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1.
Arq. neuropsiquiatr ; 79(10): 904-911, Oct. 2021. tab, graf
Article in English | LILACS | ID: biblio-1345312

ABSTRACT

Abstract Background: The co-occurrence of chronic pain and sleep disturbance contribute to a significant functional and social impact in older adults. However, there are no validated instruments to measure sleep disturbance and pain in this population that could be used to screen or diagnose individuals or monitor treatment effectiveness. Objective: Our aim was to develop and validate a brief, practical, and comprehensive tool to assess the impact of co-occurring pain and sleep disturbance in older adults. Methods: Development and validation of a measurement tool for assessing pain and sleep in older adults consisting of seven items. Results: We applied the "Sleep Assessment Instrument for Pain in older adults" (SAIOAP) in a sample of 100 older individuals. A Cronbach's alpha of 0.602 indicated a moderate level of reliability, and item-total correlations of ≥0.4 for all items indicated good homogeneity. There were statistically significant correlations between the SAIOAP and sleep quality (PSQI, r=61.5), pain intensity (VNS, r=30.5), the multidimensional impacts of pain (GPM, r=40.5), depression (GEAP, r=45.5), comorbidity (r=27.9), and medication use (r=30.4). A ROC curve indicated a sensitivity of 73.2% and a specificity of 79.1% in relation to the prediction of sleep disturbances associated with pain in older adults. Conclusions: The SAIOAP presented adequate metric properties and was demonstrated to be a simple and practical tool for the assessment of the impact of pain on sleep in older adults.


RESUMO Introdução: A co-ocorrência de dor crônica e de distúrbios do sono contribuem para um impacto funcional e social negativo em idosos. Porém, o binômio dor-sono não foi explorado em relação a questionários para idosos, a fim de auxiliar na triagem, no diagnóstico ou no monitoramento da eficácia do tratamento médico. Objetivo: Desenvolver e validar um instrumento breve, prático e abrangente para avaliar a concorrência de condições álgicas crônicas e distúrbios de sono em idosos. Métodos: Estudo descritivo e qualitativo de metodologia de desenvolvimento e validação de instrumento de medida para avaliação de dor e sono em idosos, composto por sete itens. Após a fundamentação teórica, desenvolveram-se os itens do instrumento, seguidos de um estudo quantitativo (validação), em que testamos pacientes idosos com dor crônica. Resultados: Aplicou-se o Instrumento de Avaliação de Sono para Dor em Idosos (IASID) a uma amostra de 100 idosos. Alcançou-se o alfa de Cronbach (0,602) de boa homogeneidade por correlação item-total (≥0,4). Encontramos correlações estatisticamente significativas entre o IASID e a qualidade do sono (PSQI, r=61,5%); a intensidade da dor (NVS, r=30,5%); seus impactos (GPM, r=40,5); depressão (GEAP, r=45,5%); comorbidades (r=27,9) e uso de medicamentos (r=30,4). A curva ROC apontou sensibilidade de 73,2% e especificidade de 79,1% para predição de distúrbios do sono associados à dor crônica em idosos. Conclusões: O IASID apresentou propriedades métricas adequadas e demonstrou ser uma ferramenta simples e prática para a avaliação do impacto da dor no sono em idosos.


Subject(s)
Humans , Aged , Chronic Pain/diagnosis , Psychometrics , Sleep , Pain Measurement , Surveys and Questionnaires , Reproducibility of Results
2.
Rev. argent. cir. plást ; 26(1): 9-16, ene-mar 2020. tab, fig, graf
Article in Spanish | LILACS | ID: biblio-1120366

ABSTRACT

El dolor asociado a heridas complejas se erige como una gran barrera para la resolución de estas, debido a la complejidad de abordaje y a la imposibilidad de establecer un patrón de algoritmo por diversos factores y su carácter heterogéneo, así como por la presencia de manifestaciones múltiples asociadas. Este dolor provoca al paciente un daño no solo físico sino también psicosocial, porque la escasa respuesta a los tratamientos habituales, y si bien es sensible a la medicación con opiáceos, los resultados son insufi cientes a largo plazo en un significativo número de pacientes, en quienes provoca además efectos no deseables. Se establece en el presente trabajo la administración subcutánea de dextrosa 5% a través de una técnica de infiltración perineural para el tratamiento de la infl amación neurogénica responsable del mencionado padecimiento, en las terminaciones libres de los nervios sensitivos cutáneos. Para ello se decidió realizar un estudio descriptivo multicéntrico a partir de junio del 2016 hasta mayo del 2017 en 60 pacientes que presentaban dolor crónico en ulceras de miembro inferior de diferente etiología con antecedente de medicación analgésica previa con resultado parcial (no controlado) y que tuviera evolución de su dolor entre 3 meses y 4 años.


The pain associated with complex wounds is established as a great barrier for the irresolution, due to the complexity of the approach and the impossibility of establishing an algorithm pattern due to various factors and their heterogeneous nature, as well as the presence of associated multiple manifestations. . This pain causes not only physical but psychosocial damage to the patient, because of the poor response to the usual treatments, and although it is sensitive to medication with opiates, the results are insufficient in the long-term in a significant number of patients, in whom it also causes undesirable effects. The present work establishes the subcutaneous administration of 5% dextrose through a perineural infi ltration technique for the treatment of the neurogenic inflammation responsible for the afore mentioned condition, in the free terminations of the cutaneous sensory nerves. For this, it was decided to carry out a multicenter descriptive study from June 2016 to May 2017 in 60 patients who presented chronic pain in lower limb ulcers of different etiology with a history of previous analgesic medication with partial (uncontrolled) outcome and had evolution of your pain between 3 months and 4 years.


