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Impaired psychomotor ability and attention in patients with persistent pain : a cross-sectional comparative study

Gunnarsson, Helena E. M. (author)
Linnaeus University,Linnéuniversitetet,Institutionen för psykologi (PSY),Neron HSU AB, Osby,Hälsoringen
Grahn, Birgitta (author)
Lund University,Lunds universitet,Tillämpad epidemiologi,Forskargrupper vid Lunds universitet,Applied epidemiology,Lund University Research Groups,Region Kronoberg,Region Skåne,Lund University ; Reg Skåne ; Reg Kronoberg
Agerström, Jens (author)
Linnaeus University,Linnéuniversitetet,Institutionen för psykologi (PSY)
 (creator_code:org_t)
2016
2016
English.
In: Journal of Pain Research. - 1178-7090. ; 9, s. 825-835
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background and aims: Patients with pain have shown cognitive impairment across various domains. Although the pain qualities vary among patients, research has overlooked how cognitive performance is affected by the duration and persistence of pain. The current study sought to fill this gap by examining how qualitatively different pain states relate to the following cognitive functions: sustained attention, cognitive control, and psychomotor ability. Patients and methods: Patients with musculoskeletal pain in primary care were divided into three pain groups: acute pain (duration <3 months), regularly recurrent pain (duration >3 months), and persistent pain (duration >3 months). These groups were then compared with healthy controls. The MapCog Spectra Test, the Color Word Test, and the Grooved Pegboard Test were used to measure sustained attention, cognitive control, and psychomotor ability, respectively. Results: Patients with persistent pain showed significantly worse sustained attention and psychomotor ability compared with healthy controls. The acute pain group showed a significant decrease in psychomotor ability, and the regularly recurrent pain group showed a significant decrease in sustained attention. These results remained unchanged when age, education, and medication were taken into account. Conclusion: Persistent musculoskeletal pain seems to impair performance on a wider range of cognitive tasks than acute or regularly recurrent pain, using pain-free individuals as a benchmark. However, there is some evidence of impairment in psychomotor ability among patients with acute pain and some impairment in sustained attention among patients with regularly recurrent pain.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Neurosciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Annan klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Other Clinical Medicine (hsv//eng)

Keyword

persistent pain
cognitive impairment
musculoskeletal pain
psychomotor ability
attention
cognitive control
Psykologi
Psychology
Attention
Cognitive control
Cognitive impairment
Musculoskeletal pain
Persistent pain
Psychomotor ability

Publication and Content Type

ref (subject category)
art (subject category)

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Gunnarsson, Hele ...
Grahn, Birgitta
Agerström, Jens
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SOCIAL SCIENCES
SOCIAL SCIENCES
and Psychology
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Basic Medicine
and Neurosciences
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Other Clinical M ...
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Journal of Pain ...
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Linnaeus University
Lund University

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