Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression

Rambla, Concepcio; Aragones, Enric; Palleja-Millan, Meritxell; Tome-Pires, Catarina; Lopez-Cortacans, German; Sanchez-Rodriguez, Elisabet; Miro, Jordi

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Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression - imarina:9295184

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https://hdl.handle.net/20.500.11797/imarina9295184

Autor/s de la URV:	Miró Martínez, Jordi / Sánchez Rodríguez, Elisabet
Autor segons l'article:	Rambla, Concepcio; Aragones, Enric; Palleja-Millan, Meritxell; Tome-Pires, Catarina; Lopez-Cortacans, German; Sanchez-Rodriguez, Elisabet; Miro, Jordi
Adreça de correu electrònic de l'autor:	elisabet.sanchez@urv.cat jordi.miro@urv.cat
Identificador de l'autor:	0000-0001-8377-1799 0000-0002-1998-6653
Any de publicació de la revista:	2023
Tipus de publicació:	Journal Publications
Referència de l'ítem segons les normes APA:	Rambla, Concepcio; Aragones, Enric; Palleja-Millan, Meritxell; Tome-Pires, Catarina; Lopez-Cortacans, German; Sanchez-Rodriguez, Elisabet; Miro, Jordi (2023). Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression. Bmc Musculoskeletal Disorders, 24(1), 270-270. DOI: 10.1186/s12891-023-06357-2
Referència a l'article segons font original:	Bmc Musculoskeletal Disorders. 24 (1): 270-270
Resum:	Chronic pain and depression are frequent comorbidities in primary care. Depression among other psychosocial factors play a role in the clinical course of chronic pain.To study the short and long-term predictive factors of severity and interference of chronic pain in primary care patients with chronic musculoskeletal pain and major depression.Longitudinal study of a cohort of 317 patients. The outcomes are severity and functional interference of pain (Brief Pain Inventory) measured at 3 and 12 months. We performed multivariate linear regression models to estimate the effects the explanatory baseline variables on the outcomes.83% participants were women; average age was 60.3 years (SD = 10.2). In multivariate models, baseline pain severity predicted pain severity at 3 months (β = 0.53; 95% CI = 0.37-0.68) and at 12 months (β = 0.48; 95% CI = 0.29-0.67). Also, pain > 2 years of evolution predicted long term pain severity (β = 0.91; CI95%=0.11-1.71). Baseline pain interference predicted interference at 3 and 12 months (β = 0.27; 95%CI = 0.11-0.43 and β = 0.21; 95%CI = 0.03-0.40, respectively). Baseline pain severity predicted interference at 3 and 12 months (β = 0.26; 95%CI = 0.10-0.42 and β = 0.20; 95%CI = 0.02-0.39, respectively). Pain > 2 years predicted greater severity and greater interference at 12 months (β = 0.91; CI95%=0.11-1.71, and β = 1.23; CI95%=0.41-2.04). Depression severity predicted more interference at 12 months (β = 0.58; CI95%=0.04-1.11). Occupational status as active worker predicted less interference throughout the follow-up (β=-0.74; CI95%=-1.36 to -0.13 and β=-0.96; CI95%=-1.71 to -0.21, at 3 and 12 months). Currently working also predicts less pain severity at 12 months (β=-0.77; CI95%=1.52 - 0.02). With regard to the psychological variables, pain catastrophizing predicted pain severity and interference at three months (β = 0.03; 95% CI = 0.00-0.05 and β = 0.03; 95% CI = 0.00-0.05), but not at long term.In a sample of adults with chronic pain and depression, this primary care study has identified prognostic factors that independently predict the severity and functional interference of pain. If confirmed in new studies, these factors should be targeted for individualized interventions.ClinicalTrials.gov (NCT02605278), registered 16/11/2015.© 2023. The Author(s).
DOI de l'article:	10.1186/s12891-023-06357-2
Enllaç font original:	https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06357-2
Versió de l'article dipositat:	info:eu-repo/semantics/publishedVersion
Accès a la llicència d'ús:	https://creativecommons.org/licenses/by/3.0/es/
Departament:	Psicologia
URL Document de llicència:	https://repositori.urv.cat/ca/proteccio-de-dades/
Àrees temàtiques:	Saúde coletiva Rheumatology Orthopedics and sports medicine Orthopedics Odontología Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Matemática / probabilidade e estatística Interdisciplinar Ensino Engenharias iv Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Antropologia / arqueologia
Paraules clau:	Primary health care Major depression Low-back-pain Longitudinal studies Chronic pain Catastrophizing validation spanish version scale major depression longitudinal studies impact disability diagnosing mental-disorders classification chronic pain catastrophizing burden
Entitat:	Universitat Rovira i Virgili
Data d'alta del registre:	2024-10-12

Descripció:	Chronic pain and depression are frequent comorbidities in primary care. Depression among other psychosocial factors play a role in the clinical course of chronic pain.To study the short and long-term predictive factors of severity and interference of chronic pain in primary care patients with chronic musculoskeletal pain and major depression.Longitudinal study of a cohort of 317 patients. The outcomes are severity and functional interference of pain (Brief Pain Inventory) measured at 3 and 12 months. We performed multivariate linear regression models to estimate the effects the explanatory baseline variables on the outcomes.83% participants were women; average age was 60.3 years (SD = 10.2). In multivariate models, baseline pain severity predicted pain severity at 3 months (β = 0.53; 95% CI = 0.37-0.68) and at 12 months (β = 0.48; 95% CI = 0.29-0.67). Also, pain > 2 years of evolution predicted long term pain severity (β = 0.91; CI95%=0.11-1.71). Baseline pain interference predicted interference at 3 and 12 months (β = 0.27; 95%CI = 0.11-0.43 and β = 0.21; 95%CI = 0.03-0.40, respectively). Baseline pain severity predicted interference at 3 and 12 months (β = 0.26; 95%CI = 0.10-0.42 and β = 0.20; 95%CI = 0.02-0.39, respectively). Pain > 2 years predicted greater severity and greater interference at 12 months (β = 0.91; CI95%=0.11-1.71, and β = 1.23; CI95%=0.41-2.04). Depression severity predicted more interference at 12 months (β = 0.58; CI95%=0.04-1.11). Occupational status as active worker predicted less interference throughout the follow-up (β=-0.74; CI95%=-1.36 to -0.13 and β=-0.96; CI95%=-1.71 to -0.21, at 3 and 12 months). Currently working also predicts less pain severity at 12 months (β=-0.77; CI95%=1.52 - 0.02). With regard to the psychological variables, pain c
Tipus:	Journal Publications
Coautor:	Universitat Rovira i Virgili
Títol:	Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression
Matèria:	Orthopedics,Orthopedics and Sports Medicine,Rheumatology Primary health care Major depression Low-back-pain Longitudinal studies Chronic pain Catastrophizing validation spanish version scale major depression longitudinal studies impact disability diagnosing mental-disorders classification chronic pain catastrophizing burden Saúde coletiva Rheumatology Orthopedics and sports medicine Orthopedics Odontología Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Matemática / probabilidade e estatística Interdisciplinar Ensino Engenharias iv Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Antropologia / arqueologia
Data:	2023
Autor:	Rambla, Concepcio Aragones, Enric Palleja-Millan, Meritxell Tome-Pires, Catarina Lopez-Cortacans, German Sanchez-Rodriguez, Elisabet Miro, Jordi
Drets:	info:eu-repo/semantics/openAccess

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