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  4. Effects of chronic pain on function, depression, and sleep among patients with traumatic spinal cord injury

Effects of chronic pain on function, depression, and sleep among patients with traumatic spinal cord injury

Ann Saudi Med, 2014 · DOI: 10.5144/0256-4947.2014.211 · Published: May 1, 2014

Spinal Cord InjuryMental HealthPain Management

Simple Explanation

This study examined the relationship between chronic pain and various aspects of well-being in individuals with spinal cord injury (SCI). It looked at how chronic pain affects their functional status, levels of depression, and quality of sleep. The researchers used specific questionnaires and measurement tools to assess pain, functional independence, depression, and sleep quality in a group of SCI patients who had been experiencing pain for at least six months. The study found a significant connection between the severity of pain and both depression and sleep quality among SCI patients. This suggests that managing chronic pain in SCI patients should also address their mental and emotional well-being to improve their overall quality of life.

Study Duration
January 2007 and July 2010
Participants
44 patients (33 male, 11 female) with traumatic SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    A positive correlation was observed between “Pain Severity” and HAM-D and PSQI.
  • 2
    “Pain Severity” was significantly higher in the “impaired sleep” group than in the “normal sleep” group and in the “depression” group than in the “no depression” group.
  • 3
    “Affective Distress” and “Negative Responses” showed a negative correlation with FIM.

Research Summary

This study assessed chronic pain and its effects on functional status, depression, and sleep quality in patients with traumatic SCI. It was observed that “Pain Severity” was significantly higher in the “impaired sleep” and “moderate and severe depression” groups. Findings emphasize the strong interrelationship between SCI-related pain severity and both depression and impaired sleep.

Practical Implications

Comprehensive Pain Management

Healthcare professionals should adopt comprehensive pain management strategies, including psychosocial interventions, to address chronic pain in individuals with SCI.

Psychological Evaluation

Each individual with SCI should be evaluated in a comprehensive manner that includes identifying psychological factors.

Improved Quality of Life

Addressing chronic pain can improve functionality, mood, and sleep quality, thus enhancing the overall quality of life for SCI patients.

Study Limitations

  • 1
    Sample size of the patients with SCI was not necessarily small, a larger sample would increase confidence in the reliability of the results.
  • 2
    The study design was cross-sectional; therefore, the data reflect the respondents’ situation at a certain point in time.
  • 3
    Not specified

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