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The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden

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Abstract

Objectives

To identify/quantify predictors of QOL among women with pain over time.

Methods

The study comprised 2,300 women aged 18–64 years with and without pain. A longitudinal panel survey with two waves of measurement, 1 year apart, by means of questionnaires was used. Multiple linear regression analyses were used to identify and quantify predictors of QOL.

Results

After controlling for socio-demographics, physical health, and baseline pain parameters, QOL, psychological factors, and pain-related disability at base line, as well as their changer scores, predicted differential aspects of social, psychological, and physical QOL, respectively, over time. Aspects of social support were central for the social dimension of QOL and to a lower degree for the psychological dimension. Change scores of burnout and distress were related to all dimensions of QOL.

Conclusions

QOL seems to be a rather stable characteristic influenced not only by pain but also related to psychosocial factors over time. Addressing such factors seems central in treatment interventions aiming at improving QOL among individuals with pain.

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Notes

  1. A ‘tracking variable’ is a variable describing the course (i.e. changes) of categorical conditions over time. In the simplest condition the variable is dichotomous.

References

  1. Kempen, G. I., Ormel, J., Brilman, E. I., & Relyveld, J. (1997). Adaptive responses among Dutch elderly: The impact of eight medical chronic conditions on health-related quality of life. American Journal of Public Health, 87(1), 38–44.

    Article  PubMed  CAS  Google Scholar 

  2. Blyth, F., March, L., Brnabic, A., Jorm, L., Williamson, M., & Cousins, M. (2001). Chronic pain in Australia: A prevalence study. Pain, 23, 129–137.

    Google Scholar 

  3. Carmona, L., Ballina, J., Gabriel, R., & Laffon, A. (2001). The burden of musculoskeletal diseases in the general population of Spain: Results from a national survey. Annals of the Rheumatic Diseases, 2001, 1040–1045.

    Article  Google Scholar 

  4. Lamé, I., Peters, M., Vlaeyen, J., Kleef, M., & Patijn, J. (2005). Quality of life in chronic pain is more associated with beliefs about pain than about pain intensity. European Journal of Pain, 9, 15–24.

    Article  PubMed  Google Scholar 

  5. Becker, N., Bondegaard, Thomsen A., Olsen, A.,K., Sjogren, P., Bech, P.,& Eriksen, J. (1997). Pain epidemiology and health related quality of life in chronic non- malignant pain patients referred to a Danish multi-disciplinary pain center. Pain, 1009;73(3):393–400.

  6. Guerje, O., Von Korff, M., Simon, G. E., & Gater, R. (1998). Persistent pain and well- being: A World Health Organization study in primary care. JAMA, 280(2), 147–151.

    Article  Google Scholar 

  7. Turk, D., & Monarch, E. (2002). Biopsychosocial perspective on chronic pain. In R. Gatchel & D. Turk (Eds.), Psychological approaches to pain management: A practitioners handbook. New York: The Guilford Press.

    Google Scholar 

  8. Gerstle, D. S., All, A. C., & Wallace, D. C. (2001). Quality of life and chronic nonmalignant pain. Pain Management Nursing, 2(3), 98–109.

    Article  PubMed  CAS  Google Scholar 

  9. Bentsen, S. B., Wahl, A. K., Strand, L. I., & Hanestad, B. R. (2007). Relationship between demographic, clinical and pain variables and health-related quality of life in patients with chronic low back pain treated with instrumented fusion. Scandinavian Journal of Caring, 21, 134–143.

    Article  Google Scholar 

  10. Lee, G. K., Chronister, J., & Bishop, M. (2008). The effects of psychosocial factors on quality of life among individuals with chronic pain. Rehabilitation Counseling Bulletin, 51(3), 177–189.

    Article  Google Scholar 

  11. Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: A literature review. Archives of Internal Medicine, 163, 2433–2445.

    Article  PubMed  Google Scholar 

  12. Thomtén, J., Soares, J. J. F., Linton, S. J., & Sundin, Ö. Do emotional distress and hopelessness predict pain and disability among women living in Sweden? A longitudinal study (submitted).

