Pain prevalence rates and the mediating role of negative affect in adults referred to personality disorder treatment: A cross-sectional study.

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY Journal of Pain Pub Date : 2024-10-29 DOI:10.1016/j.jpain.2024.104724
Fillip Ferreira Eikeseth, Geir Pedersen, Benjamin Hummelen, Stefan Sütterlin, Audun Stubhaug, Elfrida Kvarstein, Gunnvald Kvarstein
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Abstract

Personality disorders (PDs) are prevalent among individuals with chronic pain, but less is known about the prevalence of pain in the PD population. This study therefore sought to explore the prevalence of current or everyday pain among individuals referred to outpatient PD treatment, and further explore the mediating role of negative affect in the relationship between PD severity and current pain. Data was retrieved from the Norwegian Network for PDs' quality register which included 4361 participants. Pain was operationalized using the EQ-5D-3L "pain or discomfort" item and four SCL-90-R pain-related items ("pain bothersomeness"). Rates of self-reported pain were explored both pre and post treatment to determine the persistency of the pain-related symptoms. The role of negative affect in the relationship between PD severity and pain was investigated by linear regression analysis. A substantial burden of pain-related symptoms was demonstrated, as 71% and 80% reported moderate to extreme pain or discomfort and pain bothersomeness, respectively. Muscle soreness was the most common pain (59%) followed by headache (48%), low back pain (46%), and heart or chest pain (34%). Moderate to extreme pain or discomfort was persistent for 77% of the participants who provided end of treatment data (mean treatment duration was 82 weeks). Negative affect mediated the relationship between PD severity and pain. To our knowledge, this is the first large-scale study on everyday pain in patients with PDs. The findings reveal that moderate to extreme pain is prevalent among persons with PDs and that this co-occurrence is driven by negative affect. PERSPECTIVE: Pain is a prevalent and potentially underrecognized symptom in personality disorders and persists until treatment termination for a large group of patients. This co-occurrence may be driven by a susceptibility to negative affect that is enhanced by personality disorder features.

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被转介到人格障碍治疗机构的成年人中的疼痛患病率和消极情绪的中介作用:一项横断面研究。
人格障碍(PD)在慢性疼痛患者中很普遍,但人们对人格障碍患者的疼痛发生率却知之甚少。因此,本研究试图探讨门诊转诊的人格障碍患者中当前或日常疼痛的患病率,并进一步探讨消极情绪在人格障碍严重程度与当前疼痛之间关系中的中介作用。数据取自挪威帕金森病质量登记网络,其中包括4361名参与者。疼痛通过 EQ-5D-3L 的 "疼痛或不适 "项目和 SCL-90-R 的四个疼痛相关项目("疼痛困扰")进行操作。对治疗前和治疗后的自述疼痛率进行了调查,以确定疼痛相关症状的持续性。通过线性回归分析,研究了负性情绪在帕金森病严重程度与疼痛之间关系中的作用。结果显示,与疼痛相关的症状造成了很大的负担,分别有 71% 和 80% 的患者报告有中度到极度疼痛或不适以及疼痛困扰。肌肉酸痛是最常见的疼痛(59%),其次是头痛(48%)、腰背痛(46%)和心脏或胸部疼痛(34%)。在提供治疗结束数据的参与者中,77%的人持续存在中度至极度疼痛或不适(平均治疗时间为 82 周)。负性情绪介导了帕金森病严重程度与疼痛之间的关系。据我们所知,这是第一项针对帕金森病患者日常疼痛的大规模研究。研究结果表明,中度至极度疼痛在帕金森病患者中很普遍,而这种疼痛的共同发生是由负性情绪驱动的。观点:疼痛是人格障碍患者普遍存在且可能未得到充分认识的一种症状,对许多患者来说,疼痛一直持续到治疗结束。这种并发症的出现可能是由于人格障碍的特征增强了患者对消极情绪的易感性。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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