Quality of life and mood state of chronic pain patients

Siebra, Maiara Mota Rocha; Vasconcelos, Thiago Brasileiro de

doi:10.5935/1806-0013.20170010

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ORIGINAL ARTICLES • Rev. dor 18 (1) • Jan-Mar 2017 • https://doi.org/10.5935/1806-0013.20170010 copy

Quality of life and mood state of chronic pain patients

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

BACKGROUND AND OBJECTIVES:

Noticing the presence of persistent somatic complaints of people looking for the physiotherapy department, with persistent pain as major symptom, and the possible association between pain complaint and psychological and social factors, mood changes and interference with quality of life, this study aimed at evaluating quality of life and mood state of chronic pain patients.

METHODS:

Quantitative and descriptive survey carried out in three basic health units of the city of Catarina/CE. The following questionnaires were applied: SF-36 (quality of life), McGill (pain evaluation) and Profile of Mood States (mood state).

RESULTS:

Participated in the study 24 individuals with chronic musculoskeletal pain complains, mean age of 37.29 years and 83.3% of the female gender. Just 33.3% of the sample had complete high school, and 83.3% had musculoskeletal pain three or more times a week. Physical and emotional aspects measured by SF-36 had mean scores of 23.12 and 30.92, respectively. Lowest McGill scores were found in the mixed (2.12) and evaluative (2.29) scores. For POMS, the sum of negative values (72.04) was higher than the item vigor (18.96).

CONCLUSION:

There have been evidences of interference with quality of life and mood state in chronic pain patients.

Keywords:
Chronic pain; Mood disorders; Quality of life

Variables	n	%	p value
Age (years)	12	50	0.04^* * Chi-square test;
30 •– 35	3	12.5
36 •– 40	4	16.7
41 •– 45	5	20.8
46 •– 50
Gender	4	16.7	< 0.01^ Binominal test.
Male	20	83.3
Female
Marital status	9	37.5	< 0.01^* * Chi-square test;
Single	14	58.3
Married	1	4.2
Widow (er)
Education	16	66.7	0.15^ Binominal test.
Basic	8	33.3
High school
Pain prevalence (weekly)	4	16.7	< 0.01^ Binominal test.
1 •–• 2 times	20	83.3
3 times

SF-36	Mean±SD	Median	Min. ○ Max.	25–75	p value
Functional capacity	46.87±20.47	25	20○ 90	30-62.5	< 0.01^* * Student t test;
Physical aspects	23.12±24.84	45	0○ 80	0-37.5	0.12^ Kolmogorov-Smirnov test.
Pain	32.37±10.31	31	20○ 51	21-41	0.41^ Kolmogorov-Smirnov test.
General health status	37.58±9.29	38.5	20○ 52	31-42	< 0.01^* * Student t test;
Vitality	46.46±11.37	45	30○ 65	40-55	< 0.01^* * Student t test;
Social aspects	56.21±20.81	50	12○ 100	50-68.5	< 0.01^* * Student t test;
Emotional aspects	30.92±35.87	16.5	0○ 100	0-66	0.02^ Kolmogorov-Smirnov test.
Mental health	52.42±18.42	56	24○ 80	42-65	0.28^ Kolmogorov-Smirnov test.

McGill	Mean±SD	Minimum ○ Maximum	p value^* * Student t test.
Sensory	3.16±1.74	0○ 6	< 0.01
Affective	3.21±1.91	0○ 6	< 0.01
Evaluative	2.29±1.52	0○ 5	< 0.01
Mixed	2.12±1.45	0○ 5	< 0.01
Total (Pain Index)	10.80±5.00	1○ 19	< 0.01

POMS	Mean±SD	Minimum ○ Maximum	p value
Tension	17.37±5.43	4○ 28	< 0.01^* * Student t test;
Depression	12.21±7.26	2○ 27	0.19^ Kolmogorov-Smirnov test.
Anger	9.29±6.80	2○ 24	0.16^ Kolmogorov-Smirnov test.
Vigor	18.96±6.14	3○ 29	< 0.01^* * Student t test;
Fatigue	9.75±4.23	3○ 17	< 0.01^* * Student t test;
Confusion	4.46±3.66	0○ 14	0.49^ Kolmogorov-Smirnov test.
Negtive factors	72.04±17.08	31○ 71	< 0.01^* * Student t test;
Total	53.08±18.64	15○ 51	< 0.01^* * Student t test;

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[1] Correspondence to: Rua: Aveledo, 501. Apto. 201 Torre 2. Bairro: Messejana 60871-210 Fortaleza, CE, Brasil. E-mail: thiagobvasconcelos@hotmail.com