Longitudinal 7-year follow-up of chronic pain in persons with multiple sclerosis in the community.
Identifieur interne : 002603 ( Main/Exploration ); précédent : 002602; suivant : 002604Longitudinal 7-year follow-up of chronic pain in persons with multiple sclerosis in the community.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Jürg KesselringSource :
- Journal of neurology [ 1432-1459 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Australie (MeSH), Douleur chronique (rééducation et réadaptation), Douleur chronique (thérapie), Douleur chronique (étiologie), Femelle (MeSH), Humains (MeSH), Interprétation statistique de données (MeSH), Mesure de la douleur (MeSH), Mâle (MeSH), Qualité de vie (MeSH), Résultat thérapeutique (MeSH), Sclérose en plaques (complications), Sclérose en plaques (rééducation et réadaptation), Sujet âgé (MeSH), Études longitudinales (MeSH), Études prospectives (MeSH), Études transversales (MeSH), Évaluation de l'invalidité (MeSH).
- MESH :
- rééducation et réadaptation : Douleur chronique, Sclérose en plaques.
- thérapie : Douleur chronique.
- étiologie : Douleur chronique.
- Adulte, Adulte d'âge moyen, Australie, Femelle, Humains, Interprétation statistique de données, Mesure de la douleur, Mâle, Qualité de vie, Résultat thérapeutique, Sclérose en plaques, Sujet âgé, Études longitudinales, Études prospectives, Études transversales, Évaluation de l'invalidité.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Australia (MeSH), Chronic Pain (etiology), Chronic Pain (rehabilitation), Chronic Pain (therapy), Cross-Sectional Studies (MeSH), Data Interpretation, Statistical (MeSH), Disability Evaluation (MeSH), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Multiple Sclerosis (complications), Multiple Sclerosis (rehabilitation), Pain Measurement (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Treatment Outcome (MeSH).
- MESH :
- geographic : Australia.
- complications : Multiple Sclerosis.
- etiology : Chronic Pain.
- rehabilitation : Chronic Pain, Multiple Sclerosis.
- therapy : Chronic Pain.
- Adult, Aged, Cross-Sectional Studies, Data Interpretation, Statistical, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Middle Aged, Pain Measurement, Prospective Studies, Quality of Life, Treatment Outcome.
Abstract
The aim of this work is to examine the course and impact of chronic pain and pain-related disability in persons with multiple sclerosis (pwMS) over a 7-year period in the Australian community employing a longitudinal, cross-sectional study using structured interviews and validated measures. The intensity of chronic pain was assessed with the visual analogue scale (VAS); the chronic pain grade (CPG) classified pain severity using scores for both pain intensity and pain-related disability, and the assessment of quality of life (AQoL) questionnaire assessed impact on participatory domains. Of the 74 pwMS assessed at 7-year follow-up (T2), 53 (71.6 %) were female, with average age of 55.6 years, and median time since diagnosis of 16.5 years. At T2, 13 (13.8 %) more participants reported chronic pain compared with baseline assessment (T1), (61 vs. 74). Although there were no significant differences on average pain intensity rating between T1 and T2 (p = 0.65), more participants at T2 reported higher rates of pain (13.1 vs. 28.4 %). At T2, participants reported greater disability limiting their daily activities due to pain (16.2 vs. 0 %), and more deterioration and dependency suggested by the AQoL domains of "Independent living" (p < 0.001) and "Physical senses" (p = 0.013). At T2, pwMS used less pharmacological medication but accessed more "other" therapy to cope with their chronic pain. This study provides longitudinal insight into the complex multidimensional chronic pain-related disability in pwMS over a longer period. Improved clinician understanding of the course of chronic pain, early intervention, and patient self-management may decrease pain-related disability and contribute to their overall well-being.
