Swipe om te navigeren naar een ander artikel
The aims of this paper were to evaluate the relationship between chronic pain and global quality of life (GQOL) and to explore the effect of possible confounders, mediators, and moderators such as selected demographic variables, chronic illnesses, stress-related symptoms, fatigue, and subjective health of the relationship between chronic pain and GQOL.
We used a cross-sectional design, including 1,893 respondents from a population of 4,000 of Norwegian citizens, aged 19–81 years, who were randomly drawn from the National Register by Statistics Norway in November 2000 (48.5%). Pain duration of more than 3 months was categorized as having chronic pain. The Quality of Life Scale, the Fatigue Severity Scale, and the Posttraumatic Stress Scale were used as our main dependent and independent variables, respectively. A series of multiple regression analyses (GLM in SPSS) were applied using GQOL as the dependent variable, entering subsets of independent variables in a theoretically predefined sequence.
In the total model, there was no significant relationship between chronic pain and GQOL. The model explained 39% of the variance in GQOL. For direct effect sizes, stress-related symptoms were related most strongly to GQOL, followed by subjective health, fatigue, chronic illnesses, and selected demographic variables.
These findings support the assumption of a complex and indirect relationship between chronic pain and GQOL.
Blyth, F. M., March, L. M., Brnabic, A. J., Jorm, L. R., Williamson, M., & Cousins, M. J. (2001). Chronic pain in Australia: A prevalence study. Pain,89(2–3), 12–134.
Buskila, D., Abramov, G., Biton, A., & Neumann, L. (2000). The prevalence of pain complaints in a general population in Israel and its implications for utilization of health services. The Journal of Rheumatology,27(6), 1521–1525. PubMed
Burckhardt, C. S., & Jones, K. D. (2005). Effects of chronic widespread pain on the health status and quality of life of women after breast cancer surgery. Health and Quality of Life Outcomes, 28(3), 30. CrossRef
Arnold, L. M., Witzeman, K. A., Swank, M. L., McElroy, S. L., & Keck, P. E., Jr. (2000). Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. Journal of Affective Disorders,57(1–3), 235–239. PubMedCrossRef
Boersma, K., & Linton, S. J. (2006). Psychological processes underlying the development of a chronic pain problem: A prospective study of the relationship between profiles of psychological variables in the fear-avoidance model and disability. The Clinical Journal of Pain,22(2), 160–166. PubMedCrossRef
Arvidsson, S., Arvidsson, B., Fridlund, B., & Bergman, S. (2008). Health predicting factors in a general population over an eight-year period in subjects with and without chronic musculoskeletal pain. Health and Quality of Life Outcomes,11(6), 98. CrossRef
Keele, P., Creed, F., Tomenson, B., Todd, C., Borglin, G., & Dickens, C. (2008). Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain,135(1–2), 142–150. CrossRef
Bonica, J. J., & Loeser, J. D. (2001). Bonica’s Management of Pain (3rd edition ed.). Philadelphia, PA: Lippincott Williams and Wilkins.
Ersland, S., Weisaeth, L., & Sund, A. (1989). The stress upon rescuers involved in an oil rig disaster. “Alexander L. Kielland” 1980. Acta Psychiatrica Scandinavica Supplementum,355(3), 8–49.
Sund, A., Holen, A., & Weisæth, L. (1983). Alexander L. Kielland-katastrofen 27. mars 1980: psykiske reaksjoner hos overlevende : foreløpig sluttrapport. Oslo: Kontoret for katastrofepsykiatri.
Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology,46(10), 1121–1123. PubMed
Skevington, S. M., Lotfy, M., O’Connell, K. A., & Group, W. H. O. Q. O. L. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research,13(2), 299–310. PubMedCrossRef
Burckhardt, C. S., & Anderson, K. L. (2003). The quality of life scale (QOLS): Reliability, validity, and utilization. Health and Quality of Life Outcomes, 1(1), 60.
Taylor, S., & Koch, W. J. (1995). Anxiety disorders due to motor vehicle accidents: Nature and treatment. Clinical Psychology Review,15(8), 721–738. CrossRef
Ingebretsen, G., Sandanger, I., Sørensen, T., & Dalgard, O. S (1995). Når ulykken rammer. Posttraumatisk stressforstyrrelse i Norge, forekomst og relasjon til sosialt nettverk. I Dalgard OS (Ed.), Sosialt nettverk, helse og samfunn. En teoretisk og praktisk tilnærming. Oslo: Gyldendal.
- The complexity of the relationship between chronic pain and quality of life: a study of the general Norwegian population
Astrid K. Wahl
- Springer Netherlands