The Link between Chronic Pain and Depression in Low Income Country, Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.280 ◽

2021 ◽

Author(s):

Saima Dawood ◽

Mamoona Bokhari

Keyword(s):

Chronic Pain ◽

Depressive Symptoms ◽

Low Income ◽

Activity Level ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Affective Distress ◽

Low Income Country ◽

Chronic Pain Patients ◽

Pain Patients

Objective: To examine the relationships of chronic pain related variables (interference, support, pain severity, life control, affective distress, significant other’s responses to participant’s pain and general activity level) with depression in chronic pain patients. Method: Cross-sectional survey research was used in this study. The study was carried out on outdoor patients coming in government, semi-government and private hospitals of Lahore city (n=6) from January 2016 to June 2016. Sample consisted of 186 chronic pain patients (mean age=46.92) with organic, identifiable chronic pain problems were recruited through purposive sampling. A personal history questionnaire, West Haven-Yale Multidimensional Pain Inventory (WHYMPI) developed by Kerns, Turk, and Rudy (1985), and Depression subscale of Symptom Checklist Revised developed by Rahman and Sitwat (1990) were administered to the participants. Results: Descriptive analyses, Pearson product moment correlation coefficient, independent samples t-test and stepwise regression with backward elimination method were used to analyze the data. It was revealed that all chronic pain related variables had significant relationships with depressive symptoms. Moreover, interference, affective distress and negative responses were found to be positive predictors while life-control was the negative predictor of depressive symptoms. It was also found that women reported more depressive symptoms than men. Conclusion: The study affirmed the relationships between chronic pain related variables and depressive symptoms and also highlighted the importance of significant other’s support and response to participant pain. The results thus emphasized the significance of familial factors with regard to the presence of depressive symptoms in chronic pain patients. Continuous...

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Study of the Work Status of Chronic Pain Patients Based on a French Cross-Sectional Survey

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0b013e3181c73469 ◽

2009 ◽

Vol 51 (12) ◽

pp. 1361-1362 ◽

Cited By ~ 2

Author(s):

Alexis Descatha ◽

Guillermo Jasso-Mosqueda ◽

Anne-Line Couillerot ◽

Catherine Rumeau-Pichon ◽

Anna Ozguler ◽

...

Keyword(s):

Chronic Pain ◽

Work Status ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Chronic Pain Patients ◽

Pain Patients

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Survey of physician comfort and attitudes on perioperative opioid prescription in patients with chronic pain

Proceedings of Singapore Healthcare ◽

10.1177/20101058211008197 ◽

2021 ◽

pp. 201010582110081

Author(s):

Pei Yu Tan ◽

Diana Xin Hui Chan ◽

Denise Desiree Bi Si Quah

Keyword(s):

Chronic Pain ◽

Pain Management ◽

Online Survey ◽

Prescribing Practices ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Opioid Prescription ◽

Singapore General Hospital ◽

Chronic Pain Patients ◽

Pain Patients

Objective: This study examines current practices, experiences, beliefs, concerns regarding negative outcomes and confidence of non-pain specialty anaesthetists regarding prescribing opioids to chronic pain patients. Design: An electronic cross-sectional survey was conducted by physicians from the Division of Anaesthesiology, excluding pain specialists, at the Singapore General Hospital. Methods: An online survey was conducted, investigating: (a) sociodemographic and practice characteristics; (b) current opioid prescribing practices; (c) experiences and beliefs towards prescribing opioid analgesics for chronic non-malignant pain; (d) confidence and comfort when prescribing opioids; and (e) educational and training needs in chronic pain management. Results: A total of 123 anaesthetists (80.9%) responded to the survey. It was noted that only 38.2% of respondents were comfortable managing patients with chronic pain. The majority (86.2%) felt that anaesthetists should be the primary doctors in the management of postoperative pain in chronic pain patients, and 61% believed that chronic pain trained specialist anaesthetists should be responsible; 92.7% of respondents agreed that patients who are educated about their pain tend to do better. Most importantly, 96.7% of respondents feel that they will benefit from more education regarding pain management in chronic pain patients. Conclusions: The majority of non-pain specialist anaesthetists recognise the importance of education regarding pain management for non-malignant chronic pain patients. Many feel that they are not confident in managing these patients and will benefit from continuing medical education and self-assessment courses to improve their confidence. These results could be used to enrich current pain management courses.

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Prevalence and Characteristics of Chronic Pain in Buprenorphine and Methadone-Maintained Patients

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.641430 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jessica Delorme ◽

Lucie Pennel ◽

Georges Brousse ◽

Jean-Pierre Daulouède ◽

Jean-Michel Delile ◽

...