DOI: 10.1007/s00415-013-6925-z
PubMed: 23615703
Affiliations:
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(MeSH)</term><term>Interprétation statistique de données (MeSH)</term><term>Mesure de la douleur (MeSH)</term><term>Mâle (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sclérose en plaques (complications)</term><term>Sclérose en plaques (rééducation et réadaptation)</term><term>Sujet âgé (MeSH)</term><term>Études longitudinales (MeSH)</term><term>Études prospectives (MeSH)</term><term>Études transversales (MeSH)</term><term>Évaluation de l'invalidité (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Multiple Sclerosis</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Chronic Pain</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Chronic Pain</term><term>Multiple Sclerosis</term></keywords><keywords scheme="MESH" qualifier="rééducation et 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The intensity of chronic pain was assessed with the visual analogue scale (VAS); the chronic pain grade (CPG) classified pain severity using scores for both pain intensity and pain-related disability, and the assessment of quality of life (AQoL) questionnaire assessed impact on participatory domains. Of the 74 pwMS assessed at 7-year follow-up (T2), 53 (71.6 %) were female, with average age of 55.6 years, and median time since diagnosis of 16.5 years. At T2, 13 (13.8 %) more participants reported chronic pain compared with baseline assessment (T1), (61 vs. 74). Although there were no significant differences on average pain intensity rating between T1 and T2 (p = 0.65), more participants at T2 reported higher rates of pain (13.1 vs. 28.4 %). At T2, participants reported greater disability limiting their daily activities due to pain (16.2 vs. 0 %), and more deterioration and dependency suggested by the AQoL domains of "Independent living" (p < 0.001) and "Physical senses" (p = 0.013). At T2, pwMS used less pharmacological medication but accessed more "other" therapy to cope with their chronic pain. This study provides longitudinal insight into the complex multidimensional chronic pain-related disability in pwMS over a longer period. Improved clinician understanding of the course of chronic pain, early intervention, and patient self-management may decrease pain-related disability and contribute to their overall well-being.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23615703</PMID><DateCompleted><Year>2014</Year><Month>02</Month><Day>28</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1459</ISSN><JournalIssue CitedMedium="Internet"><Volume>260</Volume><Issue>8</Issue><PubDate><Year>2013</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of neurology</Title><ISOAbbreviation>J Neurol</ISOAbbreviation></Journal><ArticleTitle>Longitudinal 7-year follow-up of chronic pain in persons with multiple sclerosis in the community.</ArticleTitle><Pagination><MedlinePgn>2005-15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00415-013-6925-z</ELocationID><Abstract><AbstractText>The aim of this work is to examine the course and impact of chronic pain and pain-related disability in persons with multiple sclerosis (pwMS) over a 7-year period in the Australian community employing a longitudinal, cross-sectional study using structured interviews and validated measures. The intensity of chronic pain was assessed with the visual analogue scale (VAS); the chronic pain grade (CPG) classified pain severity using scores for both pain intensity and pain-related disability, and the assessment of quality of life (AQoL) questionnaire assessed impact on participatory domains. Of the 74 pwMS assessed at 7-year follow-up (T2), 53 (71.6 %) were female, with average age of 55.6 years, and median time since diagnosis of 16.5 years. At T2, 13 (13.8 %) more participants reported chronic pain compared with baseline assessment (T1), (61 vs. 74). Although there were no significant differences on average pain intensity rating between T1 and T2 (p = 0.65), more participants at T2 reported higher rates of pain (13.1 vs. 28.4 %). At T2, participants reported greater disability limiting their daily activities due to pain (16.2 vs. 0 %), and more deterioration and dependency suggested by the AQoL domains of "Independent living" (p < 0.001) and "Physical senses" (p = 0.013). At T2, pwMS used less pharmacological medication but accessed more "other" therapy to cope with their chronic pain. This study provides longitudinal insight into the complex multidimensional chronic pain-related disability in pwMS over a longer period. Improved clinician understanding of the course of chronic pain, early intervention, and patient self-management may decrease pain-related disability and contribute to their overall well-being.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road Parkville, Melbourne, VIC 3052, Australia. fary.khan@mh.org.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Kesselring</LastName><ForeName>Jürg</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate 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