| Author/Editor | Kovačević, Irena; Majerić-Kogler, Višnja; Krikšić, Valentina; Ilić, Boris; Friganović, Adriano; Ozimec Vulinec, Štefanija; Pavić, Jadranka; Milošević, Milan; Kovačević, Petra; Petek, Davorina | |
| Title | Non-medical factors associated with the outcome of treatment of chronic non-malignant pain | |
| Type | članek | |
| Vol. and No. | Letnik 19, št. 5 | |
| Publication year | 2022 | |
| Volume | str. 1-15 | |
| ISSN | 1660-4601 - International journal of environmental research and public health | |
| Language | eng | |
| Abstract | Background: Chronic pain is a global public health issue with increasing prevalence. Chronic pain causes sleep disorder, reactive anxiety, and depression, impairs the quality of life; it burdens the individual and society as a whole. The aim of this study was to examine non-medical factors related to the outcome of the treatment of chronic non-malignant pain. Methods: A crosssectional study with two groups of patients was conducted using a questionnaire with biological, psychological, and social characteristics of patients. Since this study was cross-sectional, it was not possible to determine whether some factors were the cause or the consequence of unsuccessful treatment outcome, which is at the same time one of the disadvantages of cross-sectional studies. Results: The poor outcome of the treatment of chronic non-malignant pain in a multivariate binary logistic regression model was statistically significantly associated with the lower quality of life (OR = 0.95 (95% CI: 0.91‐0.99; p = 0.009), and higher depression level OR = 1.08 (95% CI: 1.02‐1.14; p = 0.009). The outcome of the treatment was not directly related to social support measured by the multivariate binary logistic regression model (OR = 1.04, 95%CI: 0.95‐1.15, p = 0.395), but solitary life (without partner) was (OR = 2.16 (95% CI: 1.03‐4.53; p = 0.043). Conclusion: The typical patient with a poor pain management outcome is retired, presents depressive behavior; their pain disturbs general activity and sleeping. Moreover, they have a physically disturbed quality of life and require selftreatment due to the inaccessibility of doctors and therapies. The principle of treatment of patients with chronic, non-malignant pain should take into account a biopsychosocial approach with individually adjusted procedures. | |
| Keywords | chronic non-malignant pain quality of life depression kronična nemaligna bolečina kakovost življenja depresija |