Assessment of the Level of Pain Intensity and the Level of Anxiety Treated as State and Trait in Patients with Osteoarthritis of the Limbs

Jadwiga Kuciel-Lewandowska, Michał Kasperczak, Łukasz B Lewandowski, Małgorzata Paprocka-Borowicz, Jadwiga Kuciel-Lewandowska, Michał Kasperczak, Łukasz B Lewandowski, Małgorzata Paprocka-Borowicz

Abstract

Introduction: Osteoarthritis of the musculoskeletal system is accompanied with chronic pain which is the main factor in mood lowering, causing anxiety. Rehabilitation conducted in the framework of spa therapy and outpatient care aims at eliminating or reducing pain and improving physical fitness. Pain relief is an expected phenomenon because it improves the quality of life. Aim of the study. The aim of the study was to evaluate the effect of rehabilitation in the spa and in outpatient clinic on the level of pain and anxiety in patients with degenerative joints and disc disease. Material and methods. The study included a comprehensive treatment conducted in the spa and in outpatient clinic. Observation included 120 persons with disorders of the musculoskeletal system treated in the spa Przerzeczyn-Zdrój. The second group of patients was treated in the rehabilitation clinic. The examinations were performed before and after treatment. The scope of the observations included self-evaluation of anxiety treated as a state and a trait, the level of intensity of pain, medical history, and sociodemographic background interview. In the observations, there were VAS scale and State Trait Anxiety Inventory STAI used.

Result: As a result of the spa therapy and therapy performed in an outpatient clinic, there was an improvement in lowering the level of pain and anxiety noted.

Conclusions: 1. Spa therapy and treatment performed in an outpatient clinic reduce the level of pain and anxiety in patients with degenerative disease of the musculoskeletal system. 2. It was found that the therapy conducted in the spa was more effective in lowering the level of pain and anxiety. This trial is registered with NCT03405350.

Conflict of interest statement

The authors declare that they have no conflicts of interest. The number of clinical trial is NCT03405350. All information about this study are available under this number. The study was carried out as part of the statutory task SUB.E060.19.001.

Copyright © 2020 Jadwiga Kuciel-Lewandowska et al.

Figures

Figure 1
Figure 1
STAI-group A results.
Figure 2
Figure 2
STAI-group B results.
Figure 3
Figure 3
VAS scale-group A and group B group comparison.

References

    1. Boerner E., Molka J., Ratajczak B., Biec E. SPA treatment in discopathy of lumbar spine. Med Sport. 2005;21(4):297–302.
    1. Cepuch G., Wordliczek J. Assessment of relation between pain intensity and fearand depression occurrence in adolescents hospitalized because of cancerand rheumatoid diseases. Polska Medycyna Paliatywna. 2006;5(2):44–53.
    1. Casellas‐Grau A., Ochoa C., Ruini C. Psychological and clinical correlates of posttraumatic growth in cancer: a systematic and critical review. Psychooncology. 2018;6(12):p. 2007. doi: 10.1002/pon.4426.
    1. Chida Y., Hamer M. Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: a quantitative review of 30 years of investigations. Psychological Bulletin. 2008;134(6):829–885. doi: 10.1037/a0013342.
    1. Carney R., Freedland K. Depression in patients with coronary heart disease. The American Journal of Medicine. 2008;121:20–27. doi: 10.1016/j.amjmed.2008.09.010.
    1. Jacobson P., Jim H. Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA: A Cancer Journal for Clinicians. 2008;58:214–230. doi: 10.3322/ca.2008.0003.
    1. Lustman P. J., Penckofer S. M., Clouse R. E. Recent advances in understanding depression in adults with diabetes. Current Psychiatry Reports. 2008;10(6):495–502. doi: 10.1007/s11920-008-0079-1.
    1. McBeth J., Macfarlane G. J., Silman A. J. Does chronic pain predict future psychological distress? Pain. 2002;96(3):239–245. doi: 10.1016/s0304-3959(01)00452-3.
    1. Von Kroff M., Simon G. The relationship between pain and depression. British Journal of Psychiatry. 1996;30:101–108.
    1. Rybakowski J., Jaracz J. Depression and pain: novel clinical, neurobiological and psychopharmacological data. Psychiatria Polska. 2005;5:937–950.
    1. Manou-Stathopoulou V., Korbonits M., Ackland G. L. Redefining the perioperative stress response: a narrative review. British Journal of Anaesthesia. 2019;123(5):570–583. doi: 10.1016/j.bja.2019.08.011.
    1. Lelonek B., Cieslik A. The level of anxiety in patients treated surgically. Student medicine. 2011;22(2):21–30.
    1. Meana M., Cho R., Desmeules M. Chronic pain: the extra burden on Canadian women. BMC Womens Health. 2004;25(4 supl.1):p. 517. doi: 10.1186/1472-6874-4-S1-S17.
    1. Wiliams L. J., Jacka F. N., Pasco J. A., Dood S., Berk M. Depression and pain: an overview. Acta Neuropsychiatr. 2006;18(2):79–87.
    1. Bair M. J., Robinson R. L., Katon W., Kroenke K. Depression and pain comorbidity. Archives of Internal Medicine. 2003;163(20):2433–2445. doi: 10.1001/archinte.163.20.2433.
    1. Ohayon M. M., Schatzberg A. F. Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry. 2003;60(1):39–47. doi: 10.1001/archpsyc.60.1.39.
    1. Roest A. M., de Jonge P. The heart of the matter: in search of causal effects of depression on somatic diseases. BMC Med. 2018;16(1):p. 147. doi: 10.1186/s12916-018-1144-1.
    1. Wrodycka B., Chmielewski H., Gruszczynski W., Zytkowski A., Chudzik W. Masked (atypical) depression in patients with back pain syndrome in outpatient neurological carePol. Merk. Lek, . 2006;121:38–40.
    1. Talarowska-Bogusz M., Florkowski A., Radomska A., Zboralski K., Gałecki P. Depression and pain in arthrosis of spine and hip in elderly patients. Pol. Merk. Lek. 2006;126:566–569.
    1. Hausmann L. R. M., Ibrahim S. A., Kwoh C. K., et al. Rationale and design of the staying positive with arthritis (spa) study: a randomized controlled trial testing the impact of a positive psychology intervention on racial disparities in pain. Contemporary Clinical Trials. 2018;64:243–253. doi: 10.1016/j.cct.2017.09.001.
    1. Przedborska A., Misztal M., Nitera-Kowalik A., Zielinski B., Raczkowski J. W. Dartmouth Coop Function Charts in assessing the effectiveness of spa therapy of patients with low back pain. Acta Baln. 2014;4(138):208–213.
    1. Klimek-Piskorz E., Szymura K. The assessment of spa treatment effectiveness in women with osteoarthritis of the knee. Acta Baln. 2014;1(135):15–19.
    1. Korczak M., Owczarek J. The healing properties of sulphurous waters. Acta Baln. 2014;2(136):106–108.

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