The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis

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Mulrooney, ElisabethDiakonhjemmet Hospital (author)

The associations of psychological symptoms and cognitive patterns with pain and pain sensitization in people with hand osteoarthritis

Article/chapterEnglish2022

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Elsevier BV,2022

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LIBRIS-ID:oai:lup.lub.lu.se:b96c2a59-74f1-408d-a6e1-b6842d766616
https://lup.lub.lu.se/record/b96c2a59-74f1-408d-a6e1-b6842d766616URI
https://doi.org/10.1016/j.ocarto.2022.100267DOI

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Language:English
Summary in:English

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
Hand osteoarthritis
Pain
Pain sensitization
Psychological factors

Added entries (persons, corporate bodies, meetings, titles ...)

Neogi, TuhinaBoston University (author)
Dagfinrud, HanneDiakonhjemmet Hospital,University of Oslo (author)
Hammer, Hilde BernerUniversity of Oslo,Diakonhjemmet Hospital (author)
Pettersen, Pernille SteenDiakonhjemmet Hospital (author)
Gaarden, Torfinn L.Diakonhjemmet Hospital (author)
Engedal, KnutOslo university hospital,University of Oslo (author)
Kvien, Tore K.Diakonhjemmet Hospital,University of Oslo (author)
Magnusson, KarinLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Diakonhjemmet Hospital(Swepub:lu)ka5014ma (author)
Haugen, Ida K.Diakonhjemmet Hospital (author)
Diakonhjemmet HospitalBoston University (creator_code:org_t)

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In:Osteoarthritis and Cartilage Open: Elsevier BV4:22665-9131

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By the author/editor: Mulrooney, Elisa ...; Neogi, Tuhina; Dagfinrud, Hanne; Hammer, Hilde Be ...; Pettersen, Perni ...; Gaarden, Torfinn ...; show more...; Engedal, Knut; Kvien, Tore K.; Magnusson, Karin; Haugen, Ida K.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Geriatrics

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