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Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease
PURPOSE: The presence of pain can be associated with an exaggerated negative cognitive and emotional response, leading to worsening of existing symptoms. This study aimed to describe the multifaceted impact of chronic pain on cognition, emotional and physical health in people with chronic obstructiv...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043472/ https://www.ncbi.nlm.nih.gov/pubmed/35497375 http://dx.doi.org/10.2147/COPD.S359223 |
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author | Tanaka, Takako Okita, Minoru Jenkins, Sue Kozu, Ryo |
author_facet | Tanaka, Takako Okita, Minoru Jenkins, Sue Kozu, Ryo |
author_sort | Tanaka, Takako |
collection | PubMed |
description | PURPOSE: The presence of pain can be associated with an exaggerated negative cognitive and emotional response, leading to worsening of existing symptoms. This study aimed to describe the multifaceted impact of chronic pain on cognition, emotional and physical health in people with chronic obstructive pulmonary diseases (COPD) and to explore the clinical impact of pain. PATIENTS AND METHODS: A prospective, cross-sectional multicenter study was carried out in 68 people with COPD (COPD group) and 65 community-dwelling age-matched participants (control group). Participants were assessed for the presence of chronic pain, pain location, intensity and catastrophizing, pain-related fear (kinesiophobia), anxiety and depression, physical activity, and sleep duration. The COPD group also completed assessments of dyspnea, exercise tolerance (6-minute walk distance [6MWD]), and activities of daily living (ADL). RESULTS: The prevalence of pain was higher in the COPD group (85% vs 51%, p<0.001). The COPD group reported pain located in neck/shoulder, upper back, thorax and upper limbs, while the control group had more pain in the lower back. Pain catastrophizing and kinesiophobia were reported by 28% and 67% vs 9% and 42%, in the COPD and control groups respectively (both p<0.05). People with COPD and pain (n=58) reported greater dyspnea (p<0.001), and impairment in ADL (p<0.05), and lower 6MWD and physical activity (both p<0.01) compared to COPD participants without pain (n=10). CONCLUSION: This study demonstrated that, compared to community-dwelling participants, there is a higher prevalence of chronic pain in people with COPD. Pain combined with dyspnea may impact adversely on cognitive function and lead to anxiety and depression, as well as greater impairment in exercise tolerance, physical activity, and ADL. These results suggested that it is necessary to assess the symptoms of chronic pain and inflect in chronic pain coping strategies. |
format | Online Article Text |
id | pubmed-9043472 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-90434722022-04-28 Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease Tanaka, Takako Okita, Minoru Jenkins, Sue Kozu, Ryo Int J Chron Obstruct Pulmon Dis Original Research PURPOSE: The presence of pain can be associated with an exaggerated negative cognitive and emotional response, leading to worsening of existing symptoms. This study aimed to describe the multifaceted impact of chronic pain on cognition, emotional and physical health in people with chronic obstructive pulmonary diseases (COPD) and to explore the clinical impact of pain. PATIENTS AND METHODS: A prospective, cross-sectional multicenter study was carried out in 68 people with COPD (COPD group) and 65 community-dwelling age-matched participants (control group). Participants were assessed for the presence of chronic pain, pain location, intensity and catastrophizing, pain-related fear (kinesiophobia), anxiety and depression, physical activity, and sleep duration. The COPD group also completed assessments of dyspnea, exercise tolerance (6-minute walk distance [6MWD]), and activities of daily living (ADL). RESULTS: The prevalence of pain was higher in the COPD group (85% vs 51%, p<0.001). The COPD group reported pain located in neck/shoulder, upper back, thorax and upper limbs, while the control group had more pain in the lower back. Pain catastrophizing and kinesiophobia were reported by 28% and 67% vs 9% and 42%, in the COPD and control groups respectively (both p<0.05). People with COPD and pain (n=58) reported greater dyspnea (p<0.001), and impairment in ADL (p<0.05), and lower 6MWD and physical activity (both p<0.01) compared to COPD participants without pain (n=10). CONCLUSION: This study demonstrated that, compared to community-dwelling participants, there is a higher prevalence of chronic pain in people with COPD. Pain combined with dyspnea may impact adversely on cognitive function and lead to anxiety and depression, as well as greater impairment in exercise tolerance, physical activity, and ADL. These results suggested that it is necessary to assess the symptoms of chronic pain and inflect in chronic pain coping strategies. Dove 2022-04-22 /pmc/articles/PMC9043472/ /pubmed/35497375 http://dx.doi.org/10.2147/COPD.S359223 Text en © 2022 Tanaka et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Tanaka, Takako Okita, Minoru Jenkins, Sue Kozu, Ryo Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title | Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title_full | Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title_fullStr | Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title_full_unstemmed | Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title_short | Clinical and Psychological Impact of Chronic Pain in People with Chronic Obstructive Pulmonary Disease |
title_sort | clinical and psychological impact of chronic pain in people with chronic obstructive pulmonary disease |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043472/ https://www.ncbi.nlm.nih.gov/pubmed/35497375 http://dx.doi.org/10.2147/COPD.S359223 |
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