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首页> 外文期刊>Pain Studies and Treatment >Chronic pain profile: An interaction between biological and psychosocial factors*
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Chronic pain profile: An interaction between biological and psychosocial factors*

机译：慢性疼痛特征：生物学和社会心理因素之间的相互作用*

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OBJECTIVE: To Identify subgroups of workers with chronic pain based on the interaction of different pain dimensions (sensory, affective, evaluative and mixed), depression, beliefs regarding pain, physical incapacity and socio-demographic-clinical data. METHODS:An observational cross-sectional study was carried out with a convenience sample made up of 115 patients with work-related musculoskeletal disorders (WRMD). The participants answered the McGill Pain Questionnaire, Beck Depression Inventory, Survey of Pain Attitudes, Roland-Morris Disability Questionnaire and a form for socio-demographic and clinical data. RESULTS: Four distinct subgroups were identified, two of which reported pain of a sensory-affective nature and two reported predominantly sensory pain. The individuals in subgroups I and III reported higher levels for all variables analyzed, while the first cluster had the highest mean scores. The subgroup II exhibited moderate degrees of physical disability and a high sick leave index, although the members of this group were less depressed and less dependent upon analgesics. Lower levels of pain, physical disability and depression were associated to subgroup IV, which also had the greatest proportion of males. Beliefs were similar among the subgroups. CONCLUSIONS: Patients with moderate to strong chronic pain associated to sensory and affective components exhibited a higher degree of disability and depression. The results suggest that the chronification process of pain and its functional consequences vary between individuals and are influenced by emotional factors.
机译：目的：根据不同疼痛程度（感官，情感，评价和混合），抑郁，对疼痛的信念，身体上无行为能力和社会人口统计学的临床数据之间的相互作用，识别患有慢性疼痛的工人亚组。方法：采用方便性样本进行观察性横断面研究，该样本由115名与工作有关的肌肉骨骼疾病（WRMD）的患者组成。参与者回答了麦吉尔疼痛问卷，贝克抑郁量表，疼痛态度调查，罗兰·莫里斯残疾问卷以及社会人口统计学和临床​​数据表格。结果：确定了四个不同的亚组，其中两个报告了感觉-情感性质的疼痛，另外两个报告了主要的感觉疼痛。在所有分析的变量中，第一和第三亚组的个体报告的水平较高，而第一组的平均得分最高。第二亚组表现出中等程度的肢体残疾和较高的病假指数，尽管该组的成员情绪低落且对止痛药的依赖性较小。较低的疼痛，肢体残疾和抑郁症与第四亚组有关，后者也占男性的比例最大。各亚组之间的信念相似。结论：与感觉和情感成分有关的中度至重度慢性疼痛患者表现出更高程度的残疾和抑郁感。结果表明，疼痛的正时化过程及其功能后果因人而异，并受情感因素影响。

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