Depressive symptoms are independently associated with pain perception in Colombians with rheumatoid arthritis.
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| Title: | Depressive symptoms are independently associated with pain perception in Colombians with rheumatoid arthritis. |
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| Authors: | Rogers, H. L.1, Brotherton, H. T.1, de Luis, A.1, Olivera-Plaza, S. L.2, Córdoba-Patiño, A. F.2, Peña-Altamar, M. L.3 |
| Source: | Acta Reumatológica Portuguesa. Jan-Mar2015, Vol. 40 Issue 1, p40-49. 10p. |
| Subjects: | RHEUMATOID arthritis, PAIN perception, COLOMBIANS, VISUAL analog scale, DISEASES, PATIENTS, PSYCHOLOGY |
| Abstract: | Aims: To examine the relationships between psychosocial factors and reported pain in Colombians with Rheumatoid Arthritis (RA). Methods: One hundred and three RA patients [85% from the lowest socio-economic strata (SES) in the country] recruited from outpatient centers in Neiva, Colombia were administered the Disease Activity Scare-28 (DAS28), which included a Visual Analog Scale (VAS) arthritis pain/activity rating, Zung Depression Scale, State-Trait Anxiety Inventory (STAI), Interpersonal Support Evaluation List-12 (ISEL-12), and Symptom Checklist-90 Revised (SCL-90R). Major Results: VAS pain was not associated with the age of socio-demographic or medical factors, but was negatively associated with ISEL tangible subscale (r=-0.22, p< 0.01; r=0.28, p<0.01). VAS pain was positively associated with Zung Depression Scale score (r=0.38, p<0.001), STAI-State and STAI-Trait Anxiety (r=0.23 and r=0.25 respectively, p' s<0.01), SCL-90R Global Severity Index (GSI) and Positive Symptom Total (PST) (r=0.23, p<0.05 and r=0.29, p<0.01 respectively), and SCL-90R Somatization, Depression, and Anxiety sub scales (r=0.30, p< 0.01; r=0.28, p<0.01; and r=0.20, p<0.05 respectively). A linear regression model show ed that socio-demographic characteristics theoretically associated with pain perception (gender, age, and SES) explained only 2.4% of the variance of VAS scores (R-squared=0.02, p=0.49). The full model, including psychosocial factors significantly associated with VAS scores explained 18.9% of the variance in VAS pain perception scores (R-squared=0.19, p=0.02). The Zung Depression Scale score was the only factor independently associated with VAS pain, such that higher depression scores were associated with higher VAS ratings (b=0.13, p<0.01), controlling for gender, age, SES, STAI-State, STAI-Trait, ISEL tangible, SCL-90R GSI, and SCL-90R PST. Conclusions: Depressive symptoms, anxiety, social support, and psychopathological symptom distress were associated with pain ratings, but only depressive symptoms were found to be uniquely associated with higher pain perception, taking into account socio-demographic characteristics and other psychosocial factors. These findings provide evidence for the need to assess and treat pain in RA in Colombia from a bio-psycho-social perspective. Future research is needed to determine effective depression screening and evidence-based interventions for depressive symptoms in RA patients in this socio-cultural context, as intervening in depression may decrease pain perception. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Reumatológica Portuguesa is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 101890444 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Depressive symptoms are independently associated with pain perception in Colombians with rheumatoid arthritis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Rogers%2C+H%2E+L%2E%22">Rogers, H. L.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Brotherton%2C+H%2E+T%2E%22">Brotherton, H. T.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Luis%2C+A%2E%22">de Luis, A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Olivera-Plaza%2C+S%2E+L%2E%22">Olivera-Plaza, S. L.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Córdoba-Patiño%2C+A%2E+F%2E%22">Córdoba-Patiño, A. F.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Peña-Altamar%2C+M%2E+L%2E%22">Peña-Altamar, M. L.</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Reumatológica+Portuguesa%22">Acta Reumatológica Portuguesa</searchLink>. Jan-Mar2015, Vol. 40 Issue 1, p40-49. