Gupta, A., Silman, A.J., Ray, D., Morriss, R., Dickens, C., MacFarlane, G.J., Chiu, Y.H., Nicholl, B.I. and McBeth, J. (2007) The role of psychosocial factors in predicting the onset of chronic widespread pain: results from a prospective population-based study. Rheumatology, 46(4), pp. 666-671. (doi: 10.1093/rheumatology/kel363)
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Publisher's URL: http://dx.doi.org/10.1093/rheumatology/kel363
Abstract
<b>Objective</b> Chronic widespread pain (CWP) is strongly associated with psychosocial distress both in a clinical setting and in the community. The aim of this study was to determine the contribution of measures of psychosocial distress, health-seeking behaviour, sleep problems and traumatic life events to the development of new cases of CWP in the community.<p></p> <b>Methods</b> In a population-based prospective study, 3171 adults aged 25-65 yrs free of CWP were followed-up 15 months later to identify those with new CWP. Baseline data were available on their scores from a number of psychological scales including Illness Attitude Scales (IAS), Somatic Symptom Checklist (SSC), Hospital Anxiety & Depression Scale, Sleep Problems Scale, and Life Events Inventory.<p></p> <b>Results</b> 324 subjects [10%, 95% confidence interval (CI) 9.2, 11.3] developed new CWP at follow-up. After adjustment for age and sex, three factors independently predicted the development of CWP: scoring three or more on the SSC [odds ratio (OR) 1.8, 95% CI 1.1, 3.1], scoring eight or more on the Illness Behaviour subscale of the IAS (OR 3.3, 95% CI 2.3, 4.8), and nine or more on the Sleep Problem Scale (OR 2.7, 95% CI 1.6, 3.2). Subjects exposed to all three factors were at 12 times the odds of new CWP than those with low scores on all scales.<p></p> <b>Conclusion</b> Subjects are at substantial increased odds of developing CWP if they display features of somatization, health-seeking behaviour and poor sleep. Psychosocial distress has a strong aetiological influence on CWP.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Nicholl, Dr Barbara |
Authors: | Gupta, A., Silman, A.J., Ray, D., Morriss, R., Dickens, C., MacFarlane, G.J., Chiu, Y.H., Nicholl, B.I., and McBeth, J. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care |
Journal Name: | Rheumatology |
ISSN: | 1462-0324 |
Published Online: | 04 November 2006 |
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