Relationship of Pain Quality Descriptors and Quantitative Sensory Testing
العنوان: | Relationship of Pain Quality Descriptors and Quantitative Sensory Testing |
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المؤلفون: | Robert E. Molokie, Judith M. Schlaeger, Saunjoo L. Yoon, Roger B. Fillingim, Brenda W Dyal, Zaijie Jim Wang, Diana J. Wilkie, Yingwei Yao, Marie L. Suarez, Miriam O. Ezenwa |
المصدر: | Nurs Res |
بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2019. |
سنة النشر: | 2019 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Cross-sectional study, Pain, Sensory system, Anemia, Sickle Cell, Audiology, Article, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Sensation, medicine, Humans, 030212 general & internal medicine, Young adult, General Nursing, Sensitization, Aged, Pain Measurement, Central Nervous System Sensitization, 030504 nursing, business.industry, Chronic pain, Reproducibility of Results, Middle Aged, medicine.disease, Cross-Sectional Studies, medicine.anatomical_structure, McGill Pain Questionnaire, Neuropathic pain, Female, 0305 other medical science, business |
الوصف: | Background Chronic pain in adults with sickle cell disease (SCD) may be the result of altered processing in the central nervous system, as indicated by quantitative sensory testing (QST). Sensory pain quality descriptors on the McGill Pain Questionnaire (MPQ) are indicators of typical or altered pain mechanisms but have not been validated with QST-derived classifications. Objectives The specific aim of this study was to identify the sensory pain quality descriptors that are associated with the QST-derived normal or sensitized classifications. We expected to find that sets of sensory pain quality descriptors would discriminate the classifications. Methods A cross-sectional quantitative study of existing data from 186 adults of African ancestry with SCD. Variables included MPQ descriptors, patient demographic data, and QST-derived classifications. Results The participants were classified as central sensitization (n = 33), mixed sensitization (n = 23), and normal sensation. Sensory pain quality descriptors that differed statistically between mixed sensitization and central sensation compared to normal sensitization included cold (p = .01) and spreading (p = .01). Aching (p = .01) and throbbing (p = .01) differed statistically between central sensitization compared with mixed sensitization and normal sensation. Beating (p = .01) differed statistically between mixed sensitization compared with central sensitization and normal sensation. No set of sensory pain quality descriptors differed statistically between QST classifications. Discussion Our study is the first to examine the association between MPQ sensory pain quality descriptors and QST-derived classifications in adults with SCD. Our findings provide the basis for the development of a MPQ subscale with potential as a mechanism-based screening tool for neuropathic pain. |
تدمد: | 1538-9847 0029-6562 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::34b6db0bc53dd06b75ac9ebbed496203 https://doi.org/10.1097/nnr.0000000000000375 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....34b6db0bc53dd06b75ac9ebbed496203 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15389847 00296562 |
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