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22RHEUMATOID+arthritis%22">RHEUMATOID arthritis</searchLink><br /><searchLink fieldCode="DE" term="%22PAIN+perception%22">PAIN perception</searchLink><br /><searchLink fieldCode="DE" term="%22COLOMBIANS%22">COLOMBIANS</searchLink><br /><searchLink fieldCode="DE" term="%22VISUAL+analog+scale%22">VISUAL analog scale</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASES%22">DISEASES</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENTS%22">PATIENTS</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGY%22">PSYCHOLOGY</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Aims: To examine the relationships between psychosocial factors and reported pain in Colombians with Rheumatoid Arthritis (RA). Methods: One hundred and three RA patients [85% from the lowest socio-economic strata (SES) in the country] recruited from outpatient centers in Neiva, Colombia were administered the Disease Activity Scare-28 (DAS28), which included a Visual Analog Scale (VAS) arthritis pain/activity rating, Zung Depression Scale, State-Trait Anxiety Inventory (STAI), Interpersonal Support Evaluation List-12 (ISEL-12), and Symptom Checklist-90 Revised (SCL-90R). Major Results: VAS pain was not associated with the age of socio-demographic or medical factors, but was negatively associated with ISEL tangible subscale (r=-0.22, p< 0.01; r=0.28, p<0.01). VAS pain was positively associated with Zung Depression Scale score (r=0.38, p<0.001), STAI-State and STAI-Trait Anxiety (r=0.23 and r=0.25 respectively, p' s<0.01), SCL-90R Global Severity Index (GSI) and Positive Symptom Total (PST) (r=0.23, p<0.05 and r=0.29, p<0.01 respectively), and SCL-90R Somatization, Depression, and Anxiety sub scales (r=0.30, p< 0.01; r=0.28, p<0.01; and r=0.20, p<0.05 respectively). A linear regression model show ed that socio-demographic characteristics theoretically associated with pain perception (gender, age, and SES) explained only 2.4% of the variance of VAS scores (R-squared=0.02, p=0.49). The full model, including psychosocial factors significantly associated with VAS scores explained 18.9% of the variance in VAS pain perception scores (R-squared=0.19, p=0.02). The Zung Depression Scale score was the only factor independently associated with VAS pain, such that higher depression scores were associated with higher VAS ratings (b=0.13, p<0.01), controlling for gender, age, SES, STAI-State, STAI-Trait, ISEL tangible, SCL-90R GSI, and SCL-90R PST. Conclusions: Depressive symptoms, anxiety, social support, and psychopathological symptom distress were associated with pain ratings, but only depressive symptoms were found to be uniquely associated with higher pain perception, taking into account socio-demographic characteristics and other psychosocial factors. These findings provide evidence for the need to assess and treat pain in RA in Colombia from a bio-psycho-social perspective. Future research is needed to determine effective depression screening and evidence-based interventions for depressive symptoms in RA patients in this socio-cultural context, as intervening in depression may decrease pain perception. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Reumatológica Portuguesa is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 40 Subjects: – SubjectFull: RHEUMATOID arthritis Type: general – SubjectFull: PAIN perception Type: general – SubjectFull: COLOMBIANS Type: general – SubjectFull: VISUAL analog scale Type: general – SubjectFull: DISEASES Type: general – SubjectFull: PATIENTS Type: general – SubjectFull: PSYCHOLOGY Type: general Titles: – TitleFull: Depressive symptoms are independently associated with pain perception in Colombians with rheumatoid arthritis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Rogers, H. L. – PersonEntity: Name: NameFull: Brotherton, H. T. – PersonEntity: Name: NameFull: de Luis, A. – PersonEntity: Name: NameFull: Olivera-Plaza, S. L. – PersonEntity: Name: NameFull: Córdoba-Patiño, A. F. – PersonEntity: Name: NameFull: Peña-Altamar, M. L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan-Mar2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 0303464X Numbering: – Type: volume Value: 40 – Type: issue Value: 1 Titles: – TitleFull: Acta Reumatológica Portuguesa Type: main |
| ResultId | 1 |
