BACKGROUND: Health-related quality of life (HRQOL) has been investigated widely in patients with chronic pain, but no study has focused particularly on the situation of patients with persistent somatoform pain disorder. AIMS: To survey the impairments of patients with somatoform pain disorder (ICD-10: F45.4) and to predict pain-related impairments and HRQOL on the basis of coping styles. METHODS: A consecutively recruited sample of 100 patients (65% female) was examined in a cross-sectional study. Questionnaires were administered to assess pain intensity (visual analogue scale), pain-related disabilities (Pain Disability Index), quality of life (Short-Form Health Survey-36), and ways of coping with pain (Coping Strategies Questionnaire). To predict pain-related impairments and HRQOL, a multiple linear regression analysis was carried out. RESULTS: HRQOL of patients with somatoform pain is strongly and significantly reduced compared with the general population. Among the coping measures, Increasing Pain Behaviors and Catastrophizing have a negative influence on patients' pain-related impairments and the physical components of HRQOL. The mental component of HRQOL was predicted solely by Catastrophizing. No positive effect of active coping styles on health-related outcome variables could be observed. CONCLUSION: Patients with persistent somatoform pain disorder feel severely impaired. A clear pattern emerges for negative effects of the coping styles Increasing Pain Behaviors and Catastrophizing, while the identification of beneficial coping failed.
BACKGROUND: Health-related quality of life (HRQOL) has been investigated widely in patients with chronic pain, but no study has focused particularly on the situation of patients with persistent somatoform pain disorder. AIMS: To survey the impairments of patients with somatoform pain disorder (ICD-10: F45.4) and to predict pain-related impairments and HRQOL on the basis of coping styles. METHODS: A consecutively recruited sample of 100 patients (65% female) was examined in a cross-sectional study. Questionnaires were administered to assess pain intensity (visual analogue scale), pain-related disabilities (Pain Disability Index), quality of life (Short-Form Health Survey-36), and ways of coping with pain (Coping Strategies Questionnaire). To predict pain-related impairments and HRQOL, a multiple linear regression analysis was carried out. RESULTS: HRQOL of patients with somatoformpain is strongly and significantly reduced compared with the general population. Among the coping measures, Increasing Pain Behaviors and Catastrophizing have a negative influence on patients' pain-related impairments and the physical components of HRQOL. The mental component of HRQOL was predicted solely by Catastrophizing. No positive effect of active coping styles on health-related outcome variables could be observed. CONCLUSION:Patients with persistent somatoform pain disorder feel severely impaired. A clear pattern emerges for negative effects of the coping styles Increasing Pain Behaviors and Catastrophizing, while the identification of beneficial coping failed.
Authors: Martin Aigner; Sophie Förster-Streffleur; Wolfgang Prause; Marion Freidl; Maria Weiss; Michael Bach Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2006-01-01 Impact factor: 4.328
Authors: David A Seminowicz; Audrey L Laferriere; Magali Millecamps; Jon S C Yu; Terence J Coderre; M Catherine Bushnell Journal: Neuroimage Date: 2009-06-01 Impact factor: 6.556
Authors: Alexander J Hassel; Claudia Rolko; Joachim Leisen; Marc Schmitter; Walter Rexroth; Michael Leckel Journal: Qual Life Res Date: 2006-11-08 Impact factor: 3.440
Authors: Margaret Finley; Elizabeth Euiler; Laura Baehr; Edward Gracely; Mary Brownsberger; Mary Schmidt-Read; Sara Kate Frye; Marni Kallins; Amanda Summers; Henry York; Paula Richley Geigle Journal: Spinal Cord Ser Cases Date: 2021-07-19