Pain, anxiety and depression in spinal cord injured patients

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Flank, Peter,1972-Umeå universitet,Rehabiliteringsmedicin (author)

Pain, anxiety and depression in spinal cord injured patients

Article/chapterEnglish2017

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Jacobs Publishers,2017
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LIBRIS-ID:oai:DiVA.org:umu-125201
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-125201URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Originally included in thesis in manuscript form.
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 and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
Tetraplegia
Paraplegia
Psychological Disorders
Visual Analogue Scale
Hospital Anxiety and Depression Scale

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Ramnemark, AnnaUmeå universitet,Geriatrik(Swepub:umu)anra0067 (author)
Levi, RichardUmeå universitet,Rehabiliteringsmedicin(Swepub:umu)rile0004 (author)
Wahman, KerstinDepartment of Neurobiology, Care Sciences and Society, Division of Neurodegeneration, Section Neurorehabilitation, Karolinska Institutet, Sweden; Rehab Station, Stockholm/Spinalis R&D Unit, Sweden (author)
Fahlström, MartinUmeå universitet,Professionell utveckling(Swepub:umu)manfam96 (author)
Umeå universitetRehabiliteringsmedicin (creator_code:org_t)

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In:Jacobs Journal of Physical Rehabilitation Medicine: Jacobs Publishers3:12469-3103

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