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Pain, anxiety and d...
Pain, anxiety and depression in spinal cord injured patients
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- Flank, Peter, 1972- (author)
- Umeå universitet,Rehabiliteringsmedicin
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- Ramnemark, Anna (author)
- Umeå universitet,Geriatrik
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- Levi, Richard (author)
- Umeå universitet,Rehabiliteringsmedicin
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- Wahman, Kerstin (author)
- Department of Neurobiology, Care Sciences and Society, Division of Neurodegeneration, Section Neurorehabilitation, Karolinska Institutet, Sweden; Rehab Station, Stockholm/Spinalis R&D Unit, Sweden
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- Fahlström, Martin (author)
- Umeå universitet,Professionell utveckling
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(creator_code:org_t)
- Jacobs Publishers, 2017
- 2017
- English.
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In: Jacobs Journal of Physical Rehabilitation Medicine. - : Jacobs Publishers. - 2469-3103. ; 3:1
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Objective: To assess the prevalence of pain, anxiety and depression in a sample of chronic SCI patients in Northern Sweden.Design: Descriptive, cross-sectional study.Setting: Specialist Clinic at a University Hospital.Participants: 78 patients with chronic spinal cord injury, at different injury and functional level.Outcome measures: Patients registered presented pain above, at or below injury level on a Visual Analogue Scale (VAS). Patients currently on pain medication were also registered as having pain. Depression and anxiety were assessed by the Hospital Anxiety and Depression Rating Scale (HADS).Results: Out of 78 patients, 58 (74%) indicated current presence of pain or were on continuous pain medication. Pain above injury level was present in 32% of the patients, with a mean VAS of 15.9±20.1, range 0-60mm. Pain at injury level were present in 24% of the patients, mean VAS 11.0±17.0, range 0-50mm and 58% had pain below injury level with a mean VAS 31.4±22.3, range 0-80mm.Clinically significant psychological disorders were reported in 4 patients (5%) for both anxiety and depression.Conclusions: Pain is very common in persons with chronic SCI, but, at least in a drug-treated population, the pain is at a mild or moderate level. Anxiety and depression were found much less common than reported in other studies. Medication effects have been considered. Even in a presumably well-medicated and well-rehabilitated population, there is still a need for further optimization of pain management, including both pharmacological and non-pharmacological methods.Keywords: Tetraplegia; Paraplegia; Psychological Disorders; Visual Analogue Scale; Hospital Anxiety and Depression Scale
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- Tetraplegia
- Paraplegia
- Psychological Disorders
- Visual Analogue Scale
- Hospital Anxiety and Depression Scale
Publication and Content Type
- ref (subject category)
- art (subject category)
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