BODY AWARENESS, STRESS AND SYMPTOMS IN AUTONOMIC DYSFUNCTION IN PATIENTS WITH CHRONIC PAIN: AN EXPLORATIVE STUDY.

Autor:	Varkey E; Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Region Västra Götaland, Sahlgrenska University Hospital/Östra.; Department of Occupational Therapy and Physiotherapy, Gothenburg, Sweden., Gottfridsson R; Region Västra Götaland, Sahlgrenska University Hospital/Östra.; Department of Anaesthesiology and Intensive Care Medicine/Pain Centre, Gothenburg, Sweden., Grimby-Ekman A; School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Bjarnegård Sellius A; Region Västra Götaland, Sahlgrenska University Hospital/Östra.; Department of Occupational Therapy and Physiotherapy, Gothenburg, Sweden., Östman M; Region Västra Götaland, Närhälsan Gibraltar Rehabilitation Centre, Gothenburg, Sweden., Andréll P; Region Västra Götaland, Sahlgrenska University Hospital/Östra.; Department of Anaesthesiology and Intensive Care Medicine/Pain Centre, Gothenburg, Sweden.; Department of Anaesthesiology and Intensive Care Medicine, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Jazyk:	angličtina
Zdroj:	Journal of rehabilitation medicine. Clinical communications [J Rehabil Med Clin Commun] 2024 Jun 24; Vol. 7, pp. 13374. Date of Electronic Publication: 2024 Jun 24 (Print Publication: 2024).
DOI:	10.2340/jrmcc.v7.13374
Abstrakt:	Objective: To assess pain outcomes, stress levels and body awareness among patients with chronic pain and explore potential associations between these variables. Design: An explorative study. Methods: Patients with chronic pain in primary and specialist care were assessed regarding pain intensity using the Numerical Rating Scale (NRS; 0-10 point scale) and stress levels using the Stress and Crisis Inventory (SCI-93; 0-140). To assess body awareness, multidimensional assessment of interoceptive awareness (MAIA; 0-5), a widely used self-report measure of interoceptive bodily awareness was used. Results: Participants ( n = 42) reported an average NRS of 4.4, elevated stress levels and low body awareness. Stress levels were moderately correlated with pain intensity ( r = 0.53; p < 0.001; 95% confidence interval [CI] 0.25-0.72) and number of pain sites ( r = 0.58; p < 0.001; 95% CI 0.32-0.76). The regression analysis showed that pain outcomes predicted stress level scores and explained almost 50% of variance ( R 2 = 0.47, p < 0.001). Moreover, shorter pain duration predicted a higher body awareness ( p = 0.04). Conclusion: In patients with chronic pain, high pain intensity and multiple painful sites seem to be associated with impaired stress regulation. The patients had low body awareness, which was negatively influenced by pain duration. Competing Interests: The authors have no conflicts of interest to declare. (© 2024 The Author(s).)
Databáze:	MEDLINE
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