BACKGROUND: According to the activity restriction (AR) model, a potential explanation for the impact of chronic pain on mental illness is that pain contributes to depression by limiting usual activities. This study uses a measure of mental health (flourishing), rather than mental illness to examine associations between pain and activity restrictions. DATA AND METHODS: Data from the 2011/2012 Canadian Community Health Survey were used to study the relationship between pain intensity, pain-related activity prevention, and flourishing mental health in people aged 18 or older. Multivariate logistic regression was used in a sample of 26,429 people with chronic pain to identify significant relationships, while adjusting for potential confounders. RESULTS: In 2011/2012, an estimated 6 million Canadians aged 18 or older (22%) reported chronic pain. They were less likely to be in flourishing mental health than were people without chronic pain (69% versus 79%). The prevalence of flourishing mental health declined as pain intensity and the number of activities prevented because of pain increased. Pain intensity and pain-related activity prevention were each independently associated with flourishing mental health, even when socio-demographic and health factors were taken into account. Pain-related activity prevention partially mediated the association between pain intensity and flourishing mental health. INTERPRETATION: The results of this study support the AR model and highlight the importance of both pain intensity and activity restriction in relation to flourishing mental health.
BACKGROUND: According to the activity restriction (AR) model, a potential explanation for the impact of chronic pain on mental illness is that pain contributes to depression by limiting usual activities. This study uses a measure of mental health (flourishing), rather than mental illness to examine associations between pain and activity restrictions. DATA AND METHODS: Data from the 2011/2012 Canadian Community Health Survey were used to study the relationship between pain intensity, pain-related activity prevention, and flourishing mental health in people aged 18 or older. Multivariate logistic regression was used in a sample of 26,429 people with chronic pain to identify significant relationships, while adjusting for potential confounders. RESULTS: In 2011/2012, an estimated 6 million Canadians aged 18 or older (22%) reported chronic pain. They were less likely to be in flourishing mental health than were people without chronic pain (69% versus 79%). The prevalence of flourishing mental health declined as pain intensity and the number of activities prevented because of pain increased. Pain intensity and pain-related activity prevention were each independently associated with flourishing mental health, even when socio-demographic and health factors were taken into account. Pain-related activity prevention partially mediated the association between pain intensity and flourishing mental health. INTERPRETATION: The results of this study support the AR model and highlight the importance of both pain intensity and activity restriction in relation to flourishing mental health.
Entities:
Keywords:
Positive Mental Health Continuum — Short Form (MHC-SF); cross-sectional study; health survey
Authors: Carmen Pozo Muñoz; Blanca Bretones Nieto; María Ángeles Vázquez López Journal: Int J Environ Res Public Health Date: 2021-11-29 Impact factor: 3.390
Authors: Bridget L Ryan; Heather L Maddocks; Scott McKay; Robert Petrella; Amanda L Terry; Moira Stewart Journal: BMC Musculoskelet Disord Date: 2019-05-03 Impact factor: 2.362
Authors: Sabrina Xin Zi Quek; Evelyn Xiu Ling Loo; Alla Demutska; Chun En Chua; Guan Sen Kew; Scott Wong; Hui Xing Lau; En Xian Sarah Low; Tze Liang Loh; Ooi Shien Lung; Emily C W Hung; M Masudur Rahman; Uday C Ghoshal; Sunny H Wong; Cynthia K Y Cheung; Ari F Syam; Niandi Tan; Yinglian Xiao; Jin-Song Liu; Fang Lu; Chien-Lin Chen; Yeong Yeh Lee; Ruter M Maralit; Yong-Sung Kim; Tadayuki Oshima; Hiroto Miwa; Junxiong Pang; Kewin Tien Ho Siah Journal: J Gastroenterol Hepatol Date: 2021-03-04 Impact factor: 4.369