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Complex Regional Pain Syndrome : A cross-sectional study of physical symptoms, disability, and psychological health in long term

Lyckegård Finn, Ellen LU ; Parinder, Astrid ; Nyman, Erika LU and Dahlin, Lars B. LU orcid (2024) In Pain Reports 9(5). p.1180-1180
Abstract

Introduction:Knowledge about long-time residual symptoms, disabilities, and psychological health in complex regional pain syndrome (CRPS) is limited.Objectives:The aim was to evaluate outcome, focusing on physical symptoms, disability, and psychological health, in individuals with CRPS through a cross-sectional survey study.Methods:Individuals with a confirmed diagnosis of CRPS were identified through medical charts and sent validated survey forms (Disabilities of the Arm, Shoulder and Hand - Quick version, Specific Hand Surgery Questionnaire-8 questions, EuroQol 5 Dimensions 3 levels, Life Satisfaction Questionnaire-11, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, and Sense of Coherence-29) and complementary... (More)

Introduction:Knowledge about long-time residual symptoms, disabilities, and psychological health in complex regional pain syndrome (CRPS) is limited.Objectives:The aim was to evaluate outcome, focusing on physical symptoms, disability, and psychological health, in individuals with CRPS through a cross-sectional survey study.Methods:Individuals with a confirmed diagnosis of CRPS were identified through medical charts and sent validated survey forms (Disabilities of the Arm, Shoulder and Hand - Quick version, Specific Hand Surgery Questionnaire-8 questions, EuroQol 5 Dimensions 3 levels, Life Satisfaction Questionnaire-11, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, and Sense of Coherence-29) and complementary questions.Results:Responders (response rate: 99/238, 42%; CRPS type 1: 72%; CRPS type 2: 28%; time since diagnosis median: 59 [34-94] months) reported remaining symptoms and disability (Disabilities of the Arm, Shoulder and Hand - Quick version score: 45 [20-70]) and more improvement in type 1 than in type 2. Only 9% of individuals with CRPS reported no residual pain or discomfort. Approximately 60% had problems in daily activities, 49% had sleeping problems, and 90% experienced moderate-extreme pain with 23% still on sick leave. The Hospital Anxiety and Depression Scale survey revealed significantly higher scores than a Swedish reference population. Individuals with a low Sense of Coherence and high pain catastrophizing had worse disability and were less satisfied with their lives and physical and psychological health. A lower level of education and more anxiety were associated with worsened disability over time.Conclusion:Individuals with CRPS suffer in the long term from pain, sleeping problems, and limitations in daily activities with occurrence of anxiety and depression, resulting in dissatisfaction with many aspects of their lives. A low Sense of Coherence and high pain catastrophizing are associated with a worse outcome. Biopsychosocial aspects should be addressed in clinical practice.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety, Complex regional pain syndrome, Depression, Neuropathic pain, Pain catastrophizing, Psychological health
in
Pain Reports
volume
9
issue
5
pages
1180 - 1180
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85205921417
  • pmid:39315115
ISSN
2471-2531
DOI
10.1097/PR9.0000000000001180
language
English
LU publication?
yes
id
a5e1c9bc-92c1-4851-8e22-a561597ec063
date added to LUP
2024-12-09 11:19:44
date last changed
2025-07-22 18:19:25
@article{a5e1c9bc-92c1-4851-8e22-a561597ec063,
  abstract     = {{<p>Introduction:Knowledge about long-time residual symptoms, disabilities, and psychological health in complex regional pain syndrome (CRPS) is limited.Objectives:The aim was to evaluate outcome, focusing on physical symptoms, disability, and psychological health, in individuals with CRPS through a cross-sectional survey study.Methods:Individuals with a confirmed diagnosis of CRPS were identified through medical charts and sent validated survey forms (Disabilities of the Arm, Shoulder and Hand - Quick version, Specific Hand Surgery Questionnaire-8 questions, EuroQol 5 Dimensions 3 levels, Life Satisfaction Questionnaire-11, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, and Sense of Coherence-29) and complementary questions.Results:Responders (response rate: 99/238, 42%; CRPS type 1: 72%; CRPS type 2: 28%; time since diagnosis median: 59 [34-94] months) reported remaining symptoms and disability (Disabilities of the Arm, Shoulder and Hand - Quick version score: 45 [20-70]) and more improvement in type 1 than in type 2. Only 9% of individuals with CRPS reported no residual pain or discomfort. Approximately 60% had problems in daily activities, 49% had sleeping problems, and 90% experienced moderate-extreme pain with 23% still on sick leave. The Hospital Anxiety and Depression Scale survey revealed significantly higher scores than a Swedish reference population. Individuals with a low Sense of Coherence and high pain catastrophizing had worse disability and were less satisfied with their lives and physical and psychological health. A lower level of education and more anxiety were associated with worsened disability over time.Conclusion:Individuals with CRPS suffer in the long term from pain, sleeping problems, and limitations in daily activities with occurrence of anxiety and depression, resulting in dissatisfaction with many aspects of their lives. A low Sense of Coherence and high pain catastrophizing are associated with a worse outcome. Biopsychosocial aspects should be addressed in clinical practice.</p>}},
  author       = {{Lyckegård Finn, Ellen and Parinder, Astrid and Nyman, Erika and Dahlin, Lars B.}},
  issn         = {{2471-2531}},
  keywords     = {{Anxiety; Complex regional pain syndrome; Depression; Neuropathic pain; Pain catastrophizing; Psychological health}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{5}},
  pages        = {{1180--1180}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Pain Reports}},
  title        = {{Complex Regional Pain Syndrome : A cross-sectional study of physical symptoms, disability, and psychological health in long term}},
  url          = {{http://dx.doi.org/10.1097/PR9.0000000000001180}},
  doi          = {{10.1097/PR9.0000000000001180}},
  volume       = {{9}},
  year         = {{2024}},
}