Non-medical factors associated with the outcome of treatment of chronic non-malignant pain : a cross-sectional study

Kovačević, Irena (author), Majerić-Kogler, Višnja (author), Krikšić, Valentina (author), Ilić, Boris (author), Friganović, Adriano (author), Ozimec Vulinec, Štefanija (author), Pavić, Jadranka (author), Milošević, Milan (author), Kovačević, Petra (author), Petek, Davorina (author)

Background: Chronic pain is a global public health issue with increasing prevalence. Chronic pain causes sleep disorder, reactive anxiety, and depression, impairs the quality of life; it burdens the individual and society as a whole. The aim of this study was to examine non-medical factors related to the outcome of the treatment of chronic non-malignant pain. Methods: A crosssectional study with two groups of patients was conducted using a questionnaire with biological, psychological, and social characteristics of patients. Since this study was cross-sectional, it was not possible to determine whether some factors were the cause or the consequence of unsuccessful treatment outcome, which is at the same time one of the disadvantages of cross-sectional studies. Results: The poor outcome of the treatment of chronic non-malignant pain in a multivariate binary logistic regression model was statistically significantly associated with the lower quality of life (OR = 0.95 (95% CI: 0.91–0.99; p = 0.009), and higher depression level OR = 1.08 (95% CI: 1.02–1.14; p = 0.009). The outcome of the treatment was not directly related to social support measured by the multivariate binary logistic regression model (OR = 1.04, 95%CI: 0.95–1.15, p = 0.395), but solitary life (without partner) was (OR = 2.16 (95% CI: 1.03–4.53; p = 0.043). Conclusion: The typical patient with a poor pain management outcome is retired, presents depressive behavior; their pain disturbs general activity and sleeping. Moreover, they have a physically disturbed quality of life and require selftreatment due to the inaccessibility of doctors and therapies. The principle of treatment of patients with chronic, non-malignant pain should take into account a biopsychosocial approach with individually adjusted procedures.

• Language: English
• Keywords: chronic non-malignant pain, quality of life, depression, social support, self-treatment
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2022
• Number of pages: 14 str.
• Numbering: Vol. 19, iss. 5, art. 2881
• PID: 20.500.12556/RUL-137236
• UDC: 614
• ISSN on article: 1660-4601
• DOI: 10.3390/ijerph19052881
• COBISS.SI-ID: 99580419
• Publication date in RUL: 08.06.2022

Record is a part of a journal

• Title: International journal of environmental research and public health
• Shortened title: Int. j. environ. res. public health
• Publisher: MDPI
• ISSN: 1660-4601
• COBISS.SI-ID: 1818965

Licences

• License: CC BY 4.0, Creative Commons Attribution 4.0 International
• Link: http://creativecommons.org/licenses/by/4.0/
• Description: This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
• Licensing start date: 01.03.2022

Secondary language

• Language: Slovenian
• Keywords: kronična nemaligna bolečina, kakovost življenja, depresija