Department of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany, NY, USA.
Department of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany, NY, USA; Department of Neurosurgery, Albany Medical College, Albany, NY, USA.
Clin Neurol Neurosurg. 2021 Sep;208:106831. doi: 10.1016/j.clineuro.2021.106831. Epub 2021 Jul 22.
Pet ownership has been shown to decrease morbidity and mortality in several aspects of health but has not been studied in chronic pain patients. We evaluate whether subjects who underwent spinal cord stimulation (SCS) and own a pet have improved outcomes compared to non-pet owners.
After obtaining IRB approval, we re-contacted 38 subjects who underwent SCS surgery with preoperative and 1-year postoperative data on Numerical Rating Scale (NRS), McGill Pain Questionnaire (MPQ), Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), and Pain Catastrophizing scale (PCS). We examined influence of pets and pet ownership-specific behaviors on improvement in SCS outcomes.
Patients included 24 males/14 females with a mean age of 59.9 ± 11.5 years. At mean follow-up of 12.2 months (range 10-14), there were improvements in NRS, ODI, BDI, PCS and MPQ. Twenty subjects owned pets and 18 did not; all believed pet ownership could improve health. Pet owners improved more on NRS-right now (p = 0.05) and BDI (p = 0.05), and were more satisfied with SCS (p = 0.04). No significant improvement was seen in ODI, MPQ, or PCS. However, PCS did improve in pet owners who exercised their pet (PCS-total, p < 0.01; PCS-helplessness, p < 0.01; PCS-rumination, p = 0.05; PCS-magnification, p = 0.02).
We provide preliminary evidence that pet ownership is associated with improved pain, depression and SCS satisfaction. Exercising with a pet also appears to be beneficial in limiting pain catastrophizing. Pets show promise as a novel means to improve patient SCS outcomes.
宠物拥有已被证明可以降低健康的多个方面的发病率和死亡率，但在慢性疼痛患者中尚未进行研究。我们评估接受脊髓刺激 (SCS) 并拥有宠物的患者与非宠物拥有者相比是否有更好的结果。
获得 IRB 批准后，我们重新联系了 38 名接受 SCS 手术的患者，这些患者有术前和术后 1 年的数据，包括数字评分量表 (NRS)、麦吉尔疼痛问卷 (MPQ)、Oswestry 残疾指数 (ODI)、贝克抑郁量表 (BDI) 和疼痛灾难化量表 (PCS)。我们研究了宠物及其特定的宠物拥有行为对 SCS 结果改善的影响。
患者包括 24 名男性/14 名女性，平均年龄为 59.9 ± 11.5 岁。在平均 12.2 个月（10-14 个月）的随访中，NRS、ODI、BDI、PCS 和 MPQ 均有所改善。20 名患者拥有宠物，18 名患者没有；所有患者都认为宠物拥有可以改善健康。宠物主人在 NRS-现在 (p=0.05) 和 BDI (p=0.05) 方面改善更多，对 SCS 更满意 (p=0.04)。ODI、MPQ 或 PCS 没有显著改善。然而，宠物主人在锻炼宠物时 PCS 得到了改善（PCS 总分，p<0.01；PCS 无助感，p<0.01；PCS 沉思，p=0.05；PCS 放大，p=0.02）。
我们提供了初步证据表明，宠物拥有与改善疼痛、抑郁和 SCS 满意度有关。与宠物一起锻炼似乎也有利于限制疼痛灾难化。宠物有望成为改善患者 SCS 结果的新方法。
