Concordance of Phantom and Residual Limb Pain Phenotypes in Double Amputees: Evidence for the Contribution of Distinct and Common Individual Factors.
Identifieur interne : 000286 ( Main/Exploration ); précédent : 000285; suivant : 000287Concordance of Phantom and Residual Limb Pain Phenotypes in Double Amputees: Evidence for the Contribution of Distinct and Common Individual Factors.
Auteurs : Fabian Streit [Allemagne] ; Robin Bekrater-Bodmann [Allemagne] ; Martin Diers [Allemagne] ; Iris Reinhard [Allemagne] ; Josef Frank [Allemagne] ; Stefan Wüst [Allemagne] ; Ze'Ev Seltzer [Canada] ; Herta Flor [Allemagne] ; Marcella Rietschel [Allemagne]Source :
- The journal of pain : official journal of the American Pain Society [ 1528-8447 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Amputation (adverse effects), Amputees, Cross-Sectional Studies, Female, Genetic Predisposition to Disease, Humans, Male, Middle Aged, Neuralgia (genetics), Pain Measurement, Phantom Limb (genetics), Phantom Limb (physiopathology), Phenotype, Risk Factors, Surveys and Questionnaires, Young Adult.
- MESH :
- adverse effects : Amputation.
- genetics : Neuralgia, Phantom Limb.
- physiopathology : Phantom Limb.
- Adult, Aged, Aged, 80 and over, Amputees, Cross-Sectional Studies, Female, Genetic Predisposition to Disease, Humans, Male, Middle Aged, Pain Measurement, Phenotype, Risk Factors, Surveys and Questionnaires, Young Adult.
Abstract
Most, but not all, limb amputees develop phantom limb pain (PLP) or residual limb pain (RLP), and large interindividual differences in pain intensity and course are apparent. The present cross-sectional study of 122 double amputees investigated the possible role of genetic factors in PLP and RLP, assuming that strong individual predisposition results in high intraindividual concordance in pain phenotype. Intraindividual concordance was observed in 116 (95%) patients for development of PLP and in 110 patients (90%) for development of RLP. For both pain types, high intraindividual concordance was also observed for remission and current intensity. Moderate association for lifetime history and current intensity of PLP and RLP was observed both within and between limbs. The high intraindividual concordance in pain phenotypes suggests strong individual predisposition for PLP and RLP development. However, the finding of only moderate association between PLP and RLP suggests that susceptibility to these pain phenomena involves distinct, as well as common, risk factors. Genome-wide studies in large samples of single amputees may facilitate the dissection of these phenotypes and their underlying mechanisms.
DOI: 10.1016/j.jpain.2015.08.013
PubMed: 26431882
Affiliations:
- Allemagne, Canada
- Bade-Wurtemberg, District de Karlsruhe, Ontario
- Mannheim, Toronto
- Université de Toronto
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Le document en format XML
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Department of Psychosomatic Medicine and Psychotherapy, LWL-University, Ruhr-University Bochum, Bochum, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Department of Psychosomatic Medicine and Psychotherapy, LWL-University, Ruhr-University Bochum, Bochum</wicri:regionArea><wicri:noRegion>Bochum</wicri:noRegion><wicri:noRegion>Bochum</wicri:noRegion><wicri:noRegion>Bochum</wicri:noRegion></affiliation></author><author><name sortKey="Reinhard, Iris" sort="Reinhard, Iris" uniqKey="Reinhard I" first="Iris" last="Reinhard">Iris Reinhard</name><affiliation wicri:level="3"><nlm:affiliation>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Frank, Josef" sort="Frank, Josef" uniqKey="Frank J" first="Josef" last="Frank">Josef Frank</name><affiliation wicri:level="3"><nlm:affiliation>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Wust, Stefan" sort="Wust, Stefan" uniqKey="Wust S" first="Stefan" last="Wüst">Stefan Wüst</name><affiliation wicri:level="1"><nlm:affiliation>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Experimental Psychology, University of Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Experimental Psychology, University of Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Seltzer, Ze Ev" sort="Seltzer, Ze Ev" uniqKey="Seltzer Z" first="Ze'Ev" last="Seltzer">Ze'Ev Seltzer</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Canada; Centre for the Study of Pain, Faculties of Dentistry and Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Canada; 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Institute of Psychobiology, University of Trier, Trier, Germany. 