Keyword(s):

Chronic Pain ◽

Illicit Drugs ◽

Opioid Analgesics ◽

Cross Sectional Study ◽

Opioid Agonist ◽

Cross Sectional ◽

Number Of Patients ◽

Chronic Pain Patients ◽

Associated Risk Factors ◽

Pain Patients

Chronic pain and substance use disorders frequently co-occur. Indeed, chronic pain is highly prevalent, affecting 23–68% of patients receiving opioid agonist treatments (OAT) worldwide. The majority of available estimates come from American studies, but data are still lacking in Europe. We aim to provide European estimates of the prevalence of chronic pain in patients receiving OAT using French data, since France is the first European country in terms of number of patients with OAT. The secondary objectives were to characterize the features and management of chronic pain, as well identify associated risk factors. We conducted a multicenter, cross-sectional study, recruiting patients treated either with buprenorphine or methadone in 19 French addiction centers, from May to July 2016. All participants had to complete a semi-directed questionnaire that collected sociodemographic and medical data, pain characteristics, and licit or illicit drug consumption. In total, 509 patients were included. The prevalence of chronic pain was estimated at 33.2% (95% CI: 29.1–37.3). Compared to non-chronic pain patients, chronic pain patients were older (38.4 vs. 36.1 years, p = 0.006), were more unemployed (66 vs. 52%, p = 0.003), had more psychiatric comorbidities (50 vs. 39%, p = 0.02), and split their OAT for pain management more frequently (24 vs. 7%, p = 0.009). Pain intensity was moderate or severe in 75% of chronic pain patients. Among patients with chronic pain, 15.4% were not prescribed, and did not self-medicate with, any analgesic drugs, 52.1% were prescribed analgesics (non-opioid analgesics, 76.3%; codeine, tramadol, opium, 27.2%; and morphine, fentanyl, oxycodone, 11.8%), and 32.5% exclusively self-medicated with analgesics. Moreover, 20.1% of patients with chronic pain also used illicit drugs for pain relief. On multivariate analysis, variables that remained significantly associated with chronic pain were age [OR = 1.03 (95% CI: 1.00–1.05], p = 0.02], anxiety [OR = 1.52 (1.15–2.02), p = 0.003], and depression [OR = 1.25 (1.00–1.55), p = 0.05]. Chronic pain is a highly prevalent condition in patients receiving OAT, and its appropriate management remains uncertain, since insufficient relief and frequent additional self-medications with analgesics or illicit drugs were reported by these patients. Increased awareness among caregivers is urgently needed regarding a systematic and careful assessment, along with an adequate management of chronic pain in patients receiving OAT.

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(248) Technology use in low income chronic pain patients

Journal of Pain ◽

10.1016/j.jpain.2015.01.164 ◽

2015 ◽

Vol 16 (4) ◽

pp. S38

Author(s):

W. Demonte ◽

C. DeMonte ◽

B. Thorn

Keyword(s):

Chronic Pain ◽

Low Income ◽

Technology Use ◽

Chronic Pain Patients ◽

Pain Patients

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Improving access to healthcare for women in Tanzania by addressing socioeconomic determinants and health insurance: a population-based cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-023013 ◽

2018 ◽

Vol 8 (9) ◽

pp. e023013 ◽

Cited By ~ 6

Author(s):

Deogratius Bintabara ◽

Keiko Nakamura ◽

Kaoruko Seino

Keyword(s):

Health Insurance ◽

Low Income ◽

Formal Education ◽

Wealth Index ◽

Population Based ◽

Reproductive Age ◽

Low Income Countries ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Low Income Country

ObjectiveThis study was performed to explore the factors associated with accumulation of multiple problems in accessing healthcare among women in Tanzania as an example of a low-income country.DesignPopulation-based cross-sectional survey.SettingNationwide representative data for women of reproductive age obtained from the 2015–2016 Tanzania Demographic and Health Survey were analysed.Primary outcome measuresA composite variable, ‘problems in accessing healthcare’, with five (1-5) categories was created based on the number of problems reported: obtaining permission to go to the doctor, obtaining money to pay for advice or treatment, distance to a health facility and not wanting to go alone. Respondents who reported fewer or more problems placed in lower and higher categories, respectively.ResultsA total of 13 266 women aged 15–49 years, with a median age (IQR) of 27 (20–36) years were interviewed and included in the analysis. About two-thirds (65.53%) of the respondents reported at least one of the four major problems in accessing healthcare. Furthermore, after controlling for other variables included in the final model, women without any type of health insurance, those belonging to the poorest class according to the wealth index, those who had not attended any type of formal education, those who were not employed for cash, each year of increasing age and those who were divorced, separated or widowed were associated with greater problems in accessing healthcare.ConclusionThis study indicated the additive effects of barriers to healthcare in low-income countries such as Tanzania. Based on these results, improving uptake of health insurance and addressing social determinants of health are the first steps towards reducing women’s problems associated with accessing healthcare.

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