Trait Sensitivity, Anxiety, and Personality Are Predictive of Central Sensitization Symptoms in Patients with Chronic Low Back Pain
| Autor: | Peter C. Goodwin, Paul S. Holmes, Jacqui Clark, Jo Nijs, Gillian Yeowell |
|---|---|
| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy, Motor Mind, Physical Medicine and Rehabilitation, Spine Research Group |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male media_common.quotation_subject trait characteristics Sensory system Anxiety Personality Disorders personality type sensory profiles Correlation 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Predictive Value of Tests medicine Personality Humans media_common Central Nervous System Sensitization Sensory stimulation therapy predicting central sensitization symptom scores business.industry central sensitization Middle Aged cross-sectional observational study Anesthesiology and Pain Medicine Cross-Sectional Studies Personality type trait anxiety Trait Observational study Female medicine.symptom Chronic Pain business nonspecific chronic low back pain Ireland Low Back Pain 030217 neurology & neurosurgery Clinical psychology |
| DOI: | 10.1111/papr.12809 |
| Popis: | BACKGROUND:Sensitivity-related trait characteristics involving physical and emotional sensitivities and high trait anxiety personality types have been observed in individuals with non-specific chronic low back pain (NSCLBP). High trait sensitivity to sensory stimulation combined with interpretation biases based on personality type may contribute to the development of central sensitisation (CS) symptoms. To date there is limited research that has considered both sensitivity levels and personality type in NSCLBP with CS. The purpose of this study was to investigate 1) relationships between trait sensory profiles, trait anxiety and CS symptoms, and 2) the predictive capacity of sensory profiles, trait anxiety and personality types on CS symptoms, in people with NSCLBP. METHODS:This was a cross-sectional observational study using four self-report measures on adults (N = 165, mean age = 45 +-12 SD) from physiotherapy clinics in England, Ireland and New Zealand. Inclusion: NSCLBP > 6 months, aged 18-64, predominant CS pain presentation, no other pathology. Parametric and non-parametric correlation statistics and regression analyses were used. RESULTS:Positive correlations were found between central sensitisation inventory (CSI) scores and sensory hyper-sensitivity profiles and trait anxiety. CSI score increases could be predicted by: Sensory Sensitive, Low Registration profiles, trait anxiety scores and extreme defensive high anxious personality type. CONCLUSIONS:Trait sensory hyper- and/or hypo-sensitivity and high trait-anxiety related personality type characteristics predicts the extent of CS symptoms in people with NSCLBP. Further investigation is required to establish causality between these characteristics and CS symptoms. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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