Subject(s)
Humans , Male , Female , Ulcer/therapy , Wound Healing , Infiltration-Percolation , Lower Extremity/injuries , Chronic Pain/diagnosis , Prolotherapy/methods
4.
Non-conventional in French | AIM | ID: biblio-1278009

ABSTRACT

Introduction. Les douleurs chroniques sont fréquentes en oncologie et en rhumatologie. Elles constituent un problème de santé publique. Le traitement de la douleur comporte des thérapeutiques médicamenteuses et non médicamenteuses. L'objectif du travail était d'évaluer la prise en charge médicamenteuse des patients présentant une douleur chronique. Méthodologie. Il s'agit d'une étude longitudinale et prospective de cinq mois. Elle a été réalisée dans le service d'oncologie de l'Hôpital Général de Yaoundé et le service de rhumatologie de l'Hôpital Central de Yaoundé. Nous avons inclus tous les patients présentant un syndrome douloureux chronique et ayant donné leur consentement éclairé. Les variables étudiées étaient l'intensité de la douleur, les pathologies en cause, les protocoles antalgiques, les effets secondaires, l'observance et la satisfaction des patients. Résultats. Six cent six patients étaient recrutés avec une majorité féminine. Les pathologies les plus rencontrées en rhumatologie étaient : l'arthrose (71,2%), la hernie discale (20,1 %). En oncologie il s'agissait du cancer du sein (24,1%) et du cancer du col de l'utérus (13,8%). A la consultation initiale, l'intensité de la douleur était légère (1,5%), modérée (94,7%) et sévère (3,8%). Les antalgiques utilisés étaient dominés par le paracétamol (56,1%) et le tramadol (39,8%). Les coantalgiques utilisés étaient les antiépileptiques (43,1%) et les myorelaxants (34,5%). Au troisième rendez-vous, la douleur était légère (90,6%), l'observance au traitement était moyenne chez 426 patients (70,3%) et 97,2% des patients étaient satisfaits. Conclusion. La prise en charge de la douleur chronique est effective et adaptée. Elle fait appel aux antalgiques usuels. Les co-antalgiques occupent une place non négligeable


Subject(s)
Chronic Pain/diagnosis , Chronic Pain/drug therapy , Chronic Pain/epidemiology
5.
Rev. bras. neurol ; 54(4): 19-25, out.-dez. 2018. tab
Article in Portuguese | LILACS | ID: biblio-967831

ABSTRACT

FUNDAMENTO: A dor é um sintoma não motor frequente em indivíduos com doença de Parkinson (DP). Pode estar associada aos sinais motores ou surgir no início da doença. Os mecanismos subjacentes à dor na DP ainda não são bem elucidados e muitos fatores podem influenciá-la, como o uso de levodopa e a presença de outros sintomas não motores, como depressão. OBJETIVOS: Descrever a prevalência e caracterizar a dor em pacientes com DP de um centro terciário referência em pesquisa e assistência clínica. MÉTODOS: Foram recrutados pacientes com diagnóstico de DP idiopática a partir do ambulatório de neurologia do Centro de Especialidades Médicas (CEM) da Santa Casa de Belo Horizonte/MG. Um questionário para coleta de dados sociodemográficos e clínicos foi aplicado. A função cognitiva, gravidade dos sinais e sintomas, depressão, distúrbios de sono e fadiga foram avaliados. A dor foi mensurada por meio do Questionário de McGill e Escala Visual Numérica. RESULTADOS: Participaram do estudo 45 pacientes, sendo que 19 (42,2%) apresentavam queixa de dor e, em sua maioria, após o diagnóstico de DP (74%). Não houve diferença entre os grupos com dor e sem dor para os parâmetros clínicos avaliados, com exceção da fadiga que foi mais prevalente (p=0,036) e mais grave (p=0,031) nos pacientes com dor. CONCLUSÃO: A dor é um sintoma prevalente em pacientes com DP atendidos no CEM. A partir dos resultados obtidos pelo McGill, observou-se que a dor crônica e profunda, acometendo principalmente os membros inferiores, com importantes aspectos sensoriais e afetivos, foi comum nos pacientes avaliados.


BACKGROUND: Pain is a common non-motor symptom in Parkinson´s Disease (PD). It can be associated to motor signs or can arise in the beginning of the disease. Mechanisms of pain in PD are not completely understood. Moreover, many factors can interfere, such as use of levodopa and presence of other non-motor symptoms as depression. OBJECTIVES: The aim of this study was to describe prevalence and characterization of pain in PD patients from a research and clinical terciary care center in Belo Horizonte, Minas Gerais, Brazil. METHODS: PD patients from the Neurology Center of Santa Casa Hospital (Belo Horizonte, MG, Brazil) were recruted. Socio-demographic and clinical data were collected. Cognitive function, severity of PD signs and symptoms, depression, sleep disturbance and fatigue were evaluated. Pain was measured by McGill Pain Questionnaire and Visual Numeric Scale (VNS). RESULTS: Forty-five PD patients participated in the study and 42,2% had pain complaints, mostly (74%) after PD diagnosis. No difference between group with pain or without pain for clinical parameters was detected, except for fatigue, which was more prevalent (p=0,036) and more severe (p=0.031) in patients with pain. CONCLUSION: Pain was very prevalent in PD patients from CEM. Results obtained from McGill showed that chronic and deep pain, mostly in lower limbs, with important physical and affective features was very common in this sample of PD patients.


Subject(s)
Humans , Male , Female , Aged , Parkinson Disease/complications , Parkinson Disease/diagnosis , Chronic Pain/diagnosis , Chronic Pain/epidemiology , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires/standards , Lower Extremity , Fatigue , Chronic Pain/etiology
6.
Univ. med ; 59(3)2018. ilus, graf, tab
Article in Spanish | LILACS, COLNAL | ID: biblio-994914

ABSTRACT

Introducción: el dolor crónico es una enfermedad con graves consecuencias para personas, médicos y sistemas de salud. Una de las estrategias de manejo es el uso prolongado de opioides, y dentro de los disponibles en Colombia se encuentra la metadona, con características farmacológicas únicas y asociación con aumento de mortalidad por sobredosis y complicaciones cardiovasculares. La adecuada prescripción y seguimiento de metadona se relaciona con complicaciones similares al manejo con otros opioides. Objetivo: describir los patrones de prescripción de metadona entre médicos colombianos especialistas en manejo de dolor y comparar estos patrones de prescripción con las recomendaciones mayormente aceptadas por la comunidad científica internacional. Materiales y métodos: se utilizó una encuesta electrónica estructurada aplicada entre médicos especialistas en dolor identificados a través de las principales agremiaciones y programas de formación nacionales. Resultados: los encuestados que respondieron son mayoritariamente experimentados anestesiólogos, con entrenamiento universitario clínico y que trabajan en hospitales universitarios. La mayoría de ellos percibe como efectivo el manejo a largo plazo con opioides para el control analgésico y la mejoría funcional, a pesar de la falta de respaldo empírico. La mayoría no aplica las herramientas recomendadas por guías de práctica clínica, aunque las conocen. Conclusiones: se debe mejorar la educación de prescriptores de metadona para mejorar la seguridad de los pacientes. Se infiere pobre aplicabilidad de herramientas recomendadas por guías de práctica clínica en el medio colombiano. Los resultados de la presente encuesta no son fácilmente generalizables.


