Abstract
Objective: Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury. Design: Face-to-face interview and examination. Setting: VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida. Patients: Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains. Outcome Measures: The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression. Results: The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference. Conclusions: Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.
| Original language | English |
|---|---|
| Pages (from-to) | 1246-1259 |
| Number of pages | 14 |
| Journal | Pain Medicine |
| Volume | 10 |
| Issue number | 7 |
| DOIs | |
| State | Published - Oct 1 2009 |
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Keywords
- Chronic Pain
- Life Interference
- Multidimensional Pain Inventory
- Pain Interference
- Spinal Cord Injuries
- Symptom Profiles
ASJC Scopus subject areas
- Clinical Neurology
- Anesthesiology and Pain Medicine
- Medicine(all)
Cite this
Pain symptom profiles in persons with spinal cord injury. / Cruz-Almeida, Yenisel; Felix, Elizabeth; Martinez-Arizala, Alberto; Widerstrom-Noga, Eva.
In: Pain Medicine, Vol. 10, No. 7, 01.10.2009, p. 1246-1259.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pain symptom profiles in persons with spinal cord injury
AU - Cruz-Almeida, Yenisel
AU - Felix, Elizabeth
AU - Martinez-Arizala, Alberto
AU - Widerstrom-Noga, Eva
PY - 2009/10/1
Y1 - 2009/10/1
N2 - Objective: Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury. Design: Face-to-face interview and examination. Setting: VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida. Patients: Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains. Outcome Measures: The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression. Results: The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference. Conclusions: Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.
AB - Objective: Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury. Design: Face-to-face interview and examination. Setting: VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida. Patients: Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains. Outcome Measures: The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression. Results: The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference. Conclusions: Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.
KW - Chronic Pain
KW - Life Interference
KW - Multidimensional Pain Inventory
KW - Pain Interference
KW - Spinal Cord Injuries
KW - Symptom Profiles
UR - http://www.scopus.com/inward/record.url?scp=73949110192&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=73949110192&partnerID=8YFLogxK
U2 - 10.1111/j.1526-4637.2009.00713.x
DO - 10.1111/j.1526-4637.2009.00713.x
M3 - Article
C2 - 19818035
AN - SCOPUS:73949110192
VL - 10
SP - 1246
EP - 1259
JO - Pain Medicine
JF - Pain Medicine
SN - 1526-2375
IS - 7
ER -