OBJECTIVE: Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury. DESIGN: Face-to-face interview and examination. SETTING: VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida. PATIENTS: Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains. OUTCOME MEASURES: The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression. RESULTS: The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference. CONCLUSIONS: Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.
OBJECTIVE: Persistent pain is a common consequence of spinal cord injury. A patient-specific assessment that combines both the identification of pain symptoms and psychosocial factors is needed for a tailored treatment approach. The aim of the study was to define pain symptom profiles and to determine their relationship with psychosocial factors in persons with spinal cord injury. DESIGN: Face-to-face interview and examination. SETTING: VA Medical Center and Miami Project to Cure Paralysis, Miami, Florida. PATIENTS: Persons with spinal cord injury (135 men and 21 women) provided detailed descriptions of 330 neuropathic pains. OUTCOME MEASURES: The American Spinal Injury Impairment Scale, pain history and measures of pain interference, life satisfaction, locus of control, social support and depression. RESULTS: The exploratory factor analyses and regression analyses revealed three distinct symptom profiles: 1) aching, throbbing pain, aggravated by cold weather and constipation predicted by a combination of chance locus of control and lower levels of life satisfaction; 2) stabbing, penetrating, and constant pain of high intensity predicted by a combination of pain interference, localized pain, powerful others locus of control and depressed mood; and 3) burning, electric, and stinging pain aggravated by touch and muscle spasms predicted by pain interference. CONCLUSIONS: Although these results need to be replicated in other spinal cord injury samples, our findings suggest that pain symptom profiles may be a useful way to further characterize pain in a comprehensive assessment strategy.
Authors: Supinder S Bedi; Qing Yang; Robyn J Crook; Junhui Du; Zizhen Wu; Harvey M Fishman; Raymond J Grill; Susan M Carlton; Edgar T Walters Journal: J Neurosci Date: 2010-11-03 Impact factor: 6.167
Authors: Z Khazaeipour; E Ahmadipour; V Rahimi-Movaghar; F Ahmadipour; A R Vaccaro; B Babakhani Journal: Spinal Cord Date: 2016-12-06 Impact factor: 2.772
Authors: M Susan Mandell; Abigail R Smith; Mary Amanda Dew; Debra B Gordon; Susan Holtzman; Terese Howell; Andrea F DiMartini; Zeeshan Butt; Mary Ann Simpson; Daniela P Ladner; Christopher E Freise; Stuart A McCluskey; Robert A Fisher; James V Guarrera; Kim M Olthoff; Elizabeth A Pomfret Journal: Transplantation Date: 2016-11 Impact factor: 4.939
Authors: Gary H Blumenthal; Bharadwaj Nandakumar; Ashley K Schnider; Megan R Detloff; Jerome Ricard; John R Bethea; Karen A Moxon Journal: Eur J Pain Date: 2021-01-25 Impact factor: 3.931