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Generalized pain is associated with more negative consequences than local or regional pain: A study of chronic whiplash-associated disorders
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-4385-428X
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Medicine, Pain and Rehabilitation Centre.
2007 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 39, no 3, 260-269 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The main aims of this study were: (i) to determine, for chronic whiplash-associated disorders, whether widespread pain has more severe consequences for other symptoms and different aspects of perceived health than does local/regional pain; (ii) to investigate whether pain, depression, and symptoms not directly related to pain are intercorrelated and to what extent these symptoms correlate with catastrophizing according to the Coping Strategy Questionnaire.

Design: Descriptive cross-sectional study.

Patients: A total of 275 consecutive chronic pain patients with whiplash-associated disorders who were referred to a university hospital.

Methods: Background history, Beck Depression Inventory, Coping Strategy Questionnaire, Life Satisfaction Checklist, the SF-36 Health Survey and EuroQol were used to collect data.

Results: Spreading of pain was associated with negative consequences with respect to pain intensity and prevalence of other symptoms, life satisfaction/quality and general health. The subjects differ with respect to the presence of symptoms not directly related to pain. A minor part of the variation in Back Depression Inventory was explained by direct aspects of pain, indicating that, to some extent, generalization of pain is related to catastrophizing thoughts.

Conclusion: Widespread pain was associated with negative consequences with respect to pain intensity, prevalence of other symptoms including depressive symptoms, some aspects of coping, life satisfaction and general health.

Place, publisher, year, edition, pages
2007. Vol. 39, no 3, 260-269 p.
Keyword [en]
Neck, whiplash, generalized pain, neuroplasticity, depression, catastrophizing.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-15687DOI: 10.2340/16501977-0052OAI: oai:DiVA.org:liu-15687DiVA: diva2:126943
Available from: 2008-12-04 Created: 2008-11-26 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Relationships between Psychological Factors, Disability, Quality of Life and Health in Chronic Pain Disorders
Open this publication in new window or tab >>Relationships between Psychological Factors, Disability, Quality of Life and Health in Chronic Pain Disorders
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Chronic pain is a very common condition with a prevalence of 40-65% in the community. The high prevalence of chronic pain causes a lot of human suffering but also high societal costs. The development and maintenance of chronic pain constitutes a complex interplay between neurobiological, psychosocial and genetic factors. A biopsychosocial model of chronic pain has been suggested to make a comprehensive context of the understanding of this issue.

The main aims of this thesis were to analyze the relationships of the different components of the biopsychosocial model of pain and to study the relative importance of pain, stress and different psychological factors on disability and health related quality of life.

The thesis is based on two groups of patients. One group consists of 275 patients with chronic Whiplash Associated Disorder (WAD) and one group comprise 433 patients with WAD, fibromyalgia (FM) and patients with chronic pain related to Spinal Cord Injury (SCI). The patients were investigated by questionnaires assessing different aspects of pain, depression, anxiety, catastrophizing, self-efficacy, disability and Health Related Quality of Life (HRQL).

The main results were that psychological factors (especially depression) correlated relatively strongly with perceived HRQL and disability. The degree of depression appeared to have the most important relationship to perceived HRQL. Despite the fact that the patients rated depression just mild or moderate, depression had a great importance for the outcome of HQRL and disability. Pain intensity and duration played, in the cross-sectional perspective, a minor role for perceived HRQL, whereas pain intensity related more to the outcome of perceived disability.

From a clinical point of view it is important to assess the complex and unique situation of each individual with respect to depression, anxiety, self-efficacy and pain when planning treatment and rehabilitation in order to optimise the outcome of such programmes.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2008. 75 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1079
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-15691 (URN)978-91-7393-797-9 (ISBN)
Public defence
2008-12-12, Originalet, Qulturumhuset, Länssjukhuset Ryhov, Jönköping, Sverige, Jönköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2008-11-26 Created: 2008-11-26 Last updated: 2013-09-03Bibliographically approved

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Peolsson, MichaelBörsbo, BjörnGerdle, Björn

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