Factors Associated With Levels of Pain Intensity in Patients With Intermittent Paresthesia.

IF 2.1 2区 医学 Q2 ORTHOPEDICS
George E Sayegh, Rafael Cordero, Drew Aronoff, Amin Razi, David Ring, Lee Reichel, Niels Brinkman
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引用次数: 0

Abstract

Purpose: Distorted thinking (worst-case thoughts, fear of painful movement) and feelings of distress (worry/despair) are important and modifiable aspects of human illness. It is possible that a more intense experience of intermittent paresthesia of the fingers, interpreted as "pain," might be associated with higher levels of misinterpretation and distress regarding sensations. In patients seeking specialist care for intermittent paresthesia of the fingers, we asked what factors are associated with general and nighttime "pain" intensity, as well as levels of incapability.

Methods: In a cross-sectional study, 142 adult patients with symptoms of intermittent paresthesia of the fingers completed a survey, including measures of unhelpful thoughts and feelings of distress regarding symptoms, symptoms of depression, an 11-point ordinal rating of pain intensity, and a measure of upper extremity-specific capability. Bivariate, linear regression, and cluster analyses sought factors associated with greater pain intensity and level of incapability.

Results: Greater general and night pain intensity, and greater levels of incapability, were all associated with higher levels of distress regarding symptoms.

Conclusions: Among patients with intermittent paresthesia of the fingers, relatively notable levels of pain intensity and incapability are associated with modifiable mindset factors.

Clinical relevance: When clinicians notice a patient experiencing or describing paresthesia as pain, it can signal them to guide patients to a healthy understanding of compressive neuropathy.

间歇性感觉异常患者疼痛强度水平的相关因素
目的:扭曲的思维(最坏的情况,对痛苦运动的恐惧)和痛苦的感觉(担心/绝望)是人类疾病的重要和可改变的方面。可能更强烈的手指间歇性感觉异常,被解释为“疼痛”,可能与更高程度的误解和对感觉的痛苦有关。在因手指间歇性感觉异常而寻求专科护理的患者中,我们询问了与一般和夜间“疼痛”强度以及丧失能力程度相关的因素。方法:在一项横断面研究中,142名有间歇性手指感觉异常症状的成年患者完成了一项调查,包括与症状有关的无用想法和痛苦感觉的测量、抑郁症状、疼痛强度的11分顺序评分和上肢特定能力的测量。双变量、线性回归和聚类分析寻找与更大的疼痛强度和丧失能力水平相关的因素。结果:更大的全身疼痛和夜间疼痛强度,以及更大程度的丧失行为能力,都与症状相关的更高程度的痛苦有关。结论:在间歇性手指感觉异常患者中,相对显著的疼痛强度和丧失能力水平与可改变的心态因素相关。临床相关性:当临床医生注意到患者经历或描述感觉异常为疼痛时,可以向他们发出信号,指导患者对压缩性神经病变有一个健康的认识。
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来源期刊
CiteScore
3.20
自引率
10.50%
发文量
402
审稿时长
12 weeks
期刊介绍: The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.
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