  13. Grossi, G., Thomtén, J., Fandiño-Losada, A., Soares, J. J. F., & Sundin, Ö. (2009). Does burnout predict changes in pain experiences among women living in Sweden? A longitudinal study. Stress and health, 25, 297–311.

    Article  Google Scholar 

  14. Kolotylo, C. J., & Broome, M. E. (2000). Predicting disability and quality of life in a community-based sample of women with migraine headache. Pain Management Nursing, 1(4), 139–151.

    Article  PubMed  CAS  Google Scholar 

  15. Bair, M. J., Wu, J., Damush, T. M., Sutherland, J. M., & Kroenke, K. (2008). Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosomatic Medicine, 70, 890–897.

    Article  PubMed  CAS  Google Scholar 

  16. Holtzman, S., Newth, S., & Delongis, A. (2004). The role of social support in coping with daily pain among patients with rheumatoid arthritis. Journal of Health Psychology, 9(5), 677–695.

    Article  PubMed  Google Scholar 

  17. Kerns, R. D., Rosenberg, R., & Otis, J. D. (2002). Self-appraised problem solving and pain- relevant social support as predictors of the experience chronic pain. Annals of Behavior Medicine, 24, 100–105.

    Article  Google Scholar 

  18. Evers, A. W. M., Kraaimat, F. W., Greenen, R., Jacobs, J. W. G., & Bijlsma, J. W. J. (2003). Pain coping and social support as predictors of long-term functional disability and pain in early rheumatoid arthritis. Behavior Research and Therapy, 41, 1295–1310.

    Article  Google Scholar 

  19. Goldberg, G. M., Kerns, R. D., & Rosenberg, R. (1993). Pain-relevant support as a buffer from depression among chronic pain patients low in instrumental activity. Clinical Journal of Pain, 9, 34–40.

    Article  PubMed  CAS  Google Scholar 

  20. Dysvik, E., Lindsstrøm, T. C., Eikeland, O.-J., & Natvig, G. K. (2004). Health-related quality of life and pain beliefs among people suffering from chronic pain. Pain Management Nursing, 5(2), 66–74.

    Article  PubMed  Google Scholar 

  21. Marhold, C., Linton, S. J., & Melin, L. (2002). Identification of obstacles for chronic pain patients to return to work: Evaluation of a questionnaire. Journal of Occupational Rehabilitation, 12(2), 65–75.

    Article  PubMed  Google Scholar 

  22. Hoogendoorn, W. E., vanPoppel, M. N. M., Bongers, P. M., Koes, B. W., & Bouter, L. M. (2000). Systematic review of psychosocial factors at work and in the personal situation as risk factors for back pain. Spine, 25(16), 2114–2125.

    Article  PubMed  CAS  Google Scholar 

  23. Fordyce, W. E. (1976). Behavioral methods for chronic pain and illness. St Louis: Mosby.

    Google Scholar 

  24. Kerns, R. D., Haythornthwaite, J., Southwick, S., & Giller, E. L. (1990). The role of marital interaction in chronic pain and depressive symptom severity. Journal of Psychosomatic Research, 34, 401–408.

    Article  PubMed  CAS  Google Scholar 

  25. Romano, J. M., Turner, J. A., Jensen, M. P., et al. (1995). Chronic pain patient-spouse behavioral interactions predict patient disability. Pain, 63, 353–360.

    Article  PubMed  CAS  Google Scholar 

  26. Kerns, R. D., & Rosenberg, R. (1995). Pain relevant responses from significant other: Development of a significant other version of the WHYMPI scales. Pain, 61, 245–249.

    Article  PubMed  CAS  Google Scholar 

  27. Andersson, H. I., Ejlertsson, G., Leden, I., & Rosenberg, C. (1993). Chronic pain in a geographically defined general population: Studies of difference in age, gender, social class and pain localisation. The Clinical Journal of Pain, 9, 174–182.

    Article  PubMed  CAS  Google Scholar 

  28. Bingefors, K., & Isacson, D. (2004). Epidemiology, co-morbidity, and impact on health- related quality of life of self-reported headache and musculoskeletal pain- A gender perspective. European Journal of Pain, 8, 435–450.

