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Pain, Perceived Injustice, and Pain Catastrophizing in Chronic Pain Patients in Ireland

机译:痛苦,不公平,和痛苦在慢性疼痛患者爱尔兰

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摘要

Chronic pain is a public health concern affecting 20% to 30% of the population of Western countries. Psychological risk factors can worsen chronic pain patients. Themes of perceived injustice (PI) and pain catastrophizing are related to poor clinical outcomes. Particularly, perceived injustice has not been assessed systematically in patients at their first presentation in chronic pain clinics in Ireland. This study aims to assess the Injustice Experience Questionnaire (IEQ)'s internal consistency in the Irish population, assess PI in patients attending a chronic pain clinic in Ireland using the IEQ, investigate pain catastrophizing through the Pain Catastrophizing Scale (PCS) and its relationship with IEQ scores, and explore their relationships with self-reported Numeric Pain Rating Scale. One hundred adult patients were randomly selected from those attending the clinic for the first time. Eighty completed the IEQ (mean age 49 years, ranged 22 to 90 years; 59% female). The internal consistency of the IEQ was excellent (Cronbach's alpha = 0.93). Twenty-six patients (33%) had IEQ scores classified as severe. Patients whose cause of pain was trauma or road traffic accidents were more likely to have clinically severe scores than all other causes of pain (47% vs. 23%, P = 0.03). This has clinical consequences and may have legal implications. Pain catastrophizing scores were strongly correlated with IEQ (r = 0.60, P < 0.001). The correlation between IEQ and the Numeric Pain Rating Scale was weak (r = 0.25, P = 0.048). The results suggest that the IEQ may provide an additional tool to assess psychological contributors in problematic chronic pain patients and to institute targeted therapies to improve clinical outcomes.
机译:慢性疼痛是一个公共健康问题影响西方人口的20%至30%国家。慢性疼痛患者。不公正(PI)和剧烈疼痛相关的临床结果。认为不公没有评估在他们的第一个系统地病人演讲在慢性疼痛诊所在爱尔兰。本研究旨在评估不公调查问卷(IEQ)的内部经验爱尔兰人口的一致性,评估π主治慢性疼痛诊所的病人爱尔兰使用IEQ调查疼痛通过剧烈疼痛规模(pc)及其与IEQ分数的关系,并探索它们之间的关系自我报告的数字疼痛评定量表。成人患者随机选择从这些参加诊所第一时间。年,22到90年不等;内部一致性的IEQ是优秀的(克伦巴赫α= 0.93)。(33%) IEQ成绩列为严重。病人的疼痛创伤或道路的原因交通事故的可能性更大临床上严重成绩比所有其他的原因疼痛(47%比23%,P = 0.03)。和可能的法律后果的影响。剧烈疼痛分数强劲与IEQ相关(r = 0.60, P < 0.001)。IEQ之间的相关性和数字疼痛评定量表是弱(r = 0.25, P = 0.048)。结果表明,IEQ可能提供一个额外的工具来评估心理成问题的慢性疼痛患者的贡献者和研究所靶向治疗改善临床结果。

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