Pain Intensity and Its Association with Negative Mood States in Patients with Spinal Cord Injury

Pain Ther, 2013 · DOI: 10.1007/s40122-013-0017-8 · Published: October 12, 2013

Spinal Cord Injury Mental Health Pain Management

Simple Explanation

This research investigates the connection between how intense pain feels and negative feelings in adults with spinal cord injuries (SCI). The study found that people with SCI who reported more intense pain were also more likely to report feeling anxious, depressed, angry, tired, and confused. The study suggests that managing chronic pain in people with SCI may also improve their mood and mental well-being.

Study Duration

Not specified

Participants

107 adults with SCI

Evidence Level

Not specified

Key Findings

1
Clinically significant pain intensity was found in 52% of the 107 participants.
2
The high pain intensity sub-group was found to have significantly elevated anxiety, depressed mood, anger, fatigue, confusion and significantly reduced vigor.
3
Compared to POMS community norms, the SCI sample had significantly elevated depressed mood as well as reduced vigor and elevated total negative mood states.

Research Summary

This study examined the relationship between pain intensity and negative mood states in adults with SCI. The results showed that a significant proportion of participants reported clinically significant pain, and those with high pain intensity experienced elevated negative mood states and reduced vigor. The findings suggest the need for rehabilitation therapies that address chronic pain management to improve mood and overall well-being in individuals with SCI.

Practical Implications

Pain Management Programs

Implement comprehensive pain management programs, including cognitive behavioral techniques, mindfulness, and activity pacing, to address chronic pain effectively.

Mental Health Screening

Screen SCI patients for chronic pain and mood states, particularly as they transition from inpatient rehabilitation to community living.

Rehabilitation Strategies

Develop rehabilitation strategies to protect individuals with SCI from the debilitating distress caused by intense and persistent pain.

Study Limitations

1
Lowered statistical power due to dichotomizing the sample into pain intensity sub-groups.
2
Cross-sectional design preventing the examination of causal factors.
3
Prospective research should therefore be used to investigate causal relationships between chronic pain and mood states.

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