285). Few gender differences were found.
Conclusion: These findings highlight the value of a broad screening in patients with injury-related chronic pain with respect to the relationship of life satisfaction with pain intensity, anxiety, depression, posttraumatic stress, and disability. In addition, these findings support the biopsychosocial approach to assess and treat these patients optimally.

Keywords: whiplash injuries, depression, quality of life

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Other articles by this author:

Computerized assessment of pain drawing area: A pilot study

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Neuropsychiatric Disease and Treatment 2009, 5:451-456

Published Date: 20 August 2009

Post-traumatic stress, depression, and anxiety in patients with injury-related chronic pain: A pilot study

Sofia Åhman, Britt-Marie Stålnacke

Neuropsychiatric Disease and Treatment 2008, 4:1245-1249

Published Date: 5 December 2008

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