Mackenzie Peckham, Cynthia L Beaulieu, Kaitlin Hays, Marissa Lundstern, Bria MacIntyre, Candice Osborne, Amanda Rabinowitz, Allan L Service, Mitch Sevigny, Katherine Abbasi, William C Walker, Abigail Welch, Candace Tefertiller
{"title":"评估慢性疼痛与认知之间的关系：NIDILRR和VA TBI模型系统合作项目。","authors":"Mackenzie Peckham, Cynthia L Beaulieu, Kaitlin Hays, Marissa Lundstern, Bria MacIntyre, Candice Osborne, Amanda Rabinowitz, Allan L Service, Mitch Sevigny, Katherine Abbasi, William C Walker, Abigail Welch, Candace Tefertiller","doi":"10.1097/HTR.0000000000001045","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the associations between current chronic pain and cognition and current chronic head pain and cognition in individuals with traumatic brain injury (TBI).</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>A total of 1762 participants from the TBI Model Systems who endorsed experiencing current chronic pain and who completed the Current Chronic Pain survey.</p><p><strong>Design: </strong>Secondary analysis of a subset of data collected through a multi-site, cross-sectional observational cohort study.</p><p><strong>Main outcome measures: </strong>Cognition as measured by the Brief Test of Adult Cognition by Telephone (BTACT).</p><p><strong>Results: </strong>Individuals with TBI who reported current chronic pain exhibited lower cognitive performance compared to those who reported no pain. Among individuals who reported pain, greater pain intensity and pain interference were negatively associated with cognition, resulting in poorer cognitive performance. The negative association was even greater for individuals acknowledging chronic head pain compared to pain from other body locations.</p><p><strong>Conclusion: </strong>The negative association between current chronic pain and cognition for individuals with TBI indicates the need to consider pain intensity and pain interference as factors possibly influencing cognitive ability.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":"356-367"},"PeriodicalIF":3.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353080/pdf/","citationCount":"0","resultStr":"{\"title\":\"Assessing the Relationship Between Chronic Pain and Cognition: A NIDILRR and VA TBI Model Systems Collaborative Project.\",\"authors\":\"Mackenzie Peckham, Cynthia L Beaulieu, Kaitlin Hays, Marissa Lundstern, Bria MacIntyre, Candice Osborne, Amanda Rabinowitz, Allan L Service, Mitch Sevigny, Katherine Abbasi, William C Walker, Abigail Welch, Candace Tefertiller\",\"doi\":\"10.1097/HTR.0000000000001045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To investigate the associations between current chronic pain and cognition and current chronic head pain and cognition in individuals with traumatic brain injury (TBI).</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>A total of 1762 participants from the TBI Model Systems who endorsed experiencing current chronic pain and who completed the Current Chronic Pain survey.</p><p><strong>Design: </strong>Secondary analysis of a subset of data collected through a multi-site, cross-sectional observational cohort study.</p><p><strong>Main outcome measures: </strong>Cognition as measured by the Brief Test of Adult Cognition by Telephone (BTACT).</p><p><strong>Results: </strong>Individuals with TBI who reported current chronic pain exhibited lower cognitive performance compared to those who reported no pain. Among individuals who reported pain, greater pain intensity and pain interference were negatively associated with cognition, resulting in poorer cognitive performance. The negative association was even greater for individuals acknowledging chronic head pain compared to pain from other body locations.</p><p><strong>Conclusion: </strong>The negative association between current chronic pain and cognition for individuals with TBI indicates the need to consider pain intensity and pain interference as factors possibly influencing cognitive ability.</p>\",\"PeriodicalId\":15901,\"journal\":{\"name\":\"Journal of Head Trauma Rehabilitation\",\"volume\":\" \",\"pages\":\"356-367\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353080/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Head Trauma Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/HTR.0000000000001045\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Head Trauma Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/HTR.0000000000001045","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Assessing the Relationship Between Chronic Pain and Cognition: A NIDILRR and VA TBI Model Systems Collaborative Project.
Objective: To investigate the associations between current chronic pain and cognition and current chronic head pain and cognition in individuals with traumatic brain injury (TBI).
Setting: Community.
Participants: A total of 1762 participants from the TBI Model Systems who endorsed experiencing current chronic pain and who completed the Current Chronic Pain survey.
Design: Secondary analysis of a subset of data collected through a multi-site, cross-sectional observational cohort study.
Main outcome measures: Cognition as measured by the Brief Test of Adult Cognition by Telephone (BTACT).
Results: Individuals with TBI who reported current chronic pain exhibited lower cognitive performance compared to those who reported no pain. Among individuals who reported pain, greater pain intensity and pain interference were negatively associated with cognition, resulting in poorer cognitive performance. The negative association was even greater for individuals acknowledging chronic head pain compared to pain from other body locations.
Conclusion: The negative association between current chronic pain and cognition for individuals with TBI indicates the need to consider pain intensity and pain interference as factors possibly influencing cognitive ability.
期刊介绍：
The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America (BIAA).
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