The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis
(2022) In Osteoarthritis and Cartilage Open 4(2).- Abstract
Objective: To examine whether psychological symptoms and cognitive patterns are associated with self-reported pain and pain sensitization in people with hand osteoarthritis (OA). Design: In the Nor-Hand study (n = 300), people with hand OA self-reported psychological symptoms (Hospital Anxiety and Depression Scale), cognitive patterns (Pain catastrophizing Scale and Arthritis Self-Efficacy Scale) as well as their pain severity in hands, overall pain and multi-joint pain. Central pain sensitization was measured clinically by temporal summation and pressure pain threshold tests. We examined whether psychological symptoms and cognitive patterns were cross-sectionally associated with pain using linear regression. Beta coefficients (β) per... (More)
Objective: To examine whether psychological symptoms and cognitive patterns are associated with self-reported pain and pain sensitization in people with hand osteoarthritis (OA). Design: In the Nor-Hand study (n = 300), people with hand OA self-reported psychological symptoms (Hospital Anxiety and Depression Scale), cognitive patterns (Pain catastrophizing Scale and Arthritis Self-Efficacy Scale) as well as their pain severity in hands, overall pain and multi-joint pain. Central pain sensitization was measured clinically by temporal summation and pressure pain threshold tests. We examined whether psychological symptoms and cognitive patterns were cross-sectionally associated with pain using linear regression. Beta coefficients (β) per one standard deviation of the independent variable were presented. Stratified analyses were performed in cases of significant interactions (p < 0.10). Results: Higher levels of anxiety, depressive symptoms and pain catastrophizing and low levels of self-efficacy were statistically significantly associated with higher levels of hand pain by Numeric Rating Scale (β = 0.43, 0.48 and −0.57, respectively). Similar associations were found for overall pain, but not for measures of central pain sensitization. In stratified analyses, anxiety and depressive symptoms were more strongly related with pain in subgroups with younger age and higher comorbidity burden. Pain catastrophizing was more strongly related with pain in subgroups with younger age, overweight/obesity, higher comorbidity burden and poor sleep. Conclusion: Psychological symptoms and cognitive patterns were associated with self-reported OA pain, especially in people with younger age, overweight/obesity, higher comorbidity burden and poor sleep. No associations were found for psychological symptoms and cognitive patterns with pain sensitization.
(Less)
- author
- Mulrooney, Elisabeth ; Neogi, Tuhina ; Dagfinrud, Hanne ; Hammer, Hilde Berner ; Pettersen, Pernille Steen ; Gaarden, Torfinn L. ; Engedal, Knut ; Kvien, Tore K. ; Magnusson, Karin LU and Haugen, Ida K.
- organization
- publishing date
- 2022-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Hand osteoarthritis, Pain, Pain sensitization, Psychological factors
- in
- Osteoarthritis and Cartilage Open
- volume
- 4
- issue
- 2
- article number
- 100267
- publisher
- Elsevier
- external identifiers
-
- pmid:36475288
- scopus:85162553467
- ISSN
- 2665-9131
- DOI
- 10.1016/j.ocarto.2022.100267
- language
- English
- LU publication?
- yes
- id
- b96c2a59-74f1-408d-a6e1-b6842d766616
- date added to LUP
- 2023-10-17 14:50:47
- date last changed
- 2024-04-19 03:27:57
@article{b96c2a59-74f1-408d-a6e1-b6842d766616,
abstract = {{<p>Objective: To examine whether psychological symptoms and cognitive patterns are associated with self-reported pain and pain sensitization in people with hand osteoarthritis (OA). Design: In the Nor-Hand study (n = 300), people with hand OA self-reported psychological symptoms (Hospital Anxiety and Depression Scale), cognitive patterns (Pain catastrophizing Scale and Arthritis Self-Efficacy Scale) as well as their pain severity in hands, overall pain and multi-joint pain. Central pain sensitization was measured clinically by temporal summation and pressure pain threshold tests. We examined whether psychological symptoms and cognitive patterns were cross-sectionally associated with pain using linear regression. Beta coefficients (β) per one standard deviation of the independent variable were presented. Stratified analyses were performed in cases of significant interactions (p < 0.10). Results: Higher levels of anxiety, depressive symptoms and pain catastrophizing and low levels of self-efficacy were statistically significantly associated with higher levels of hand pain by Numeric Rating Scale (β = 0.43, 0.48 and −0.57, respectively). Similar associations were found for overall pain, but not for measures of central pain sensitization. In stratified analyses, anxiety and depressive symptoms were more strongly related with pain in subgroups with younger age and higher comorbidity burden. Pain catastrophizing was more strongly related with pain in subgroups with younger age, overweight/obesity, higher comorbidity burden and poor sleep. Conclusion: Psychological symptoms and cognitive patterns were associated with self-reported OA pain, especially in people with younger age, overweight/obesity, higher comorbidity burden and poor sleep. No associations were found for psychological symptoms and cognitive patterns with pain sensitization.</p>}},
author = {{Mulrooney, Elisabeth and Neogi, Tuhina and Dagfinrud, Hanne and Hammer, Hilde Berner and Pettersen, Pernille Steen and Gaarden, Torfinn L. and Engedal, Knut and Kvien, Tore K. and Magnusson, Karin and Haugen, Ida K.}},
issn = {{2665-9131}},
keywords = {{Hand osteoarthritis; Pain; Pain sensitization; Psychological factors}},
language = {{eng}},
number = {{2}},
publisher = {{Elsevier}},
series = {{Osteoarthritis and Cartilage Open}},
title = {{The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis}},
url = {{http://dx.doi.org/10.1016/j.ocarto.2022.100267}},
doi = {{10.1016/j.ocarto.2022.100267}},
volume = {{4}},
year = {{2022}},
}