Background: Chronic pain is a disease with serious consequences for people, physicians, and health care systems. Chronic opioid usage is one of this therapy strategy. Methadone is among the available opioids in Colombia and it is characterized by unique pharmacological properties and increased mortality reports because of overdose and cardiovascular complications. Appropriate monitoring and prescribing patterns of methadone are associated with complications similar to chronic management with other opioids. Aim: To describe methadone prescribing patterns among Colombian pain physicians and compare them to the accepted recommendations by the international scientific community. Materials and Methods: An electronic structured survey was applied to pain specialist physicians identified through major pain study associations and national training programs. Results: Respondents of the survey are mostly experienced university certified physicians and anesthesiologists with clinical training working at university hospitals. Most of them perceive chronic opioid therapy as an effective strategy for pain relief and functional outcomes despite the lack of empirical support. Most of them know clinical practice guidelines but are not applying them despite this matter. Conclusions: We must enhance education for prescribers in order to improve patient safety. The recommended clinical practice guidelines are poorly applied by Colombian doctors. The results of this study must be cautiously assessed.


Subject(s)
Prescription Drugs/adverse effects , Chronic Pain/diagnosis , Analgesics, Opioid , Methadone/administration & dosage
7.
Rev. bras. reumatol ; 57(5): 438-444, Sept.-Oct. 2017. tab, graf
Article in English | LILACS | ID: biblio-899441

ABSTRACT

Abstract Objective: To determine the prevalence of Chronic Low Back Pain and predictors of Back Muscle Strength in patients with Systemic Lupus Erythematosus. Methods: Cross-sectional study. Ninety-six ambulatory patients with lupus were selected by non-probability sampling and interviewed and tested during medical consultation. The outcomes measurements were: Point prevalence of chronic low back pain, Oswestry Disability Index, Tampa Scale of Kinesiophobia, Fatigue Severity Scale and maximal voluntary isometric contractions of handgrip and of the back muscles. Correlation coefficient and multiple linear regression were used in statistical analysis. Results: Of the 96 individuals interviewed, 25 had chronic low back pain, indicating a point prevalence of 26% (92% women). The correlation between the Oswestry Index and maximal voluntary isometric contraction of the back muscles was r = −0.4, 95% CI [−0.68; −0.01] and between the maximal voluntary isometric contraction of handgrip and of the back muscles was r = 0.72, 95% CI [0.51; 0.88]. The regression model presented the highest value of R 2 being observed when maximal voluntary isometric contraction of the back muscles was tested with five independent variables (63%). In this model handgrip strength was the only predictive variable (β = 0.61, p = 0.001). Conclusions: The prevalence of chronic low back pain in individuals with systemic lupus erythematosus was 26%. The maximal voluntary isometric contraction of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable. The maximal voluntary isometric contraction of the back muscles presented a linear relation directly proportional to handgrip and inversely proportional to Oswestry Index i.e. stronger back muscles are associated with lower disability scores.


Resumo Objetivo: Determinar a prevalência de lombalgia crônica (LBC) e os preditores de força muscular nas costas (FMC) em pacientes com lúpus eritematoso sistêmico (LES). Métodos: Estudo transversal. Selecionaram-se 96 pacientes ambulatoriais com LES por amostragem não probabilística, entrevistados e testados durante consultas médicas. As medidas de desfecho foram: prevalência ocasional de LBC, Índice de Incapacidade de Oswestry, Escala Tampa para Cinesiofobia, Escala de Gravidade da Fadiga e contrações isométricas voluntárias máximas (CIVM) de preensão manual e dos músculos das costas. Usaram-se o coeficiente de correlação e a regressão linear múltipla na análise estatística. Resultados: Dos 96 indivíduos entrevistados, 25 apresentavam LBC, o que indicou uma prevalência circunstancial de 26% (92% mulheres). A correlação entre o Índice de Incapacidade de Oswestry e a contração isométrica voluntária máxima dos músculos das costas foi de r = -0,4, IC 95% [-0,68; -0,01] e entre a CIVM de preensão manual e dos músculos das costas foi de r = 0,72, IC 95% [0,51; 0,88]. O modelo de regressão apresentou o maior valor de R2 observado quando a CIVM dos músculos das costas foi testada com cinco variáveis independentes (63%). Nesse modelo, a força de preensão manual foi a única variável preditiva (ß = 0,61, p = 0,001). Conclusões: A prevalência de LBC em indivíduos com LES foi de 26%. A CIVM dos músculos das costas foi 63% prevista por cinco variáveis de interesse. No entanto, apenas a força de preensão manual foi uma variável preditiva estatisticamente significativa. A CIVM dos músculos das costas apresentou uma relação linear diretamente proporcional à força de preensão manual e inversamente proporcional ao Índice de Incapacidade de Oswestry (ou seja, músculos das costas mais fortes estão associados a menores pontuações de incapacidade).


Subject(s)
Humans , Male , Female , Adult , Low Back Pain/etiology , Muscle Strength , Chronic Pain/etiology , Back Muscles/physiopathology , Lupus Erythematosus, Systemic/complications , Linear Models , Prevalence , Cross-Sectional Studies , Risk Factors , Low Back Pain/diagnosis , Low Back Pain/physiopathology , Low Back Pain/epidemiology , Chronic Pain/diagnosis , Chronic Pain/physiopathology , Chronic Pain/epidemiology , Middle Aged
8.
Univ. med ; 58(1)2017.
Article in Spanish | LILACS, COLNAL | ID: biblio-996060

ABSTRACT

Objetivo: el síndrome de disfunción de la articulación sacroiliaca es una de las principales causas de dolor lumbar. Este artículo muestra cómo se evaluó el curso clínico de personas sometidas a bloqueos selectivos percutáneos para el tratamiento del dolor sacroiliaco. Materiales y métodos: se trataron 115 pacientes que asistieron a consulta entre noviembre de 2006 y mayo de 2013. Fueron diagnosticados con síndrome de disfunción de la articulación sacroiliaca. Se realizaron 131 bloqueos de esta articulación, llevados a cabo por uno de los autores (JCA) con técnica percutánea bajo visión fluoroscópica. El análisis se realizó a partir de la información de la historia clínica con un seguimiento de hasta un año. Resultados: se evaluó la intensidad del dolor con la escala visual análoga y se encontró que el 67 % de los pacientes presentó mejoría superior al 50% del dolor. El 35% presentó mejoría superior al 75% del dolor. Conclusiones: el tratamiento del dolor lumbar secundario a una alteración en la articulación sacroiliaca puede ser tratado con la realización percutánea de bloqueo selectivo con esteroides y anestésicos.


