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Thermal Detection and Pain Thresholds but Not Pressure Pain Thresholds Are Correlated With Psychological Factors in Women With Chronic Whiplash-associated Pain
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
2012 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 28, no 3, 211-221 p.Article in journal (Refereed) Published
Abstract [en]

Whiplash-associated disorders (WAD) have been associated with sensory disturbances such as hypersensitivity or hypoesthesia. Different psychological factors seem to be important for prognosis and symptom presentation in WAD. Multivariate correlations between pain thresholds for pressure (PPT), cold and heat (CPT, HPT), detection thresholds for cold and warmth, pain intensity variables, and psychological aspects in women with chronic WAD (n = 28) and in healthy pain-free controls (n = 29) were investigated. Quantitative Sensory Testing (QST) for thermal thresholds and algometry for PPT at various sites in the body were used. Psychological aspects, including catastrophizing, anxiety, and depression were registered using a questionnaire. WAD showed generalized decreased PPT and CPT, altered HPT and cold detection thresholds in the upper part of the body, and a worse psychological situation. Multivariate correlations were found between QST and PPT variables, habitual pain, and psychological factors in WAD. Different psychological variables were generally stronger predictors of CPT and HPT than pain intensity in WAD. Pain intensity aspects were generally the strongest predictors of PPT in WAD. In contrast, no correlations existed between QST and PPT variables and psychological variables in controls. These results indicate the need to consider that a blend of factors influences the pain thresholds in chronic WAD and emphasize the need for a biopsychosocial model when interpreting QST and PPT variables.

Place, publisher, year, edition, pages
Lippincott, Williams and Wilkins , 2012. Vol. 28, no 3, 211-221 p.
Keyword [en]
thermal pain thresholds, pressure pain thresholds, thermal detection thresholds, catastrophizing, anxiety, biopsychosocial, WAD
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-75720DOI: 10.1097/AJP.0b013e318226c3fdISI: 000300407700005OAI: oai:DiVA.org:liu-75720DiVA: diva2:508772
Note

Funding Agencies|Swedish Council for Working Life and Social Science||Swedish Research Council||

Available from: 2012-03-09 Created: 2012-03-09 Last updated: 2017-12-07

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Wallin, MiaLiedberg, GunillaGerdle, Björn

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