The temporal relation between pain and fatigue in individuals receiving treatment for chronic musculoskeletal pain.

Chronic Pain / complications Cross-Sectional Studies Fatigue / diagnosis Humans Musculoskeletal Pain / complications Pain Measurement
Fatigue Musculoskeletal Pain Rehabilitation

Journal

BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565

Informations de publication

Date de publication:
08 Mar 2022
Historique:
received: 07 10 2021
accepted: 25 02 2022
entrez: 9 3 2022
pubmed: 10 3 2022
medline: 11 3 2022
Statut: epublish

Résumé

Numerous investigations have revealed significant relations between pain and fatigue in individuals with persistent pain conditions. However, the direction of influence between pain and fatigue remains unclear. Shortcomings of design and analytic approaches used in previous research limit the nature of conclusions that can be drawn about possible causal or directional relations between pain and fatigue. The present study investigated the temporal relation between changes in pain and changes in fatigue in individuals with musculoskeletal pain enrolled in a 10-week behavioral activation intervention. On the basis of previous findings, it was hypothesized that analyses would support a bi-directional relation between pain and fatigue. The study sample consisted of 104 individuals with chronic musculoskeletal pain participating in a 10-week standardized rehabilitation intervention. Measures of pain intensity and fatigue were completed pre-, mid-, and post-treatment. The three-wave data panel permitted examination of the direction of influence between pain and fatigue through the course of the intervention. A random-intercept cross-lagged panel model (RI-CLPM) was used to examine the temporal relation between pain and fatigue. Consistent with previous research, cross-sectional analyses of pre-treatment data revealed significant correlations between measures of pain and fatigue. Significant reductions in pain and fatigue were observed through the course of treatment (d = 0.33 and d = 0.66, p < .001, respectively). RI-CLPM revealed that pain severity predicted later fatigue (pre to mid-treatment standardized path coefficient (β) = 0.55, p = 0.02; mid to post-treatment β = 0.36, p = 0.001); however, fatigue did not predict later pain severity. Discussion addresses the processes that might underlie the temporal relation between pain and fatigue. Clinical implications of the findings are also discussed.

Sections du résumé

BACKGROUND BACKGROUND
Numerous investigations have revealed significant relations between pain and fatigue in individuals with persistent pain conditions. However, the direction of influence between pain and fatigue remains unclear. Shortcomings of design and analytic approaches used in previous research limit the nature of conclusions that can be drawn about possible causal or directional relations between pain and fatigue. The present study investigated the temporal relation between changes in pain and changes in fatigue in individuals with musculoskeletal pain enrolled in a 10-week behavioral activation intervention. On the basis of previous findings, it was hypothesized that analyses would support a bi-directional relation between pain and fatigue.
METHODS METHODS
The study sample consisted of 104 individuals with chronic musculoskeletal pain participating in a 10-week standardized rehabilitation intervention. Measures of pain intensity and fatigue were completed pre-, mid-, and post-treatment. The three-wave data panel permitted examination of the direction of influence between pain and fatigue through the course of the intervention. A random-intercept cross-lagged panel model (RI-CLPM) was used to examine the temporal relation between pain and fatigue.
RESULTS RESULTS
Consistent with previous research, cross-sectional analyses of pre-treatment data revealed significant correlations between measures of pain and fatigue. Significant reductions in pain and fatigue were observed through the course of treatment (d = 0.33 and d = 0.66, p < .001, respectively). RI-CLPM revealed that pain severity predicted later fatigue (pre to mid-treatment standardized path coefficient (β) = 0.55, p = 0.02; mid to post-treatment β = 0.36, p = 0.001); however, fatigue did not predict later pain severity.
CONCLUSIONS CONCLUSIONS
Discussion addresses the processes that might underlie the temporal relation between pain and fatigue. Clinical implications of the findings are also discussed.

Identifiants

DOI: 10.1186/s12891-022-05162-7 PMID: 35260111 PMC: PMC8905765
pubmed: 35260111
doi: 10.1186/s12891-022-05162-7
pii: 10.1186/s12891-022-05162-7
pmc: PMC8905765
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

219

Informations de copyright

© 2022. The Author(s).

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Auteurs

Keiko Yamada (K)

Department of Psychology, McGill University, 2001 McGill College, QC, H3A 1G1, Montreal, Canada.
Department of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.
ORCID: 0000-0002-4378-3290

Heather Adams (H)

University Centre for Research and Disability, Halifax, Nova Scotia, Canada.

Tamra Ellis (T)

Centre for Rehabilitation and Health, Toronto, ON, Canada.

Robyn Clark (R)

Kootenay Health Services, Nelson, BC, Canada.

Craig Sully (C)

Kootenay Health Services, Nelson, BC, Canada.

Christian Lariviere (C)

l'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST), Montreal, QC, Canada.

Michael Jl Sullivan (MJ)

Department of Psychology, McGill University, 2001 McGill College, QC, H3A 1G1, Montreal, Canada. Michael.Sullivan@McGill.ca.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur chronique › The temporal relation between pain and fatigue...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › The temporal relation between pain and fatigue...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Fatigue › The temporal relation between pain and fatigue...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The temporal relation between pain and fatigue...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur musculosquelettique › The temporal relation between pain and fatigue...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Examen physique › Examen neurologique › Mesure de la douleur › The temporal relation between pain and fatigue...