Sacroiliac joint ¿ysfunction syndrome is a major cause of lower back pain. Aim: To discuss the usefulness of selective percutaneous blockages as a potential treatment. Materials and methods: The population of this study were 115 patients who consultad hrom November 2006 until May 2013, and were diagnosed with sacroiliac joint syndrome. 131 blockages of the sacroiliac joint were performed in the last 6 years by observen (JCA) with a technique under fluoroscopic víew. The analysis was performed with data from the clinical history followed for up to one vean Results: It was found that 67% of patients showed an ¿mprovement of over 50% of pain using analog pain scale of these, 35% had greater improvement than 75% of the pain. Conclusions: One of the high-cost diseases un the system is lower back pain, and it ineludes Sacroiliac joint dysfunction Syndrome which must be diagnosed by history physical examination and radiological aids. The percutaneous blockage ¿s a treatment under fluoroscopic visión which can reach verv favorable results.


Subject(s)
Sacroiliac Joint , Low Back Pain/diagnosis , Clinical Laboratory Techniques/classification , Chronic Pain/diagnosis
9.
Univ. med ; 58(3)2017. ilus
Article in Spanish | LILACS, COLNAL | ID: biblio-996155

ABSTRACT

En el paciente médicamente enfermo, las intervenciones farmacológicas o psicoterapéuticas habituales caen en desuso por particularidades propias de la hospitalización y la comorbilidad física; por ello se hace necesario identificar diferentes estrategias que permitan incidir benéficamente en la calidad de vida de este grupo de pacientes. Objetivo: Realizar una revisión narrativa de la literatura que permita identificar estrategias terapéuticas que hayan demostrado efectividad en el proceso de este grupo de pacientes. Metodología: Revisión narrativa de literatura. Resultados: Se identificaron 10 comentes terapéuticas no farmacológicas que han demostrado mejoría en indicadores como percepción de dolor, mejoría en calidad de vida, regulación de alteraciones del patrón de sueño, fatiga, en el contexto de pacientes con enfermedad crónica, que puede encontrarse en entornos tan diversos como son los pacientes de oncología o de las unidades de dolor crónico. Conclusiones: Las intervenciones no farmacológicas han demostrado efectividad en el control de síntomas físicos y emocionales en pacientes con enfermedad crónica y son herramientas con las que debe contar el profesional en salud mental.


For the treatment of the dinically ill patient the usual pharmacological interventíons have limited the use of non'pharmacological approach, due to particular factors such as hospitalization itself, physical comorbidities or reduced strategies for the therapeutic team; it ¿s necessary to identify therapeutical strategies that allow a positiva effect in the quality of life of this group of patients. Objective: lo realice a narrative review of literatura that allows us to identify therapeutically strategies that have proven dectivity in the dinically ill patient. Methods: Narrative review of literature. Results: There have been identined 10 non pharmacological therapeutic options that have demonstrated a positive effect in domains such as pain perception, quality of life perception, ¿nsomnia, fatigue, in the context of chronic and dinically ill patients in Services such as oncology or chronic pain. Condusions: Non-pharmacological interventíons have proven effectivity in ameliorate physical and emotional symptoms in patients with chronic diseases, and are useful tools for the mental health specialist.


Subject(s)
Relaxation Therapy , Health Strategies , Chronic Pain/diagnosis
10.
Arq. neuropsiquiatr ; 74(5): 361-366, May 2016. tab
Article in English | LILACS | ID: lil-782028

ABSTRACT

ABSTRACT Objective To describe and analyze cognitive aspects in patients with chronic pain and a control group without pain. Method A case-control study was conducted on 45 patients with chronic pain and on 45 control subjects. Data including pain diagnosis, comorbidities and medication used, were evaluated. Cognitive tests, such as the Montreal Cognitive Assessment (MoCA), Verbal Fluency Test, Clock Drawing Test and Stroop Test, were applied. Results Patients with chronic pain showed a poorer performance, as shown by the scores of the MoCA test (p < 0.002), Verbal Fluency Test (p < 0.001), Clock Drawing Test (p = 0.022) and Stroop Test (p < 0.000). Chronic pain variable (p = 0.015, linear regression model) was an independent factor for results obtained with the MoCA. Conclusion Patients with chronic pain showed a poorer performance in a brief screening test for cognitive impairment not related to confounding variables, as comorbidities and pain-medication use.


RESUMO Objetivo Descrever e analisar aspectos cognitivos em pacientes com dor crônica e um grupo controle sem dor. Método Um estudo de caso-controle foi conduzido em 45 pacientes com dor crônica e 45 controles. Dados incluindo diagnóstico da dor, comorbidades e medicações utilizadas foram avaliados. Foram aplicados testes cognitivos, tais comoMontreal Cognitive Assessment, Teste da Fluência verbal, Teste do relógio e Teste de Stroop. Resultados Pacientes com dor crônica apresentaram uma pior performance, em scores do MoCA (p < 0.002), Fluência verbal (p < 0.001), Teste do relógio (p = 0.022) e Stroop (p < 0.000). Dor crônica (p = 0.015, modelo de regressão linear) foi um fator independente para os piores resultados obtidos no MoCA. Conclusão Pacientes com dor crônica apresentaram uma pior performance em uma avaliação breve para comprometimento cognitivo, não relacionada a variáveis confundidoras, como comorbidades e medicações utilizadas para dor.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Chronic Pain/epidemiology , Cognitive Dysfunction/epidemiology , Pain Measurement , Case-Control Studies , Comorbidity , Dipyrone/therapeutic use , Confounding Factors, Epidemiologic , Educational Status , Chronic Pain/complications , Chronic Pain/diagnosis , Chronic Pain/drug therapy , Cognitive Dysfunction/complications , Cognitive Dysfunction/diagnosis , Antidepressive Agents/therapeutic use , Neuropsychological Tests
11.
Yonsei Medical Journal ; : 449-454, 2016.
Article in English | WPRIM | ID: wpr-21010

