AUB ScholarWorks

Patterns of change of multisite pain over 1 year of follow-up and related risk factors

Show simple item record Ntani, Georgia Coggon, David Felli, Vanda E. Harari, Florencia Barrero, Lope H. Felknor, Sarah A. Rojas, Marianela Serra, Consol Bonzini, Matteo Merisalu, Eda Habib, Rima R. Sadeghian, Farideh Wickremasinghe, A. Rajitha Matsudaira, Ko Nyantumbu-Mkhize, Busisiwe Kelsall, Helen L. Harcombe, Helen Walker-Bone, Karen 2022-12-28T12:54:17Z 2022-12-28T12:54:17Z 2022-08
dc.identifier.citation Ntani, G., Coggon, D., Felli, V. E., Harari, F., Barrero, L. H., Felknor, S. A., . . . Walker-Bone, K. (2022). Patterns of change of multisite pain over 1 year of follow-up and related risk factors. European Journal of Pain (United Kingdom), 26(7), 1499-1509. doi:10.1002/ejp.1978
dc.identifier.uri 10.1002/ejp.1978
dc.description.abstract Background: Multisite musculoskeletal pain is common and disabling. This study aimed to prospectively investigate the distribution of musculoskeletal pain anatomically, and explore risk factors for increases/reductions in the number of painful sites. Methods: Using data from participants working in 45 occupational groups in 18 countries, we explored changes in reporting pain at 10 anatomical sites on two occasions 14 months apart. We used descriptive statistics to explore consistency over time in the number of painful sites, and their anatomical distribution. Baseline risk factors for increases/reductions by ≥3 painful sites were explored by random intercept logistic regression that adjusted for baseline number of painful sites. Results: Among 8927 workers, only 20% reported no pain at either time point, and 16% reported ≥3 painful sites both times. After 14 months, the anatomical distribution of pain often changed but there was only an average increase of 0.17 painful sites. Some 14% workers reported a change in painful sites by ≥3. Risk factors for an increase of ≥3 painful sites included female sex, lower educational attainment, having a physically demanding job and adverse beliefs about the work-relatedness of musculoskeletal pain. Also predictives were as follows: older age, somatizing tendency and poorer mental health (each of which was also associated with lower odds of reductions of ≥3 painful sites). Conclusions: Longitudinally, the number of reported painful sites was relatively stable but the anatomical distribution varied considerably. These findings suggest an important role for central pain sensitization mechanisms, rather than localized risk factors, among working adults. Significance: Our findings indicate that within individuals, the number of painful sites is fairly constant over time, but the anatomical distribution varies, supporting the theory that among people at work, musculoskeletal pain is driven more by factors that predispose to experiencing or reporting pain rather than by localized stressors specific to only one or two anatomical sites.
dc.language.iso en
dc.publisher John Wiley and Sons Inc
dc.subject adult
dc.subject age
dc.subject anatomical concepts
dc.subject Article
dc.subject Brief Symptom Inventory
dc.subject current smoker
dc.subject demographics
dc.subject descriptive research
dc.subject educational status
dc.subject ex-smoker
dc.subject female
dc.subject follow up
dc.subject human
dc.subject job satisfaction
dc.subject longitudinal study
dc.subject major clinical study
dc.subject male
dc.subject mental capacity
dc.subject middle aged
dc.subject multicenter study
dc.subject musculoskeletal pain
dc.subject never smoker
dc.subject nurse
dc.subject office worker
dc.subject physical activity
dc.subject prevalence
dc.subject prophylaxis
dc.subject prospective study
dc.subject questionnaire
dc.subject risk factor
dc.subject Short Form 36
dc.subject social psychology
dc.title Patterns of change of multisite pain over 1 year of follow-up and related risk factors
dc.type Article

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search AUB ScholarWorks


My Account