Body Image Measured via the Fremantle Awareness Questionnaire in Individuals With and Without Pain: A Systematic Review and Meta-Analysis

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2024-08-01 DOI:10.1016/j.jpain.2024.104530

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引用次数: 0

Abstract

Research suggests that pain negatively affects body image, and body image may also influence reported pain levels. This review aims to summarize the literature on differences in body image distortion between individuals with pain compared to pain-free individuals. The review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 statement and an a priori preregistered protocol. The literature was searched using 5 electronic databases. Studies assessing body image with the Fremantle Awareness Questionnaire (FAQ) in individuals with and without pain were eligible for inclusion. Screening and selection of eligible studies were performed by independent reviewers. Methodological quality was assessed with the Joanna Briggs Institute critical appraisal tool. Meta-analyses, meta-correlations, and metamean analyses were performed using random-effect models. The primary outcome was the FAQ score; secondary outcomes were reported pain variables. Data from individuals with pain (n = 2277) and without pain (n = 615) were summarized. Significant body image distortions were found in individuals with pain compared to individuals without pain. Compared to pain-free individuals, the pain group rated significantly higher in the FAQ when experiencing back pain (standardized mean differences = 1.33, 95% confidence interval = .88–1.77) or other body parts (standardized mean differences = 1.25, 95% confidence interval = .51–1.99). The results of meta-correlation analyses confirmed the positive relationship between body image distortion and pain intensity (r = .31), pain at rest (r = .31), or pain during movement (r = .36), but not for pain duration. A difference in mean FAQ results was observed between individuals with pain in different areas (knee and back).

Perspective

This review confirms differences in body image distortion between pain and pain-free individuals. Pain intensity was correlated with altered body perception, but not pain duration. A moderate correlation was observed between body image distortion and reported pain variables. Body image was more impaired by knee pain than back pain.

Registered Protocol at Prospero

CRD42022309937; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022309937

查看原文本刊更多论文

通过弗里曼特尔意识问卷测量有疼痛和无疼痛人群的身体形象：系统回顾和荟萃分析。

研究表明，疼痛会对身体形象产生负面影响，而身体形象也可能会影响报告的疼痛程度。本综述旨在总结有关疼痛患者与无痛患者身体形象扭曲差异的文献。本综述根据《2020 年系统综述和元分析首选报告项目》声明和事先登记的方案进行。我们使用 5 个电子数据库对文献进行了检索。使用弗里曼特尔意识问卷（Fremantle Awareness Questionnaire，FAQ）评估有疼痛和无疼痛患者身体形象的研究均符合纳入条件。符合条件的研究由独立审稿人进行筛选。方法学质量采用乔安娜-布里格斯研究所的批判性评估工具进行评估。采用随机效应模型进行了元分析、元相关分析和元变量分析。主要结果为常见问题得分；次要结果为报告的疼痛变量。对有疼痛（n = 2277）和无疼痛（n = 615）患者的数据进行了汇总。与无痛患者相比，有痛患者的身体形象出现了明显的扭曲。与无痛者相比，疼痛组在背部疼痛（标准化平均差异 = 1.33，95% 置信区间 = 0.88-1.77）或身体其他部位（标准化平均差异 = 1.25，95% 置信区间 = 0.51-1.99）时，对常见问题的评分明显更高。元相关分析结果证实，身体形象扭曲与疼痛强度（r = .31）、休息时疼痛（r = .31）或运动时疼痛（r = .36）之间存在正相关关系，但与疼痛持续时间无关。在不同部位（膝关节和背部）疼痛的个体之间，平均常见问题结果存在差异。疼痛强度与身体感知改变相关，但与疼痛持续时间无关。身体形象扭曲与报告的疼痛变量之间存在一定的相关性。与背痛相比，膝痛对身体形象的损害更大。注册协议：ProsperoCRD42022309937; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022309937

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来源期刊

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.