ABSTRACT

PURPOSE: To evaluate the diagnostic value of the Korean version of the Douleur Neuropathique 4 (DN4) questionnaire and to validate this questionnaire in terms of psychometric properties in patients with chronic pain due to degenerative spinal disease. MATERIALS AND METHODS: The Korean version of the DN4 questionnaire, which was translated and linguistically validated by the MAPI Research Group, was tested on 83 patients with lumbar or lumbar-radicular pain. Test-retest reliability was evaluated in a subsample of 40 patients who completed two assessments with an interval of 2 weeks. Nociceptive pain and neuropathic component pain were diagnosed in 40 and 43 patients, respectively. RESULTS: The Cronbach's alpha coefficient of internal consistency was 0.819, and the test-retest intraclass correlation coefficient (3, 1) (95% confidence interval) was 0.813 (0.776-0.847) (n=40). The area under the receiver-operator characteristics curve was 0.953 (p<0.001), with 95% confidence interval between 0.869 and 0.990. The Korean version of the DN4 questionnaire showed a sensitivity of 100% and 87.1%, and a specificity of 88.2% and 94.1% at the cutoff value of 3/10 and 4/10, respectively, for discriminating neuropathic component pain. CONCLUSION: The present study demonstrated the good discriminatory power of DN4 between nociceptive pain and neuropathic component pain in patients with lumbar or lumbar-radicular pain.


Subject(s)
Adult , Aged , Aged, 80 and over , Chronic Pain/diagnosis , Female , Humans , Male , Middle Aged , Neuralgia/diagnosis , Pain Measurement/methods , Psychometrics , Reproducibility of Results , Sensitivity and Specificity , Surveys and Questionnaires/standards , Translating
12.
Rev. latinoam. enferm. (Online) ; 24: e2769, 2016. tab
Article in English | LILACS, BDENF | ID: biblio-960986

ABSTRACT

Abstract Objective: to describe acute and chronic pain from the perspective of the life cycle. Methods: participants: 861 people in pain. The Multidimensional Pain Evaluation Scale (MPES) was used. Results: in the category estimation method the highest descriptors of chronic pain for children/ adolescents were "Annoying" and for adults "Uncomfortable". The highest descriptors of acute pain for children/adolescents was "Complicated"; and for adults was "Unbearable". In magnitude estimation method, the highest descriptors of chronic pain was "Desperate" and for descriptors of acute pain was "Terrible". Conclusions: the MPES is a reliable scale it can be applied during different stages of development.


Resumo Objetivo: descrever a dor aguda e a crônica na perspectiva do ciclo vital. Métodos: participaram 861 pessoas com dor. Foi utilizada a Escala Multidimensional de Avaliação da Dor (EMADOR). Resultados: no método da estimação de categoria o descritor da dor crônica de maior atribuição para crianças e adolescentes foi "Chata" e para adultos foi "Desconfortável". Os descritores de maior atribuição para dor aguda em crianças e adolescentes foram "Complicada" e em adultos "Insuportável". No método de estimação de magnitude, o descritor de maior atribuição na dor crônica foi "Atormentadora" e na dor aguda foi "Terrível". Conclusões: a EMADOR é uma escala confiável e pode ser utilizada nas diferentes etapas do desenvolvimento humano.


Resumen Objetivo: la descripción del dolor agudo y crónico desde las perspectiva del ciclo de vida. Métodos: participaron 861 personas con dolor. Se utilizó la Escala Multidimensional de Evaluación del Dolor (EMEDOR). Resultados: en el método de estimación de categoría el descriptor de dolor crónico más alto para niños y adolescentes fue de Molesto y para adultos fue Incómodo. Los descriptores mayores de dolor agudo para niños y adolescentes fueron Complejo y para adultos Insoportable. En el método de estimación de magnitud, el mayor descriptor de dolor crónico fueron Atormentador y el mayor de dolor agudo fue Terrible. Conclusiones: la EMEDOR es una escala confiable y puede ser utilizada en diferentes etapas de desarrollo.


Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Pain Measurement/methods , Acute Pain/diagnosis , Chronic Pain/diagnosis , Psychophysics , Pain Measurement/psychology , Cross-Sectional Studies , Age Factors , Acute Pain/psychology , Chronic Pain/psychology
13.
Rev. latinoam. enferm ; 22(4): 569-575, Jul-Aug/2014. tab
Article in English | LILACS, BDENF | ID: lil-723291

ABSTRACT

OBJECTIVES: to measure the pain intensity, identify the disability and depression levels in people with chronic back pain and to correlate these variables. A cross-sectional, descriptive and exploratory study was undertaken at the Pain Treatment Clinic of the University of São Paulo at Ribeirão Preto Hospital das Clínicas, between February and June 2012, after receiving approval from the Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing. METHOD: sixty subjects with chronic back pain participated. The instruments used were: the 11-point Numerical Category Scale, the Roland-Morris Disability Questionnaire and the Beck Depression Inventory. To analyze the data, the arithmetic means, standard deviations and Spearman's correlation coefficient were calculated. RESULTS: the findings show that the participants presented high pain, disability and depression levels. The correlation between pain intensity and disability and between pain intensity and depression was positive and weak and, between disability and depression, positive and moderate. CONCLUSION: the study variables showed moderate and weak indices and the mutual correlations were positive. .


OBJETIVOS: mensurar a intensidade dolorosa, identificar a incapacidade e os níveis de depressão em pessoas com dor lombar crônica e correlacionar essas variáveis. Trata-se de estudo transversal descritivo-exploratório, realizado na Clínica para o Tratamento da Dor do Hospital das Clínicas de Ribeirão Preto, entre fevereiro e junho de 2012, após aprovação do Comitê de Ética da Escola de Enfermagem de Ribeirão Preto - USP. MÉTODO: participaram 60 sujeitos com dor lombar crônica. Os instrumentos utilizados foram: a Escala de Categoria Numérica de 11 pontos, o Questionário Roland Morris de Incapacidade e o Inventário de Depressão de Beck. Para análise dos dados, foram calculadas as médias aritméticas, os desvios-padrões e o coeficiente de correlação de Spearman. RESULTADOS: os achados mostraram que os participantes apresentaram elevados níveis de dor, de incapacidade e de depressão. A correlação entre intensidade de dor e incapacidade e entre intensidade de dor e depressão foi positiva fraca, e entre incapacidade e depressão foi positiva moderada. CONCLUSÃO: as variáveis estudadas apresentam índices moderados e fracos e as correlações foram positivas entre si. .


