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Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study
OBJECTIVES: The objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these neg...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159127/ https://www.ncbi.nlm.nih.gov/pubmed/25214787 http://dx.doi.org/10.2147/NDT.S66209 |
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author | Margari, Francesco Lorusso, Marina Matera, Emilia Pastore, Adriana Zagaria, Giuseppina Bruno, Francesco Puntillo, Filomena Margari, Lucia |
author_facet | Margari, Francesco Lorusso, Marina Matera, Emilia Pastore, Adriana Zagaria, Giuseppina Bruno, Francesco Puntillo, Filomena Margari, Lucia |
author_sort | Margari, Francesco |
collection | PubMed |
description | OBJECTIVES: The objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these negative feelings, analyzing the relationship between CPPs and their caregivers. METHODS: We enrolled a total of 208 patients, divided into CPPs and controls affected by internistic diseases. Assessment included collection of sociodemographic and health care data, pain characteristics, administration of visual analog scale (VAS), Modified Overt Aggression Scale (MOAS), Barratt Impulsiveness Scale Version 11 (BIS), Hamilton Depression Rating Scale (HDRS), and a caregiver self-administered questionnaire. All variables were statistically analyzed. RESULTS: A significant difference of VAS, MOAS-total/verbal/auto-aggression, HDRS-total/suicide mean scores between the groups were found. BIS mean score was higher in CPPs misusing analgesics. In CPPs a correlation between MOAS-total/verbal/auto-aggression with BIS mean score, MOAS with HDRS-suicide mean score and BIS with HDRS-suicide mean scores were found. The MOAS and BIS mean scores were significantly higher when caregivers were not supportive. CONCLUSION: In CPPs, aggression and impulsivity could increase the risk of suicide. Moreover, impulsivity, overt aggression and pain could be interrelated by a common biological core. Our study supports the importance of a multidisciplinary approach in the CPPs management and the necessity to supervise caregivers, which may become risk/protective factors for the development of feelings interfering with the treatment and rehabilitation of CPPs. |
format | Online Article Text |
id | pubmed-4159127 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-41591272014-09-11 Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study Margari, Francesco Lorusso, Marina Matera, Emilia Pastore, Adriana Zagaria, Giuseppina Bruno, Francesco Puntillo, Filomena Margari, Lucia Neuropsychiatr Dis Treat Original Research OBJECTIVES: The objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these negative feelings, analyzing the relationship between CPPs and their caregivers. METHODS: We enrolled a total of 208 patients, divided into CPPs and controls affected by internistic diseases. Assessment included collection of sociodemographic and health care data, pain characteristics, administration of visual analog scale (VAS), Modified Overt Aggression Scale (MOAS), Barratt Impulsiveness Scale Version 11 (BIS), Hamilton Depression Rating Scale (HDRS), and a caregiver self-administered questionnaire. All variables were statistically analyzed. RESULTS: A significant difference of VAS, MOAS-total/verbal/auto-aggression, HDRS-total/suicide mean scores between the groups were found. BIS mean score was higher in CPPs misusing analgesics. In CPPs a correlation between MOAS-total/verbal/auto-aggression with BIS mean score, MOAS with HDRS-suicide mean score and BIS with HDRS-suicide mean scores were found. The MOAS and BIS mean scores were significantly higher when caregivers were not supportive. CONCLUSION: In CPPs, aggression and impulsivity could increase the risk of suicide. Moreover, impulsivity, overt aggression and pain could be interrelated by a common biological core. Our study supports the importance of a multidisciplinary approach in the CPPs management and the necessity to supervise caregivers, which may become risk/protective factors for the development of feelings interfering with the treatment and rehabilitation of CPPs. Dove Medical Press 2014-09-02 /pmc/articles/PMC4159127/ /pubmed/25214787 http://dx.doi.org/10.2147/NDT.S66209 Text en © 2014 Margari et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Margari, Francesco Lorusso, Marina Matera, Emilia Pastore, Adriana Zagaria, Giuseppina Bruno, Francesco Puntillo, Filomena Margari, Lucia Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title | Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title_full | Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title_fullStr | Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title_full_unstemmed | Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title_short | Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
title_sort | aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159127/ https://www.ncbi.nlm.nih.gov/pubmed/25214787 http://dx.doi.org/10.2147/NDT.S66209 |
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