    Article  PubMed  Google Scholar 

  29. Jakobsson, U., Hallberg, I. R., & Westergren, A. (2004). Overall and health related quality of life among the oldest old in pain. Quality of Life Research, 13(1), 125–136.

    Article  PubMed  Google Scholar 

  30. Piko, B. (1998). Social support and health in adolescence: A factor analytical study. British Journal of Health Psychology, 3, 333–344.

    Article  Google Scholar 

  31. Andrews, F. M., & Withey, S. B. (1976). Social indicators of well-being: Americans’ perceptions of life quality. New York: Plenum Press.

    Google Scholar 

  32. George, L. K., & Bearon, L. B. (1980). Quality of life in older persons: Meaning and measurement. New York: Human Sciences Press.

    Google Scholar 

  33. Lawton, M. P. (1991). A multidimensional view of quality of life in frail elders. In R. P. Abeles (Ed.), The concept and management of quality of life in the frail elderly. New York: Academic Press.

    Google Scholar 

  34. McDowell, I., & Newell, C. (1987). Measuring health: A guide to rating. Scales and questionnaires. Toronto: Oxford University Press.

    Google Scholar 

  35. Rickelman, B. L., Gallman, L., & Parra, H., (1994). Attachment and quality of life in older, community-residing men. Nursing Research, 43(2).

  36. Wiklund, I., Tibblin, G., & Dimenäs, E., (1990). Quality of life and hypertension. Scandinavian Journal of primary Health Care, 1.

  37. Wiklund, I. (1990). Measuring quality of life in medicine. Scandinavian Journal of Primary Health Care, Suppl 1, 11–14.

    Google Scholar 

  38. Arnér, S. (1984). Clinical pain analysis-somatic aspects. Klinik och Terapi, Suppl 1, 9–12.

    Google Scholar 

  39. Carlsson, A. M. (1984). Assessment of chronic pain II: Problems in the selection of relevant questionnaire items for classifications of pain and evaluation and prediction of therapeutic effects. Pain, 19, 173–184.

    Article  PubMed  CAS  Google Scholar 

  40. Henderson, S., Duncan-Jones, P., Byrne, D. G., & Scott, R. (1980). Measuring social relationships. The interview schedule for social interaction. Psychological Medicine, 10(4), 723–734.

    Article  PubMed  CAS  Google Scholar 

  41. Undén, A.-L., & Orth-Gomér, K. (1989). Development of a social support instrument for use in population surveys. Social Science and Medicine, 29(12), 1387–1392.

    Article  PubMed  Google Scholar 

  42. Karasek, R., Brisson, C., Kawakami, N., Houtman, I., Bongers, P., & Amick, B. (1998). The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics. Journal of occupational Health Psychology, 3, 322–355.

    Article  PubMed  CAS  Google Scholar 

  43. Theorell, T., Perski, A., Akerstedt, T., Sigala, F., Ahlberg-Hulten, G., Svensson, J., et al. (1988). Changes in job strain in relation to changes in physiological state. A longitudinal study. Scandinavian Journal of Work, Environment and Health, 14, 189–196.

    PubMed  CAS  Google Scholar 

  44. Melamed, S., Kushnir, T., & Shirom, A. (1992). Burnout and risk factors for cardiovascular diseases. Behavior Medicine, 18, 53–61.

    Article  CAS  Google Scholar 

  45. Shirom, A., Westman, M., Shamai, O., & Carel, R. S. (1997). Effects of work overload and burnout on cholesterol and triglycerides levels: The moderating effects of emotional reactivity among male and female employees. Journal of Occupational Health Psychology, 2, 275–288.

    Article  PubMed  CAS  Google Scholar 

  46. Holen, A. (1990). A long-term outcome study of survivors from a disaster: The Alexander L. Kjelland disaster in a perspective. Oslo: University of Oslo.

