Assessing the Relationship Between Chronic Pain and Cognition: A NIDILRR and VA TBI Model Systems Collaborative Project.

IF 3.3 3区医学 Q2 CLINICAL NEUROLOGY Journal of Head Trauma Rehabilitation Pub Date : 2025-09-01 Epub Date: 2025-09-03 DOI:10.1097/HTR.0000000000001045

Mackenzie Peckham, Cynthia L Beaulieu, Kaitlin Hays, Marissa Lundstern, Bria MacIntyre, Candice Osborne, Amanda Rabinowitz, Allan L Service, Mitch Sevigny, Katherine Abbasi, William C Walker, Abigail Welch, Candace Tefertiller

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Abstract

Objective: To investigate the associations between current chronic pain and cognition and current chronic head pain and cognition in individuals with traumatic brain injury (TBI).

Setting: Community.

Participants: A total of 1762 participants from the TBI Model Systems who endorsed experiencing current chronic pain and who completed the Current Chronic Pain survey.

Design: Secondary analysis of a subset of data collected through a multi-site, cross-sectional observational cohort study.

Main outcome measures: Cognition as measured by the Brief Test of Adult Cognition by Telephone (BTACT).

Results: Individuals with TBI who reported current chronic pain exhibited lower cognitive performance compared to those who reported no pain. Among individuals who reported pain, greater pain intensity and pain interference were negatively associated with cognition, resulting in poorer cognitive performance. The negative association was even greater for individuals acknowledging chronic head pain compared to pain from other body locations.

Conclusion: The negative association between current chronic pain and cognition for individuals with TBI indicates the need to consider pain intensity and pain interference as factors possibly influencing cognitive ability.

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评估慢性疼痛与认知之间的关系：NIDILRR和VA TBI模型系统合作项目。

目的：探讨外伤性脑损伤（TBI）患者当前慢性疼痛与认知及当前慢性头痛与认知的关系。设置:社区。参与者：共有1762名来自TBI模型系统的参与者，他们认可正在经历慢性疼痛，并完成了当前慢性疼痛调查。设计：对通过多地点、横断面观察性队列研究收集的数据子集进行二次分析。主要观察指标：认知能力以成人简短电话认知测验（BTACT）测量。结果：报告当前慢性疼痛的TBI个体表现出较低的认知能力，而那些报告没有疼痛的个体。在报告疼痛的个体中，更大的疼痛强度和疼痛干扰与认知呈负相关，导致认知表现较差。与其他身体部位的疼痛相比，承认慢性头部疼痛的人的负面关联更大。结论：TBI患者当前慢性疼痛与认知之间存在负相关关系，提示需要考虑疼痛强度和疼痛干扰可能是影响认知能力的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Head Trauma Rehabilitation 医学-康复医学

CiteScore

4.80

自引率

4.20%

发文量

153

审稿时长

6-12 weeks

期刊介绍： The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America (BIAA).