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Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain

OBJECTIVES: The objectives of this study were to describe the 1-year trajectories of disabling subacute or persistent neck pain and to investigate whether baseline age, sex, pain characteristics, and depressive symptoms are associated with such trajectories. STUDY DESIGN AND SETTING: Participants (n...

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Autores principales: Pico-Espinosa, Oscar J., Côté, Pierre, Hogg-Johnson, Sheilah, Jensen, Irene, Axén, Iben, Holm, Lena W., Skillgate, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615962/
https://www.ncbi.nlm.nih.gov/pubmed/31149935
http://dx.doi.org/10.1097/AJP.0000000000000727
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author Pico-Espinosa, Oscar J.
Côté, Pierre
Hogg-Johnson, Sheilah
Jensen, Irene
Axén, Iben
Holm, Lena W.
Skillgate, Eva
author_facet Pico-Espinosa, Oscar J.
Côté, Pierre
Hogg-Johnson, Sheilah
Jensen, Irene
Axén, Iben
Holm, Lena W.
Skillgate, Eva
author_sort Pico-Espinosa, Oscar J.
collection PubMed
description OBJECTIVES: The objectives of this study were to describe the 1-year trajectories of disabling subacute or persistent neck pain and to investigate whether baseline age, sex, pain characteristics, and depressive symptoms are associated with such trajectories. STUDY DESIGN AND SETTING: Participants (n=617) included in a randomized controlled trial provided weekly pain intensity ratings by responding to text messages over 1 year. We used latent class mixed model analyses to identify clusters of individual trajectories. Thereafter, we used logistic regression to determine the association between baseline age, sex, pain characteristics, depressive symptoms and treatment, and trajectories of neck pain. RESULTS: Six different clusters of trajectories were identified. Most participants (73%) followed a trajectory of decreasing pain throughout follow-up. The remaining experienced unfavorable trajectories: persistent pain of high intensity (22%) and slightly (3%) or highly (2%) fluctuating levels of pain reaching high levels of pain intensity. Pain intensity at baseline: odds ratio (OR): 3.76 (95% confidence interval [CI]: 2.49-5.68), depressive symptoms: OR: 3.46 (95% CI: 2.01-5.95), younger age: OR: 2.29 (95% CI: 1.48-3.54), female sex: OR: 1.51 (95% CI: 1.01-2.26), and sudden onset of pain: OR: 1.74 (95% CI: 1.13-2.69) were associated with unfavorable trajectories. CONCLUSIONS: Most individuals with disabling subacute or chronic neck pain show improvement in pain intensity over a year. However, a quarter present unfavorable trajectories. High pain intensity at baseline, depressive symptoms, younger age, female sex, and sudden onset of pain are factors associated with unfavorable trajectories.
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spelling pubmed-66159622019-07-22 Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain Pico-Espinosa, Oscar J. Côté, Pierre Hogg-Johnson, Sheilah Jensen, Irene Axén, Iben Holm, Lena W. Skillgate, Eva Clin J Pain Original Articles OBJECTIVES: The objectives of this study were to describe the 1-year trajectories of disabling subacute or persistent neck pain and to investigate whether baseline age, sex, pain characteristics, and depressive symptoms are associated with such trajectories. STUDY DESIGN AND SETTING: Participants (n=617) included in a randomized controlled trial provided weekly pain intensity ratings by responding to text messages over 1 year. We used latent class mixed model analyses to identify clusters of individual trajectories. Thereafter, we used logistic regression to determine the association between baseline age, sex, pain characteristics, depressive symptoms and treatment, and trajectories of neck pain. RESULTS: Six different clusters of trajectories were identified. Most participants (73%) followed a trajectory of decreasing pain throughout follow-up. The remaining experienced unfavorable trajectories: persistent pain of high intensity (22%) and slightly (3%) or highly (2%) fluctuating levels of pain reaching high levels of pain intensity. Pain intensity at baseline: odds ratio (OR): 3.76 (95% confidence interval [CI]: 2.49-5.68), depressive symptoms: OR: 3.46 (95% CI: 2.01-5.95), younger age: OR: 2.29 (95% CI: 1.48-3.54), female sex: OR: 1.51 (95% CI: 1.01-2.26), and sudden onset of pain: OR: 1.74 (95% CI: 1.13-2.69) were associated with unfavorable trajectories. CONCLUSIONS: Most individuals with disabling subacute or chronic neck pain show improvement in pain intensity over a year. However, a quarter present unfavorable trajectories. High pain intensity at baseline, depressive symptoms, younger age, female sex, and sudden onset of pain are factors associated with unfavorable trajectories. Lippincott Williams & Wilkins 2019-08 2019-06-04 /pmc/articles/PMC6615962/ /pubmed/31149935 http://dx.doi.org/10.1097/AJP.0000000000000727 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (http://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/
spellingShingle Original Articles
Pico-Espinosa, Oscar J.
Côté, Pierre
Hogg-Johnson, Sheilah
Jensen, Irene
Axén, Iben
Holm, Lena W.
Skillgate, Eva
Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title_full Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title_fullStr Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title_full_unstemmed Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title_short Trajectories of Pain Intensity Over 1 Year in Adults With Disabling Subacute or Chronic Neck Pain
title_sort trajectories of pain intensity over 1 year in adults with disabling subacute or chronic neck pain
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615962/
https://www.ncbi.nlm.nih.gov/pubmed/31149935
http://dx.doi.org/10.1097/AJP.0000000000000727
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