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Department of Psychosomatic Medicine and Psychotherapy, LWL-University, Ruhr-University Bochum, Bochum, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Department of Psychosomatic Medicine and Psychotherapy, LWL-University, Ruhr-University Bochum, Bochum</wicri:regionArea><wicri:noRegion>Bochum</wicri:noRegion><wicri:noRegion>Bochum</wicri:noRegion><wicri:noRegion>Bochum</wicri:noRegion></affiliation></author><author><name sortKey="Reinhard, Iris" sort="Reinhard, Iris" uniqKey="Reinhard I" first="Iris" last="Reinhard">Iris Reinhard</name><affiliation wicri:level="3"><nlm:affiliation>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Frank, Josef" sort="Frank, Josef" uniqKey="Frank J" first="Josef" last="Frank">Josef Frank</name><affiliation wicri:level="3"><nlm:affiliation>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Wust, Stefan" sort="Wust, Stefan" uniqKey="Wust S" first="Stefan" last="Wüst">Stefan Wüst</name><affiliation wicri:level="1"><nlm:affiliation>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Experimental Psychology, University of Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Experimental Psychology, University of Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Seltzer, Ze Ev" sort="Seltzer, Ze Ev" uniqKey="Seltzer Z" first="Ze'Ev" last="Seltzer">Ze'Ev Seltzer</name><affiliation wicri:level="4"><nlm:affiliation>Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Canada; Centre for the Study of Pain, Faculties of Dentistry and Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Canada; Centre for the Study of Pain, Faculties of Dentistry and Medicine, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Flor, Herta" sort="Flor, Herta" uniqKey="Flor H" first="Herta" last="Flor">Herta Flor</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Rietschel, Marcella" sort="Rietschel, Marcella" uniqKey="Rietschel M" first="Marcella" last="Rietschel">Marcella Rietschel</name><affiliation wicri:level="3"><nlm:affiliation>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author></analytic><series><title level="j">The journal of pain : official journal of the American Pain Society</title><idno type="eISSN">1528-8447</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Amputation (adverse effects)</term><term>Amputees</term><term>Cross-Sectional Studies</term><term>Female</term><term>Genetic Predisposition to Disease</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuralgia (genetics)</term><term>Pain Measurement</term><term>Phantom Limb (genetics)</term><term>Phantom Limb (physiopathology)</term><term>Phenotype</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Amputation</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Neuralgia</term><term>Phantom Limb</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Phantom Limb</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Amputees</term><term>Cross-Sectional Studies</term><term>Female</term><term>Genetic Predisposition to Disease</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Phenotype</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Most, but not all, limb amputees develop phantom limb pain (PLP) or residual limb pain (RLP), and large interindividual differences in pain intensity and course are apparent. The present cross-sectional study of 122 double amputees investigated the possible role of genetic factors in PLP and RLP, assuming that strong individual predisposition results in high intraindividual concordance in pain phenotype. Intraindividual concordance was observed in 116 (95%) patients for development of PLP and in 110 patients (90%) for development of RLP. For both pain types, high intraindividual concordance was also observed for remission and current intensity. Moderate association for lifetime history and current intensity of PLP and RLP was observed both within and between limbs. The high intraindividual concordance in pain phenotypes suggests strong individual predisposition for PLP and RLP development. However, the finding of only moderate association between PLP and RLP suggests that susceptibility to these pain phenomena involves distinct, as well as common, risk factors. Genome-wide studies in large samples of single amputees may facilitate the dissection of these phenotypes and their underlying mechanisms.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Canada</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li><li>Ontario</li></region><settlement><li>Mannheim</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Allemagne"><noRegion><name sortKey="Streit, Fabian" sort="Streit, Fabian" uniqKey="Streit F" first="Fabian" last="Streit">Fabian Streit</name></noRegion><name sortKey="Bekrater Bodmann, Robin" sort="Bekrater Bodmann, Robin" uniqKey="Bekrater Bodmann R" first="Robin" last="Bekrater-Bodmann">Robin Bekrater-Bodmann</name><name sortKey="Diers, Martin" sort="Diers, Martin" uniqKey="Diers M" first="Martin" last="Diers">Martin Diers</name><name sortKey="Flor, Herta" sort="Flor, Herta" uniqKey="Flor H" first="Herta" last="Flor">Herta Flor</name><name sortKey="Frank, Josef" sort="Frank, Josef" uniqKey="Frank J" first="Josef" last="Frank">Josef Frank</name><name sortKey="Reinhard, Iris" sort="Reinhard, Iris" uniqKey="Reinhard I" first="Iris" last="Reinhard">Iris Reinhard</name><name sortKey="Rietschel, Marcella" sort="Rietschel, Marcella" uniqKey="Rietschel M" first="Marcella" last="Rietschel">Marcella Rietschel</name><name sortKey="Wust, Stefan" sort="Wust, Stefan" uniqKey="Wust S" first="Stefan" last="Wüst">Stefan Wüst</name></country><country name="Canada"><region name="Ontario"><name sortKey="Seltzer, Ze Ev" sort="Seltzer, Ze Ev" uniqKey="Seltzer Z" first="Ze'Ev" last="Seltzer">Ze'Ev Seltzer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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