OBJETIVOS: medir la intensidad del dolor, identificar la incapacidad y los niveles de depresión en personas con dolor lumbar crónico y correlacionar estas variables. Se trata de un estudio transversal, descriptivo y exploratorio realizado en la Clínica para Tratamiento del Dolor del Hospital de las Clínicas de Ribeirao Preto, entre febrero y junio de 2012, después de la aprobación del Comité de Ética de la Escuela de Enfermería de Ribeirao Preto - USP. MÉTODO: participaron 60 sujetos con dolor lumbar crónico. Los instrumentos utilizados fueron: la Escala de Categoría Numérica de 11 puntos, el Cuestionario Roland Morris de Incapacidad y el Inventario de Depresión de Beck. Para analizar los datos, fueron calculados los promedios aritméticos, las desviaciones estándar y el coeficiente de correlación de Spearman. RESULTADOS: los hallazgos mostraron que los participantes presentaron elevados niveles de dolor, de incapacidad y de depresión. La correlación entre la intensidad del dolor e incapacidad y entre intensidad del dolor y depresión fue positiva débil y entre incapacidad y depresión fue positiva moderada. CONCLUSIÓN: las variables estudiadas presentan índices moderados y débiles y las correlaciones fueron positivas entre sí. .


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Back Pain/complications , Chronic Pain/complications , Disability Evaluation , Depression/etiology , Pain Measurement , Activities of Daily Living , Back Pain/diagnosis , Back Pain/physiopathology , Cross-Sectional Studies , Chronic Pain/diagnosis , Chronic Pain/physiopathology , Surveys and Questionnaires
14.
Rev. latinoam. enferm ; 22(4): 662-669, Jul-Aug/2014. tab, graf
Article in English | LILACS, BDENF | ID: lil-723307

ABSTRACT

OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status. METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%. RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (OR=4.2:2.5-7.0), a greater number of chronic diseases (OR=1.8:1.2-2.7), joint disease (OR=3.5:2.4-5.1) and the female gender (OR=2.3:1.7-3.0). A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001). CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population. .


OBJETIVO: identificar a prevalência e a intensidade de dor crônica entre idosos da comunidade e analisar associações com a autopercepção do estado de saúde. MÉTODO: estudo transversal, com amostra populacional (n=934), conduzido por meio de entrevista domiciliar, na cidade de Goiânia, Brasil. A intensidade da dor crônica (existente há 6 meses ou mais) foi mensurada por meio de escala numérica (0-10) e a autopercepção de saúde por meio de escala verbal (muito boa, boa, regular, ruim, muito ruim). Para análise estatística utilizou-se frequência absoluta e porcentual, IC (95%), teste do qui-quadrado, Odds ratio e análise de regressão. Significância de 5%. RESULTADOS: a prevalência de dor crônica foi de 52,8% [IC (95%):49,4-56,1]; localizada com maior frequência em membros inferiores (34,5%) e região lombar (29,5%); de intensidade forte ou pior possível para 54,6% dos idosos. Ocorrência de dor crônica associou-se (p<0,0001) a pior autopercepção de saúde (OR=4,2:2,5-7,0), número de doenças crônicas (OR=1,8:1,2-2,7), doença articular (OR=3,5:2,4-5,1) e sexo feminino (OR=2,3:1,7-3,0). Menor intensidade de dor crônica associou-se a melhor autopercepção de saúde (p<0,0001). CONCLUSÃO: a maioria dos idosos da comunidade relata dor crônica, de elevada intensidade, e localizada em regiões relacionadas às atividades de deslocamento, podendo influenciar na morbimortalidade dessa população. .


OBJETIVO: identificar la prevalencia y la intensidad de dolor crónico entre ancianos de la comunidad y analizar asociaciones con la autopercepción del estado de salud. MÉTODO: estudio transversal, con muestra poblacional (n=934), realizado por medio de entrevista domiciliar, en la ciudad de Goiania, Brasil. La intensidad de dolor crónico (existente hace 6 meses o más) fue medida por medio de escala numérica (0-10) y la autopercepción de la salud por medio de escala verbal (muy buena, buena, regular, mala, muy mala). Para el análisis estadístico se utilizó la frecuencia absoluta y los porcentajes, IC(95%), la prueba del Chi-cuadrado, Odds ratio y el análisis de regresión. Significación de 5%. RESULTADOS: la prevalencia de dolor crónico fue de 52,8% [IC(95%):49,4-56,1]; localizado con mayor frecuencia en miembros inferiores (34,5%) y región lumbar (29,5%); intensidad fuerte o peor posible para 54,6% de los ancianos. La ocurrencia de dolor crónico se asoció (p<0,0001) a peor autopercepción de la salud (OR=4,2:2,5-7,0), número de enfermedades crónicas (OR=1,8:1,2-2,7), enfermedad de las articulaciones (OR=3,5:2,4-5,1) y sexo femenino (OR=2,3:1,7-3,0). La menor intensidad de dolor crónico se asoció a mejor autopercepción de la salud (p<0,0001). CONCLUSIÓN: la mayoría de los ancianos de la comunidad relata dolor crónico, de elevada intensidad, y localizado en regiones relacionadas a las actividades de locomoción, pudiendo influenciar en la morbimortalidad de esa población. .


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Chronic Pain/diagnosis , Chronic Pain/epidemiology , Diagnostic Self Evaluation , Pain Measurement , Self Concept , Brazil , Cross-Sectional Studies , Prevalence
15.
Article in English | WPRIM | ID: wpr-226428

