School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Applied Research, Department of Psychiatry, Royal University Hospital, Saskatoon, Saskatchewan, Canada.
J Evid Based Integr Med. 2021 Jan-Dec;26:2515690X21991995. doi: 10.1177/2515690X21991995.
Pain is one of the most common symptoms reported by patients living with Multiple Sclerosis (MS). Risk factors associated with pain may include individual's cognitive thinking process, emotional and behavioural response to pain and amount of social support. There is a lack of research on the influence on the amount of social support and its association to pain outcomes.
The primary objective of this study was to determine the association between amount and of social support and its association with odds of pain among individuals with MS.
The Survey on Living with Neurological Conditions in Canada (SLNCC) 2011-2012 linked to the Canadian Community Health Survey (CCHS) 2010-2011 was used to carry out a logistic regression model for this analysis (N = 78,623).
The factors that were assessed were psychological factors, problems with sleeping, self-perceived general health, self-perceived level of stress, number of years living with MS, as well as social factors. The outcome variable was pain.
The amount of social support was found to be significant in that individuals who had 3 or fewer types of social support were 3.02 times more likely (95% CI 1.06 to 8.59) to report being in pain as opposed to individuals who had 4 types of support. The results indicate the importance of self efficacy in overcoming symptoms of MS and the need for more home care services.
疼痛是多发性硬化症（MS）患者最常见的症状之一。与疼痛相关的风险因素可能包括个体的认知思维过程、对疼痛的情绪和行为反应以及社会支持的程度。目前，关于社会支持的数量及其与疼痛结果的关联的研究还很缺乏。
本研究的主要目的是确定社会支持的数量与多发性硬化症患者疼痛发生几率之间的关联。
本研究使用了 2011-2012 年加拿大神经疾病生活状况调查（SLNCC）与 2010-2011 年加拿大社区健康调查（CCHS）的链接数据，采用逻辑回归模型进行了此项分析（N=78623）。
评估的因素包括心理因素、睡眠问题、自我感知的总体健康状况、自我感知的压力水平、患多发性硬化症的年限，以及社会因素。因变量为疼痛。
社会支持的数量具有显著意义，与有 4 种以上社会支持的个体相比，拥有 3 种或更少类型社会支持的个体报告疼痛的可能性高出 3.02 倍（95%CI 1.06 至 8.59）。结果表明，自我效能在克服多发性硬化症症状方面很重要，同时需要更多的家庭护理服务。