    Google Scholar 

  47. Weiseth, L. (1989). Torture of Norwegian ship’s crew: The torture, stress and psychiatric aftereffects. Acta Psychiatrica Scandinavia Suppl, 335, 63–72.

    Article  Google Scholar 

  48. Thulesius, H., & Håkansson, A. (1999). Screening for posttraumatic stress disorder symptoms among Bosnian refugees. Journal of Traumatic Stress, 12, 167–174.

    Article  PubMed  CAS  Google Scholar 

  49. Twisk, J. W., Kemper, H. C., & Mellenbergh, G. J. (1994). Mathematical and analytical aspects of tracking. Epidemiologic Reviews, 16, 165–183.

    PubMed  CAS  Google Scholar 

  50. Twisk, J. W. R. (2003). Applied longitudinal data analysis for epidemiology: A practical guide. Cambridge: Cambridge University Press.

    Google Scholar 

  51. Smith, B., Elliot, A., Chambers, W., Smith, W., Hannaford, P., & Penny, K. (2001). The impact of chronic pain in the community. Family Practice, 18, 292–299.

    Article  PubMed  CAS  Google Scholar 

  52. Johansson, E., & Lindberg, P. (2000). Low back pain patients in primary care: Subgroups based on the multidimensional pain inventory. International Journal of Behavior medicine, 7, 340–352.

    Article  Google Scholar 

  53. Taylor, W. J., Dean, S. G., & Siegert, R. J. (2006). Differential association of general and health self-efficacy with disability, health-related quality of life and psychological distress from musculoskeletal pain in a cross-sectional general adult population. Pain, 125, 225–232.

    Article  PubMed  Google Scholar 

  54. Bloom, J. R., & Spiegel, D. (1984). The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer. Social Science and Medicine, 119, 831–837.

    Google Scholar 

  55. Keefe, F. J., Smith, S. J., Buffington, A. L. H., Gibson, J., Studts, J. L., & Caldwell, D. S. (2002). Recent advantage and future directions in the biopsychosocial assessment and treatment of arthritis. Journal of Consulting and Clinical Psychology, 70, 640–655.

    Article  PubMed  Google Scholar 

  56. Bongers, P. M., de Winter, C. R., Kompier, M. A., & Hildebrandt, V. H. (1993). Psychosocial factors at work and muskuloskeletal disease. Scandinavian Journal of Work, Environment and Health, 19(5), 297–312.

    PubMed  CAS  Google Scholar 

  57. Haberthür, A. K., Elkuch, F. M., Holforth Grosse, M., Hochstrasser, B., & Soyka, M. (2009). Characterization of patients discharged from inpatient treatment for burnout: Use of psychological characteristics to identify aftercare needs. Journal of Clinical Psychology, 65(10), 1039–1055.

    Article  PubMed  Google Scholar 

  58. Schaufeli, W., & Enzmann, D. (1998). The burnout companion to study and practice, a critical analysis. London: Taylor & Francis Ltd.

    Google Scholar 

  59. Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317–332.

    Article  PubMed  CAS  Google Scholar 

  60. Segrin, C. (2001). Interpersonal processes in psychological problems. New York: Guilford Press.

    Google Scholar 

  61. Hitchcock, L. S., Ferrell, B. R., & McCafferey, M. (1994). The experience of chronic nonmalignant pain. Journal of Pain and Symptom Management, 9, 312–318.

    Article  PubMed  CAS  Google Scholar 

  62. Soares, J. J. F., & Grossi, G. (1999). Experience of musculoskeletal pain: Comparison of immigrant and Swedish patients. Scandinavian Journal of Caring Sciences, 13, 254–266.

    Article  PubMed  CAS  Google Scholar 

  63. Soares, J. J. F., Sundin, Ö., & Jablonska, B. (2004). Psychosocial experiences of foreign and native patients with/without pain. Scandinavian Journal of Occupational Therapy, 11, 36–48.

    Article  Google Scholar 

  64. Hwang, S. S., Chang, V. T., & Kasimis, B. (2002). Dynamic cancer pain management outcomes: The relationship between pain severity, pain relief, functional interference, satisfaction and global quality of life over time. Journal of Pain and Symptom Management, 23, 190–200.