ABSTRACT

In many circumstances, causing sites of low back pain (LBP) cannot be determined only by anatomical imaging. Combined functional and morphological imaging such as bone scan with single-photon emission computed tomography/computed tomography (SPECT/CT) may be helpful in identifying active lesions. The purpose of this study was to evaluate the usefulness of bone SPECT/CT in localizing the pain site and the treatment of chronic LBP. One hundred seventy-five patients suffering from chronic LBP who underwent SPECT/CT were included, retrospectively. All of the patients received multiple general treatments according to the symptoms, and some of them underwent additional target-specific treatment based on SPECT/CT. Numerical rating scale (NRS) pain score was used to assess the pain intensity. Of 175 patients, 127 showed good response to the given therapies, while the rest did not. Overall, 79.4% of patients with definite active lesions showed good response. Patients with mild active or no lesions on SPECT/CT had relatively lower response rate of 63.0%. Good response was observed by the treatment with the guidance of active lesions identified on SPECT/CT. SPECT/CT could be useful in identifying active lesions in patients with chronic LBP and guiding the clinicians to use adequate treatment.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Chronic Pain/diagnosis , Female , Humans , Low Back Pain/diagnosis , Lumbar Vertebrae/diagnostic imaging , Male , Middle Aged , Multimodal Imaging/methods , Pain Measurement/methods , Reproducibility of Results , Retrospective Studies , Sensitivity and Specificity , Tomography, Emission-Computed, Single-Photon/methods , Tomography, X-Ray Computed/methods , Treatment Outcome , Young Adult
16.
Rio de Janeiro; s.n; 2013. 116 p. tab.
Thesis in Portuguese | LILACS | ID: lil-712808

ABSTRACT

A dor neuropática é uma síndrome dolorosa crônica, que ocorre muito frequentemente em pacientes com hanseníase, de difícil tratamento. Objetivou-se avaliar o efeito terapêutico da S(+)-cetamina na dor neuropática e qualidade de vida em portadores de hanseníase atendidos em ambulatórios em São Luís - MA. Estudo experimental tipo ensaio clínico, prospectivo, aleatório, duplamente cego, controlado por placebo, com 34 pacientes distribuídos aleatoriamente em um dois grupos, cetamina e placebo por três meses e randomizados por numeração sequenciada. A dor foi avaliada por meio de escala analógica visual (EAV) nas seis visitas quinzenais (1, 2, 3, 4, 5 e 6), e pelo inventário DN4, na visita 1 e 6, com distribuição da S(+)-cetamina e o analgésico de resgate e avaliado os efeitos adversos em cada visita. Realizou-se a coleta de 15mL de sangue para exames de segurança na visita 1 e 6 e para quantificação de citocinas plasmáticas IL-1, IL-6 e TNFα, nas visitas 1, 2, 4 e 6. Foi também, avaliada a qualidade de vida por meio do questionário WHOQOL-Bref nas visitas 1 e 6. Os resultados demostraram predominância do sexo feminino, idade de 18 a 29 anos, pardos, solteiros, renda de 2 a 4 salários mínimos; e média de 7,78±2,21 anos de estudo. Na avaliação da dor pela EAV os dois grupos apresentaram uma redução dos escores médios de dor ao longo do tempo, e mostrou significância estatística p < 0,05. Entretanto não foi observada diferença estatística para os escores de dor entre os grupos e também, em relação ao uso do medicamento analgésico (codeína) de resgate. Houve redução significante nos escore de DN4 no grupo placebo em relação às avaliações iniciais e finais comparadas à cetamina, ainda os escores iniciais do DN4 foram significativamente menores no grupo placebo, nas avaliações de antes e depois do uso da S(+)-cetamina. Na avaliação da qualidade de vida nos domínios físico, psicológico, relações sociais e meio ambiente, não se observou diferença estatisticamente ...


Neuropathic pain is a chronic pain syndrome of difficult treatment, occurring frequently in patients with leprosy. The objective of this study was to evaluate the therapeutic effect of S(+)-ketamine on neuropathic pain and quality of life in patients with leprosy seen at an outpatient clinic in São Luís - Ma. Experimental study clinical trial, prospective, randomized, double-blind, placebo-controlled trial with 34 patients in a randomized two groups, ketamine and placebo for three months and randomized by sequential numbering. Pain was evaluated using a visual analogue scale (VAS) on six bimonthly visits (1, 2, 3, 4, 5 and 6), and using the DN4 questionnaire on visits 1 and 6, with distribution of S (+)-ketamine and rescue analgesic and adverse effects assessed at each visit. Blood (15ml) was drawn from patients for safety tests on visits 1 and 6, and on visits 1, 2, 4 and 6, to cytokines IL-1, IL-6 and TNFα. Quality of life was also evaluated using WHOQOL-Bref on visits 1 and 6. Results showed most subjects female, age 18 and 29 years of age, pardo ethnicity, single, income between 2 and 4 minimum salaries, and a mean 7.78±2.21 years of education. In the assessment of pain by VAS both groups showed a reduction in mean pain scores over time, and showed statistical significance p <0.05. However there was no statistical difference in pain scores between groups and also in relation to the use of analgesic medication (codeine). There was significant reduction in DN4 score in the placebo group compared to the initial and final evaluations compared to ketamine, although the initial DN4 scores were significantly lower in the placebo group, the assessments before and after the use of S (+)-ketamine. In evaluating the quality of life in the physical, psychological, social relationships and environment, there was no statistically significant difference between groups. The amounts of IL-1, IL-6 and TNF-α in serum of four collections of ketamine and placebo ...


Subject(s)
Humans , Male , Female , Chronic Pain/diagnosis , Chronic Pain/drug therapy , Leprosy/therapy , Ketamine/administration & dosage , Ketamine/pharmacology , Administration, Oral , Double-Blind Method , Ketamine/therapeutic use , Pain Measurement/methods , Neuralgia/drug therapy , Placebos/administration & dosage , Quality of Life
17.
S. Afr. fam. pract. (2004, Online) ; 55(3): 245-248, 2013.
Article in English | AIM | ID: biblio-1270027

ABSTRACT

Pain is the most common reason why patients seek medical help. Persistent and unrelieved pain can frustrate both the sufferer and the physician trying to alleviate it. Relief from chronic pain may be particularly difficult to achieve and can be fraught with misconceptions. Neuropathic pain is widely recognised as one of the most difficult pain syndromes to treat and presents a significant challenge for pain clinicians and general practitioners. Often; patients have poor pain resolution. It is important that patients with any chronic pain are identified and managed appropriately according to their distinct treatment needs


Subject(s)
Chronic Pain/diagnosis , Neuralgia , Primary Health Care
18.
Braz. j. phys. ther. (Impr.) ; 15(5): 363-370, Sept.-Oct. 2011. tab
Article in English | LILACS | ID: lil-602748

