Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Ataoglu, Emine; Tiftik, Tülay; Kara, Murat; Tunç, Hakan; Ersöz, Murat; Akkuş, Selami

doi:10.1038/sc.2012.51

Cited by 124 publications

(103 citation statements)

References 24 publications

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“…23 However, neuropathic pain did not correlate with any other SF-36 subitems. It is reasonable that neuropathic pain did not correlate with all QOL factors, as SCI patients are affected not only by pain but also by limitations in moving, walking and controlling egestion and sexual function.…”

Section: Discussionmentioning

confidence: 93%

Characteristics of neuropathic pain and its relationship with quality of life in 72 patients with spinal cord injury

et al. 2015

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Study design: A cross-sectional study. Objectives: Neuropathic pain (NP) after spinal cord injury (SCI) tends to be hard to treat, and its heterogeneous properties make it difficult to identify and characterize. This study was conducted to assess the characteristics of SCI-related NP in detail. Setting: A single hospital for SCI rehabilitation. Methods: This study included 72 patients who were seen at our hospital in 2012 and 2013 and who had sustained SCI at least 3 months before enrollment. The patients completed the Neuropathic Pain Symptom Inventory (NPSI) and the Short Form (SF)-36 Health Inventory. The NPSI score was analyzed for correlations with clinical presentations of SCI and SF-36 subitems. Results: Paresthesia/dysesthesia was the most common subtype of NP after SCI. With regard to location, below-level superficial NP was significantly more intense than at-level pain. Patients who underwent surgery showed significantly less evoked pain compared with patients with non-surgery. Patients reported significantly more severe pain if 41 year had elapsed after the SCI. Patients with an American Spinal Injury Association Impairment Scale grade of B for completeness of injury reported more intense NP than those with other grades. Among the SF-36 subitems, NP correlated significantly with bodily pain, general health and mental health. Conclusion: NP in SCI patients was significantly associated with the location of pain, the time period since the injury, surgery and quality-of-life factors. A more detailed understanding of the characteristics of NP may contribute to better strategies for relieving the pain associated with SCI.

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Section: Discussionmentioning

confidence: 93%

Characteristics of neuropathic pain and its relationship with quality of life in 72 patients with spinal cord injury

et al. 2015

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“…Neuropathic pain places SCI patients at increased risk of depression [12,13] as well as lower self-ratings of mood and quality of life [14]. Additionally, depression and pain are rated as more severe when coinciding [15] with diagnosis and treatment of one being adversely affected by the other [16].…”

Section: Implications For Rehabilitationmentioning

confidence: 99%

Living with chronic neuropathic pain after spinal cord injury: an interpretative phenomenological analysis of community experience

Hearn

Cotter

Fine

et al. 2015

Disability and Rehabilitation

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Interpretative Phenomenological Analysis of community experiencePurpose: This paper presents an in-depth, idiographic study examining the lived experience of chronic pain following spinal cord injury (SCI). Neuropathic pain (NP) occurs in a large majority of the SCI population and is particularly intractable to treatment. It can be both psychologically and physically debilitating. This study examines how the experience of NP is mediated by its meaning to the sufferer.Method: Semi-structured interviews were conducted with eight people with SCI and chronic NP, attending outpatient clinics at a specialist SCI Centre in the UK. Verbatim transcripts were subjected to interpretative phenomenological analysis in order to further understand the experience.Results: Analysis suggested that NP has powerful consequences upon the sufferer's physical, psychological, and social well-being, in line with a biopsychosocial understanding of pain. Three super-ordinate themes were identified: a perceived gap between treatments received and participants' views of what they wanted and needed; a fight for life control and acceptance; and feeling understood by others with SCI, but isolated from the non-understanding able-bodied. Conclusions:The results are discussed in terms of the possible application of acceptance-based therapy to NP and the potential for the alleviation of the debilitating consequences of NP.

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“…[34][35][36][37] Several studies identified pain as an important factor that negatively affects depressive symptoms. [12][13][14][15][16] However, previous research addressed the impact on depression on the entire etiology of chronic SCI pain. The effect of isolated shoulder pain on depressive mood has not been investigated.…”

Section: The Influence Of Shoulder Pain On Depressionmentioning

confidence: 99%

“…[9][10][11] It has been reported that chronic pain is associated with higher levels of depressive symptoms in patients with spinal cord injury (SCI). [12][13][14][15][16] The chronic pain-related conditions that develop following SCI are heterogeneous. Although shoulder pain is recognized as the most common and incapacitating upper limb problem in patients after SCI, studies designed to investigate its effect on mood are lacking.…”

Section: Introductionmentioning

confidence: 99%

The influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia

Wang¹,

Chan²,

Tsai³

et al. 2014

The Journal of Spinal Cord Medicine

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Objective: To assess whether functional activity, perceived health, and depressive symptoms differ between individuals with traumatic paraplegia with and without shoulder pain. Design: Cross sectional and comparative investigation using the unified questionnaire. Setting: Neural Regeneration and Repair Division unit of Taipei Veterans General Hospital in Taiwan. Participants: Seventy-six patients with paraplegia (23 with and 53 without shoulder pain) who had experienced spinal cord injury at American Spinal Injury Association Impairment Scale T2 to T12 neurologic level (at least 6 months previously). Outcome measures: Spinal Cord Independence Measure (SCIM), a single item from the Medical Outcomes Study 36-Item Short-Form Health Survey, and Patient Health Questionnaire-9 (PHQ-9) depression scale. Results: Shoulder pain was prevalent in 30% patients. Patients with shoulder pain had significantly worse perceived health and greater depressive symptoms than those without. No significant difference was found in functional ability between groups. Greater shoulder pain intensity was related to higher depressive scores (r = 0.278, P = 0.017) and lower self-perceived health scores (r = −0.433, P < 0.001) but not SCIM scores (P = 0.342). Conclusion: Although shoulder pain was unrelated to functional limitation, it was associated with lower perceived health and higher depressive mood levels.

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Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Cited by 124 publications

References 24 publications

Characteristics of neuropathic pain and its relationship with quality of life in 72 patients with spinal cord injury

Characteristics of neuropathic pain and its relationship with quality of life in 72 patients with spinal cord injury

Living with chronic neuropathic pain after spinal cord injury: an interpretative phenomenological analysis of community experience

The influence of shoulder pain on functional limitation, perceived health, and depressive mood in patients with traumatic paraplegia

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