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Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain
- Source :
- Journal of Clinical Medicine, Journal of Clinical Medicine, MDPI, 2021, 10 (13), pp.2817. ⟨10.3390/jcm10132817⟩, Volume 10, Issue 13, Journal of Clinical Medicine, Vol 10, Iss 2817, p 2817 (2021)
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
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 &lt<br />0.05). High SGH patients have a higher ODI score than low SGH patients (p &lt<br />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.
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 20770383
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine, Journal of Clinical Medicine, MDPI, 2021, 10 (13), pp.2817. ⟨10.3390/jcm10132817⟩, Volume 10, Issue 13, Journal of Clinical Medicine, Vol 10, Iss 2817, p 2817 (2021)
- Accession number :
- edsair.doi.dedup.....f1552f26ca1b6bc807263b426661790c