    Article  PubMed  Google Scholar 

  65. Evers, A. W. M., Kraaimat, F. W., Greenen, R., Jacobs, J. W. G., & Bijlsma, J. W. J. (1998). Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients. Behavior Research and Therapy, 36, 179–193.

    Article  CAS  Google Scholar 

  66. Smith, C. A., & Wallston, K. A. (1992). Adaptation in patients with chronic rheumatoid arthritis: Application of a general model. Health Psychology, 11, 15–162.

    Google Scholar 

  67. Waltz, M., Kriegel, W., & van′t Pad Bosch, P. (1998). The social environment and health in rheumatiod arthritis: Marital quality predicts individual variability in pain severity. Arthritis care and Research, 11, 356–373.

    Article  PubMed  CAS  Google Scholar 

  68. Ward, S. E., Carlson-Dakes, K., Huges, S. H., Kwekkeboom, K. I., & Donovan, H. S. (1998). The impact on quality of life of patient related barriers to pain management. Research in Nursing and Health, 21, 405–413.

    Article  PubMed  CAS  Google Scholar 

  69. Petrak, F., Hardt, J., Kappis, B., Nickel, R., & Egle, U. T. (2003). Determinants of health- related quality of life in patients with persistent somatoform pain disorder. European Journal of Pain, 7, 463–471.

    Article  PubMed  Google Scholar 

  70. Larsson, U., Karlsson, J., & Sullivan, M. (2002). Impact of overweight and obesity on health-related quality of life—A Swedish population study. International Journal of Obesity and Related Metabolic Disorders, 26, 417–424.

    Article  PubMed  CAS  Google Scholar 

  71. Jia, H., & Lubetkin, E. I. (2005). The impact of obesity on health-related quality-of-life in the general adult US population. Journal of Public Health, 27, 156–164.

    Article  PubMed  Google Scholar 

  72. Fontaine, K. R., Cheskin, L. J., & Barofsky, I. (1996). Healthrelated quality of life in obese persons seeking treatment. The Journal of Family Practice, 43, 265–270.

    PubMed  CAS  Google Scholar 

  73. Katz, D. A., McHorney, C. A., & Atkinson, R. L. (2000). Impact of obesity on health- related quality of life in patients with chronic illness. Journal of General Internal Medicine, 15, 789–796.

    Article  PubMed  CAS  Google Scholar 

  74. Toppinen-Tanner, S., Ojajärvi, A., Väänänen, A., Kalimo, R., & Jäppinen, P. (2005). Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes. Behavioral Medicine, 31, 18–27.

    Article  PubMed  Google Scholar 

  75. Shirom. A., Melamed, S., Toker, S., Berliner, S., & Shapira, I. (2005). Burnout and health review: Current knowledge and future research directions. International Review of Industrial and Organizational Psychology, 20.

  76. Vlaeyen, J. W. S., & Linton, S. J. (2002). Pain-related fear and its consequences in chronic musculoskeletal pain. In S. J. Linton (Ed.), New avenues for the prevention of chronic musculoskeletal pain and disability (pp. 81–103). Amsterdam: Elsevier Science.

    Google Scholar 

  77. Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine, 25, 1148–1156.

    Article  PubMed  CAS  Google Scholar 

  78. Boyle, M., Murgo, M., Adamson, H., Gill, J., Elliot, D., & Crawford, M. (2004). The effect of a chronic pain on health related quality of life amongst intensive care survivors. Australian Critical Care, 17(104–106), 108–113.

    Google Scholar 

  79. Widar, M., Ahlström, G., & Ek, A. (2004). Health-related quality of life in persons with long-term pain after a stroke. Journal of Clinical Nursing, 13, 497–505.

    Article  PubMed  Google Scholar 

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Thomtén, J., Soares, J.J.F. & Sundin, Ö. The influence of psychosocial factors on quality of life among women with pain: a prospective study in Sweden. Qual Life Res 20, 1215–1225 (2011). https://doi.org/10.1007/s11136-011-9860-4

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