Rehabilitation Teaching & Research Unit, University of Otago, Wellington, New Zealand.
Department of Psychological Medicine, University of Otago, Wellington, New Zealand.
NeuroRehabilitation. 2019;45(3):419-427. doi: 10.3233/NRE-192872.
To explore associations between psychosocial factors and pain intensity and pain interference in a population with a new neurological injury on admission to rehabilitation, and after six months.
A longitudinal, prospective cohort study with participants with stroke or Spinal Cord Injury (SCI) completing questionnaires for pain intensity and interference, mental health, pain coping strategies and pain attitudes and beliefs within two weeks of admission to inpatient rehabilitation. After six months, participants completed measures of pain intensity and pain interference only.
In all 32 participants completed the questionnaires at baseline and 19 after six months. Several associations between a person's mental health and certain beliefs were associated with pain outcomes. Additionally, poorer baseline mental health was associated with greater pain intensity and pain interference after six months, and a stronger belief in a medical cure for pain at baseline was associated with less pain intensity and pain interference after six months.
Psychosocial factors are associated with pain early after stroke and SCI. Psychosocial factors are also associated with pain outcomes several months after stroke and SCI. This highlights the importance of psychosocial factors in both of these populations and their relationship with pain outcomes.
探讨新的神经损伤患者入院康复时及康复 6 个月后心理社会因素与疼痛强度和疼痛干扰的关系。
这是一项纵向、前瞻性队列研究，入组患者为脑卒中或脊髓损伤（SCI），在入组住院康复后两周内完成疼痛强度和干扰、心理健康、疼痛应对策略和疼痛态度信念的问卷。6 个月后，仅完成疼痛强度和疼痛干扰的测量。
共有 32 名参与者在基线和 6 个月后完成了问卷。一个人的心理健康和某些信念之间存在多种关联，这些关联与疼痛结果有关。此外，基线时心理健康状况较差与 6 个月后疼痛强度和疼痛干扰增加有关，而基线时对疼痛有医学治疗的信念较强与 6 个月后疼痛强度和疼痛干扰减少有关。
心理社会因素与脑卒中及 SCI 后早期的疼痛有关。心理社会因素也与脑卒中及 SCI 后数月的疼痛结果有关。这突显了心理社会因素在这两个群体中的重要性及其与疼痛结果的关系。
