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Psychological factors contributing to perceptions pain intensity after acute orthopaedic injury.

Rodger Wood

Injury, Volume: 42, Issue: 11, Pages: 1214 - 1218

Swansea University Author: Rodger Wood

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DOI (Published version): 10.1016/j.injury.2010.07.245

Abstract

Psychological factors are capable of influencing an individual’s perception of pain and may mediate theevolution from acute to chronic pain. Personality characteristics, such as alexithymia and anxiety sensitivity, can also influence perception of pain by somatising psychological distress associated...

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Published in: Injury
Published: 2010
URI: https://cronfa.swan.ac.uk/Record/cronfa13218
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Abstract: Psychological factors are capable of influencing an individual’s perception of pain and may mediate theevolution from acute to chronic pain. Personality characteristics, such as alexithymia and anxiety sensitivity, can also influence perception of pain by somatising psychological distress associated with acute pain. The aim of this study was to understand if alexithymia and anxietysensitivity interact with psychological distress at an early stage of recovery from orthopaedic injury, to accentuate perception of pain intensity and potentially mediate the development of chronic pain disorder. 62 patients who had recently suffered orthopaedic injury completed the British Pain Society Pain Rating Scale plus the Hospital Anxiety and Depression Scale, as well as measures of alexithymia and anxiety sensitivity. Pain intensity correlated with each of the psychological measures but a regression analysis found that only depression, in combination with anxiety sensitivity, contributed to a significant amount of the variance in pain scores. The authors suggest that early screening after orthopaedic injury could identify those vulnerable to developing persisting pain disorders. This could lead to effective early intervention using psychological methods of pain management tor educe the risk of acute pain evolving into a chronic pain disorder.
Keywords: Orthopaedic injury pain intensity, alexithymia, anxiety sensitivityu
College: Faculty of Medicine, Health and Life Sciences
Issue: 11
Start Page: 1214
End Page: 1218