Population-based cohort study of incident and persistent arm pain: role of mental health, self-rated health and health beliefs
Population-based cohort study of incident and persistent arm pain: role of mental health, self-rated health and health beliefs
To investigate whether somatising tendency, low mood and poor self-rated health (SRH) predict incident arm pain, and whether these factors and beliefs about causation and prognosis predict symptom persistence, we conducted an 18-month postal follow-up in 1798 working-aged subjects, sampled from the registers of five British general practices. At baseline questions were asked about pain in the arm (lasting >or=1day in the prior 12months), mental health (Short-Form 36 (SF-36MH)), somatising tendency (the Brief Symptom Inventory (BSI)), SRH, and beliefs about causation and prognosis. At follow-up we asked about arm pain in the last four weeks, and whether it had been present on >or=14days. Associations with incidence and persistence were explored using logistic regression. The 1256 participants (70% response) comprised 613 free of, and 643 with, arm pain initially. Among the former, 21% reported new pain at follow-up, while 53% of the latter reported symptom persistence. The odds of both incident and persistent arm pain were significantly raised (1.7- to 4-fold) in the least vs. most favourable bands of SF-36MH, BSI and SRH. Even stronger associations were found for arm pain on >or=14days. Persistent pain was significantly more common among those who attributed their pain to work or stress, and in those who expected symptoms still to be a problem in 12months. Thus, SRH and mental health indices were strong predictors of incident and persistent arm pain in adults from the community, while persistence was also predicted by beliefs about causation and prognosis.
cohort, risk factors, mental health, upper limb pain
30-37
Palmer, K.T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Reading, I.
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Linaker, C.
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Calnan, M.
f3758fa8-4bff-4f44-aec1-d66619074286
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
May 2008
Palmer, K.T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Reading, I.
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Linaker, C.
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Calnan, M.
f3758fa8-4bff-4f44-aec1-d66619074286
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Palmer, K.T., Reading, I., Linaker, C., Calnan, M. and Coggon, D.
(2008)
Population-based cohort study of incident and persistent arm pain: role of mental health, self-rated health and health beliefs.
Pain, 136 (1-2), .
(doi:10.1016/j.pain.2007.06.011).
Abstract
To investigate whether somatising tendency, low mood and poor self-rated health (SRH) predict incident arm pain, and whether these factors and beliefs about causation and prognosis predict symptom persistence, we conducted an 18-month postal follow-up in 1798 working-aged subjects, sampled from the registers of five British general practices. At baseline questions were asked about pain in the arm (lasting >or=1day in the prior 12months), mental health (Short-Form 36 (SF-36MH)), somatising tendency (the Brief Symptom Inventory (BSI)), SRH, and beliefs about causation and prognosis. At follow-up we asked about arm pain in the last four weeks, and whether it had been present on >or=14days. Associations with incidence and persistence were explored using logistic regression. The 1256 participants (70% response) comprised 613 free of, and 643 with, arm pain initially. Among the former, 21% reported new pain at follow-up, while 53% of the latter reported symptom persistence. The odds of both incident and persistent arm pain were significantly raised (1.7- to 4-fold) in the least vs. most favourable bands of SF-36MH, BSI and SRH. Even stronger associations were found for arm pain on >or=14days. Persistent pain was significantly more common among those who attributed their pain to work or stress, and in those who expected symptoms still to be a problem in 12months. Thus, SRH and mental health indices were strong predictors of incident and persistent arm pain in adults from the community, while persistence was also predicted by beliefs about causation and prognosis.
This record has no associated files available for download.
More information
Published date: May 2008
Keywords:
cohort, risk factors, mental health, upper limb pain
Organisations:
Community Clinical Sciences
Identifiers
Local EPrints ID: 61424
URI: http://eprints.soton.ac.uk/id/eprint/61424
ISSN: 0304-3959
PURE UUID: 381786e0-2d14-4f2b-924c-6de23319f404
Catalogue record
Date deposited: 01 Oct 2008
Last modified: 09 Nov 2024 02:34
Export record
Altmetrics
Contributors
Author:
K.T. Palmer
Author:
I. Reading
Author:
M. Calnan
Author:
D. Coggon
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics