Impaired psychomotor ability and attention in patients with persistent pain: a cross-sectional comparative study

Gunnarsson, Helena; Grahn, Birgitta; Agerström, Jens

doi:10.2147/jpr.s114915

Cited by 13 publications

(17 citation statements)

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“…The individuals who have regularly current pain have a major impact on decrementing the performance in sustained attention. [ 16 ] Brain parts such as the prefrontal cortex, anterior cingulate cortex, and secondary somatosensory cortex have a major role in controlled and higher-order cognitive processing which involves attention, cognitive control, and certain psychomotor abilities. [ 17 18 ]…”

Section: Introductionmentioning

confidence: 99%

Cognitive dysfunction in patients of rheumatoid arthritis

Chaurasia

Singh

et al. 2020

J Family Med Prim Care

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Rheumatoid Arthritis (RA) is a form of arthritis characterized by joint pain, stiffness, swelling and deformity. There has been plethora of researches in the area of rheumatoid arthritis which focused on immune system, genetic predisposition and newer treatment modalities. Researchers have also examined the cognitive decline, physical deficits and their interrelationship in patients with RA. Among several psychological aspects depression, anxiety and stress emerge as significant psychological co morbidity. RA is a multifactorial, chronic, inflammatory disease primarily affects physical functioning as well as psychological aspects. Pain, fatigue, duration of disease, disease activity and functional disability are very common in rheumatoid arthritis which is leading cause of psychological distress and functional disability. Various types of neuropsychological battery were used to assess the decline in specific areas like attention, executive functioning, visuo-spatial learning, verbal learning/memory etc. These functions were compared with other type of arthritis disease. Also, various other factors like depression, cardiovascular diseases, other systemic and chronic disease and concomitant drugs intake etc. also affected cognitive functioning in Rheumatoid Arthritis patients. The objective of this review was to identify and explore the rates and types of cognitive impairment in RA. This present review paper systematically examines and summarizes the cognition related decrement in arthritis patients. Multiple research articles between 1990 to 2018 were searched. These reviews were evaluated and synthesized using a narrative and descriptive approach.

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Section: Introductionmentioning

confidence: 99%

Cognitive dysfunction in patients of rheumatoid arthritis

Chaurasia

Singh

et al. 2020

J Family Med Prim Care

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“…50 – 53 Furthermore, research has found a more detrimental effect in cognitive function, as well as in deep tissue pressure pain thresholds, for long-term persistent pain compared to long-term, regularly, recurrent pain. 54 , 55 …”

Section: Discussionmentioning

confidence: 99%

Clinical pain, abstraction, and self-control: being in pain makes it harder to see the forest for the trees and is associated with lower self-control

Gunnarsson¹,

Agerström²

2018

JPR

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ObjectivesAlthough abstract thinking is a fundamental dimension of human cognition, it has received scant attention in research on pain and cognition. We hypothesized that physical pain impairs abstraction, because when people experience pain at high intensity levels, attention becomes concretely focused on the self in the here and now, where little else matters than finding relief for the pain they are currently experiencing. We also examined the relationship between pain and self-control, predicting that pain would debilitate self-control.Patients and methodsAbstraction and self-reported self-control were assessed in 109 patients with musculoskeletal pain. The influence of specific pain qualities, such as pain intensity, pain interference with daily activities, pain duration, and pain persistence, was examined. Furthermore, we assessed other factors (e.g., anxiety, depression, and fatigue) that could be assumed to play a role in the pain experience and in cognitive performance.ResultsHigher pain intensity and persistence were associated with less abstract thinking. Furthermore, self-control decreased with greater pain intensity, persistence, and self-reported pain interference with daily activities. Self-reported depressive symptoms mediated the overall relationship between pain and self-control.ConclusionAbstraction is compromised in patients reporting higher pain intensity and persistence. Different dimensions of pain also predict lower self-control although depression seems to account for the relationship between overall pain and self-control. The current study is the first to report an association between clinical musculoskeletal pain and abstraction. The results suggest that pain patients may suffer from a broader range of cognitive disadvantages than previously believed.

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“…In addition to the restrictions on movement, the pain that almost always occurs with diseases of the musculoskeletal system can have unfavorable effects on driving behavior. Pain can have a distracting effect on the driver and is associated with impaired psychomotor abilities such as lane- keeping or cognitive performance such as sustained attention [ 190 , 191 ]. Many drivers take analgesics to reduce pain.…”

Section: Musculoskeletal Disordersmentioning

confidence: 99%

Age-Related Diseases and Driving Safety

Falkenstein¹,

Karthaus

Brüne-Cohrs

2020

Geriatrics

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Due to demographic changes, the number of older drivers is steadily increasing. Mobility is highly relevant for leading an independent life in the elderly. It largely depends on car driving, which is a complex task requiring a multitude of cognitive and motor skills vulnerable to age- related functional deterioration. The almost inevitable effects of senescence may be potentiated by age-related diseases, such as stroke or diabetes mellitus. Respective pharmacological treatment may cause side effects, additionally affecting driving safety. The present article reviews the impact of age-related diseases and drug treatment of these conditions on driving fitness in elderly drivers. In essence, we focus on diseases of the visual and auditory systems, diseases of the central nervous system (i.e., stroke, depression, dementia and mild cognitive disorder, and Parkinson’s disease), sleep disorders, as well as cardiovascular diseases, diabetes mellitus, musculoskeletal disorders, and frailty. We will outline the role of functional tests and the assessment of driving behavior (by a driving simulator or in real traffic), as well as the clinical interview including questions about frequency of (near) accidents, etc. in the evaluation of driving fitness of the elderly. We also address the impact of polypharmacy on driving fitness and end up with recommendations for physicians caring for older patients.

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Impaired psychomotor ability and attention in patients with persistent pain: a cross-sectional comparative study

Cited by 13 publications

References 50 publications

Cognitive dysfunction in patients of rheumatoid arthritis

Cognitive dysfunction in patients of rheumatoid arthritis

Clinical pain, abstraction, and self-control: being in pain makes it harder to see the forest for the trees and is associated with lower self-control

Age-Related Diseases and Driving Safety

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