Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain

Lars Erik Dyrehag, Eva Widerstrom-Noga, Sven G. Carlsson, Karin Kåberger, Nina Hedner, Clas Mannheimer, Sven A. Andersson

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multi-dimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self- reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.

Original languageEnglish
Pages (from-to)235-242
Number of pages8
JournalScandinavian Journal of Rehabilitation Medicine
Volume30
Issue number4
DOIs
StatePublished - Dec 1 1998

Fingerprint

Shoulder Pain
Neck Pain
Chronic Pain
Signs and Symptoms
Psychology
Pain
Equipment and Supplies
Anxiety
Myalgia
Self Report
Depression
Arm
Neck

Keywords

  • Anxiety
  • Chronic pain
  • Depression
  • Disability
  • Musculoskeletal
  • Pain drawing
  • Pain thresholds
  • Psychometric
  • Severity
  • Tender points

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain. / Dyrehag, Lars Erik; Widerstrom-Noga, Eva; Carlsson, Sven G.; Kåberger, Karin; Hedner, Nina; Mannheimer, Clas; Andersson, Sven A.

In: Scandinavian Journal of Rehabilitation Medicine, Vol. 30, No. 4, 01.12.1998, p. 235-242.

Research output: Contribution to journalArticle

Dyrehag, Lars Erik ; Widerstrom-Noga, Eva ; Carlsson, Sven G. ; Kåberger, Karin ; Hedner, Nina ; Mannheimer, Clas ; Andersson, Sven A. / Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain. In: Scandinavian Journal of Rehabilitation Medicine. 1998 ; Vol. 30, No. 4. pp. 235-242.
@article{95528b9ce12f465d98a7bac677d81271,
title = "Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain",
abstract = "The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multi-dimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self- reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.",
keywords = "Anxiety, Chronic pain, Depression, Disability, Musculoskeletal, Pain drawing, Pain thresholds, Psychometric, Severity, Tender points",
author = "Dyrehag, {Lars Erik} and Eva Widerstrom-Noga and Carlsson, {Sven G.} and Karin K{\aa}berger and Nina Hedner and Clas Mannheimer and Andersson, {Sven A.}",
year = "1998",
month = "12",
day = "1",
doi = "10.1080/003655098443986",
language = "English",
volume = "30",
pages = "235--242",
journal = "Journal of Rehabilitation Medicine",
issn = "1650-1977",
publisher = "Foundation for Rehabilitation Information",
number = "4",

}

TY - JOUR

T1 - Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain

AU - Dyrehag, Lars Erik

AU - Widerstrom-Noga, Eva

AU - Carlsson, Sven G.

AU - Kåberger, Karin

AU - Hedner, Nina

AU - Mannheimer, Clas

AU - Andersson, Sven A.

PY - 1998/12/1

Y1 - 1998/12/1

N2 - The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multi-dimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self- reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.

AB - The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multi-dimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self- reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.

KW - Anxiety

KW - Chronic pain

KW - Depression

KW - Disability

KW - Musculoskeletal

KW - Pain drawing

KW - Pain thresholds

KW - Psychometric

KW - Severity

KW - Tender points

UR - http://www.scopus.com/inward/record.url?scp=0031732073&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031732073&partnerID=8YFLogxK

U2 - 10.1080/003655098443986

DO - 10.1080/003655098443986

M3 - Article

C2 - 9825388

AN - SCOPUS:0031732073

VL - 30

SP - 235

EP - 242

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

SN - 1650-1977

IS - 4

ER -