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Higher self-perceived stress reactivity is associated with increased chronic pain risk

INTRODUCTION: Experiencing stress can contribute to unfavorable pain experiences, but outcomes vary across individuals. Evidence suggests that a person's specific reactivity to stressful events may influence pain responses. Previous studies measuring physiological stress reactivity have found a...

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Autores principales: Boring, Brandon L., Richter, Alison, Mathur, Vani A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
11
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036055/
https://www.ncbi.nlm.nih.gov/pubmed/36969912
http://dx.doi.org/10.1097/PR9.0000000000001068
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author Boring, Brandon L.
Richter, Alison
Mathur, Vani A.
author_facet Boring, Brandon L.
Richter, Alison
Mathur, Vani A.
author_sort Boring, Brandon L.
collection PubMed
description INTRODUCTION: Experiencing stress can contribute to unfavorable pain experiences, but outcomes vary across individuals. Evidence suggests that a person's specific reactivity to stressful events may influence pain responses. Previous studies measuring physiological stress reactivity have found associations with pain both clinically and in the laboratory. However, the time and cost required for testing physiological stress reactivity may limit clinical application. OBJECTIVE: Self-reported perception of one's own stress reactivity has been shown to correlate with physiological stress reactivity in relation to health outcomes and may represent a valuable tool in clinical pain assessment. METHODS: Using data from the Midlife in the US survey, we selected participants who did not have chronic pain at baseline (n = 1512) and who had data at follow-up 9 years later. Stress reactivity was assessed using a subscale of the Multidimensional Personality Questionnaire. We conducted a binary logistic regression to determine the odds of developing chronic pain, controlling for demographics and other health-related variables. RESULTS: Results indicate that higher reported stress reactivity at baseline increased the odds of developing chronic pain at follow-up (odds ratio (OR) = 1.085, 95% confidence interval (CI) (1.021, 1.153), P = 0.008), with the only other significant predictor being the number of chronic conditions (OR = 1.118, 95% CI (1.045, 1.197), P = 0.001). CONCLUSION: Findings provide evidence for the predictive criterion validity of self-reported stress reactivity in the context of chronic pain risk. More generally, with increased need for virtual assessment and care, self-reported stress reactivity may be a useful, time-efficient, and cost-efficient tool for predicting pain outcomes in research and clinical contexts.
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spelling pubmed-100360552023-03-24 Higher self-perceived stress reactivity is associated with increased chronic pain risk Boring, Brandon L. Richter, Alison Mathur, Vani A. Pain Rep 11 INTRODUCTION: Experiencing stress can contribute to unfavorable pain experiences, but outcomes vary across individuals. Evidence suggests that a person's specific reactivity to stressful events may influence pain responses. Previous studies measuring physiological stress reactivity have found associations with pain both clinically and in the laboratory. However, the time and cost required for testing physiological stress reactivity may limit clinical application. OBJECTIVE: Self-reported perception of one's own stress reactivity has been shown to correlate with physiological stress reactivity in relation to health outcomes and may represent a valuable tool in clinical pain assessment. METHODS: Using data from the Midlife in the US survey, we selected participants who did not have chronic pain at baseline (n = 1512) and who had data at follow-up 9 years later. Stress reactivity was assessed using a subscale of the Multidimensional Personality Questionnaire. We conducted a binary logistic regression to determine the odds of developing chronic pain, controlling for demographics and other health-related variables. RESULTS: Results indicate that higher reported stress reactivity at baseline increased the odds of developing chronic pain at follow-up (odds ratio (OR) = 1.085, 95% confidence interval (CI) (1.021, 1.153), P = 0.008), with the only other significant predictor being the number of chronic conditions (OR = 1.118, 95% CI (1.045, 1.197), P = 0.001). CONCLUSION: Findings provide evidence for the predictive criterion validity of self-reported stress reactivity in the context of chronic pain risk. More generally, with increased need for virtual assessment and care, self-reported stress reactivity may be a useful, time-efficient, and cost-efficient tool for predicting pain outcomes in research and clinical contexts. Wolters Kluwer 2023-03-22 /pmc/articles/PMC10036055/ /pubmed/36969912 http://dx.doi.org/10.1097/PR9.0000000000001068 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 11
Boring, Brandon L.
Richter, Alison
Mathur, Vani A.
Higher self-perceived stress reactivity is associated with increased chronic pain risk
title Higher self-perceived stress reactivity is associated with increased chronic pain risk
title_full Higher self-perceived stress reactivity is associated with increased chronic pain risk
title_fullStr Higher self-perceived stress reactivity is associated with increased chronic pain risk
title_full_unstemmed Higher self-perceived stress reactivity is associated with increased chronic pain risk
title_short Higher self-perceived stress reactivity is associated with increased chronic pain risk
title_sort higher self-perceived stress reactivity is associated with increased chronic pain risk
topic 11
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036055/
https://www.ncbi.nlm.nih.gov/pubmed/36969912
http://dx.doi.org/10.1097/PR9.0000000000001068
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