1. Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain
- Author
-
Romain David, David Le Breton, Tanguy Vendeuvre, Géraldine Brumauld de Montgazon, Maxime Billot, Manuel Roulaud, Kevin Nivole, Pierre François Descoins, Nicolas Naiditch, Brigitte Roy-Moreau, Cecile Swennen, Nelly Grimaud, Philippe Rigoard, Philippe Page, Maarten Moens, Elodie Charrier, Bertille Lorgeoux, Philippe Cornet, Lisa Goudman, Simon Teyssedou, Pierre Pries, Amine Ounajim, Dynamiques européennes (DynamE), Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), Centre hospitalier universitaire de Poitiers (CHU Poitiers), Universitair Ziekenhus Brussel (UZ Brussel), Sorbonne Université - Département de médecine générale, Sorbonne Université (SU), Centre hospitalier Nord des Deux Sèvres, ELSAN Polyclinique Majorelle, Pain in Motion, Supporting clinical sciences, Neuroprotection & Neuromodulation, Radiology, and Neurosurgery
- Subjects
medicine.medical_specialty ,Kinesiophobia ,Neuroscience(all) ,Social gradient ,Article ,social gradient of health ,surgery ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Internal medicine ,medicine ,[SDV.MHEP.AHA]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] ,030212 general & internal medicine ,Social determinants of health ,Syndrome type ,business.industry ,Chronic pain ,General Medicine ,medicine.disease ,Spinal pain ,3. Good health ,persistent spinal pain syndrome type 2 ,social determinants of health ,Social hierarchy ,Medicine ,failed back surgery syndrome ,business ,030217 neurology & neurosurgery - Abstract
The Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and worldwide. Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome type 2 (PSPS-T2) represents one of its most fascinating and disabling conditions. However, the influence of SGH on PSPS-T2 has been poorly explored. We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (p <, 0.05). High SGH patients have a higher ODI score than low SGH patients (p <, 0.10). Our results suggest that SGH is a relevant factor to guide prevention, research, and ultimately intervention in PSPS-T2 patients and could be more widely transposed to chronic pain.
- Published
- 2021