ABSTRACT

BACKGROUND: Pain is a multidimensional experience. Locus of control is an important factor related to chronic pain experience and treatment. There is a gap in the literature when discussing issues related to pain evaluation in elderly. OBJECTIVES: To analyze the factorial structure, intra and inter-rater reliability of the Brazilian version of the Pain Locus of Control Scale - Form C for elderly with chronic pain living in the community. METHODS: One hundred and eighty one elderly individuals (71.5±6.8 years of age) answered a clinic and social-demographic questionnaire and the PLOC-C scale. A factorial analysis with varimax rotation of the PLOC-C scale was performed. The scalewas applied twice by two observers to evaluate the intra and inter-rater reliability analyzed using Pearson's Correlation Coefficients. RESULTS: The factorial analysis of the 18 item PLOC-C scale revealed six factors. Four items (1 and 6 from the chance locus of control subscale; 2 and 4 from the internal locus of control subscale) migrated toward unpredictable factors in the original factorial structure. Analysis with the removal of the four items demonstrated a better factorial structure and higher levels of internal consistency (α=0.836 and 0.669) and reliability (intra-examiner: r=0.65 and 0.93; inter-examiner: r=0.82 and 0.92) when compared to the complete subscales. The variance explained was of 48.7 percent for the 18 items and 62.4 percent for the 14 items scale. CONCLUSION: The results demonstrate a better applicability of the reduced scale on the sample. The reduced version may contribute to greater knowledge and consequently better chronic pain management in the elderly.


CONTEXTUALIZAÇÃO: Dor é uma experiência multidimensional. A percepção de locus de controle é um fator importante relacionado à experimentação e ao tratamento da dor crônica. Existe uma lacuna na literatura referente à abordagem de aspectos relacionados à avaliação da dor no idoso. OBJETIVOS: Analisar a estrutura fatorial e a confiabilidade intra e interexaminadores da versão brasileira do instrumento Pain Locus of Control - Forma C (PLOC-C) em idosos comunitários com dor crônica. MÉTODOS: Cento e oitenta e um idosos (71,5±6,8 anos) responderam ao questionário clínico e sociodemográfico e à escala PLOC-C. Realizou-se análise fatorial com rotação varimax da escala, que foi aplicada duas vezes por dois examinadores para a observação, por meio do Coeficiente de Correlação de Pearson da confiabilidade inter e intraexaminadores. RESULTADOS: A análise fatorial da PLOC-C, composta por 18 itens, mostrou a expressão de seis fatores. Quatro itens (1 e 6 da subescala de locus de controle ao acaso; 2 e 4 da subescala de locus de controle interno) migraram para fatores imprevisíveis na estrutura fatorial original. Nova análise fatorial, com a retirada dos quatro itens, mostrou melhor estrutura. A variância explicada passou de 48,69 por cento (18 itens) para 62,38 por cento (14 itens). A escala reduzida mostrou níveis maiores de consistência interna (α=0,836 e 0,669) e confiabilidade (intraexaminadores: r=0,65 e 0,93; interexaminadores: r=0,82 e 0,92). CONCLUSÃO: Observou-se uma melhor aplicabilidade da versão da escala reduzida na amostra pesquisada. A versão reduzida poderá contribuir para um maior conhecimento e melhor abordagem da dor crônica em idosos.


Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Chronic Pain/diagnosis , Factor Analysis, Statistical , Internal-External Control , Pain Measurement , Surveys and Questionnaires , Observer Variation , Pain Measurement/statistics & numerical data
19.
Rev. dor ; 11(1)jan.-mar. 2010.
Article in Portuguese | LILACS | ID: lil-562427

ABSTRACT

JUSTIFICATIVA E OBJETIVOS: Diversos estudos apontam que não existe uma relação direta entre fisiopatologia e intensidade da dor e níveis de incapacidade. Dado os aspectos multidimensionais da dor é necessário ampliar a compreensão desse processo para além da fisiopatologia da dor, o que contribuiu para o desenvolvimento de diversas medidas de incapacidade. O objetivo deste estudo foi acessar as propriedades psicométricas do Questionário de Incapacidade Roland Morris (QIRM), e testar sua validade e confiabilidade na população brasileira com dor crônica.MÉTODO: Estudo de corte transversal utilizando estatística descritiva e inferencial, análise de correlação, teste t e ANOVA. Os dados apresentados são de 311 participantes que compõem a amostra final. A análise da confiabilidade foi feita usando cálculos de fidedignidade segundo o método de split-half e consistência interna. A validade foitestada pela análise de construto e de critério. Todas as análises foram conduzidas utilizando-se o pacote SPSS. RESULTADOS: A análise dos dados sugere que o QIRM para dor em geral apresenta fidedignidade adequada e validade de construto e de critério.CONCLUSÃO: A análise das propriedades psicométricas do QIRM sugere que esta medida é válida e confiável para a amostra brasileira com dor crônica e pode ser usada em outras populações com dor crônica do Brasil. A disponibilidade de mais essa medida para avaliação da incapacidade associada à dor crônica contribui para a compreensão desse fenômeno e implementa as possibilidades de pesquisa e intervenção clínica.


BACKGROUND AND OBJECTIVES: Several studies indicate that there is no direct relation between pain pathophysiology and intensity and disability levels. Since pain is a multidimensional process it is necessary to expand the understanding of such process to beyond pain pathophysiology, which contributes to the development of several disability measurements. This study aimed at accessing the psychometric properties of Roland Morris Disability Questionnaire (RMDQ) and at testing its validity and reliability for Brazilian chronic pain population.METHOD: Transversal study using descriptive and inferential statistics, correlation analysis, t and ANOVA tests. Presented data are from 311 patients participating in the final sample. Reliability analysis used trustworthiness calculations according to split-half method and internal consistency. Validity was tested by construct and criterion analysis. All analyses were performed with the SPSS package. RESULTS: Data analysis suggests that RMDQ for pain in general has adequate trustworthiness and construct and criterion validity. CONCLUSION: The analysis of RMDQ psychometric properties suggests that such measurement is valid and reliable for the Brazilian chronic pain sample and may be applied to other Brazilian chronic pain populations. The availability of one more measurement to evaluate chronic pain-associated disability contributes to the understanding of such phenomenon and implements possibilities of research and clinical intervention.


Subject(s)
Humans , Male , Female , Young Adult , Middle Aged , Aged, 80 and over , Disability Evaluation , Chronic Pain/physiopathology , Pain Measurement/methods , Surveys and Questionnaires/standards , Brazil , Cross-Cultural Comparison , Cross-Sectional Studies , Chronic Pain/diagnosis , Psychometrics , Reproducibility of Results , Translating
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