Perceptions of treatment, accompanying symptoms, and other problems in patients with chronic pain: a multicenter cross-sectional study in Korea
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Background: Chronic pain significantly affects daily activities, mental health, and the interpersonal relationships ofpatients. Consequently, physicians use various treatments to manage pain. This study investigated the perceptionsof treatment, accompanying symptoms, and other problems in patients with chronic pain. Methods: The authors enrolled patients with chronic pain from 19 university hospitals in South Korea. Datawas collected on age, gender, diagnosis, disease duration, severity of pain, perception of pain treatment, andaccompanying symptoms or problems using an anonymous survey comprising 19 questions. Results: In total, 833 patients with chronic pain completed the survey, and 257 (31.0%) and 537 (64.5%) patientsexpressed concerns about the potential adverse effects of medication and opioid addiction, respectively. Personalitychanges such as irritability or anger were the most frequent accompanying symptoms in 507 (63.8%) patients,followed by depression and sleep disturbance in 462 (58.1%) and 450 (54.5%) patients, respectively. Depression (P= 0.001) and anxiety (P = 0.029) were more common among women, whereas divorce (P = 0.016), family conflict(P < 0.001), unemployment (P < 0.001), suicide attempts (P < 0.001), and restrictions on economic activity (P <0.001) were more common among men. The frequency of accompanying symptoms, except for suicidal ideation,was higher in the younger patients aged ≤ 40 years than in the older patients aged > 40 years. Conclusions: Many patients with chronic pain had concerns about adverse effects or medication tolerance andexperienced anxiety, depression, or sleep disturbances. The prevalence of accompanying problems varies accordingto age and gender.
Abstract
Background: Chronic pain significantly affects daily activities, mental health, and the interpersonal relationships ofpatients. Consequently, physicians use various treatments to manage pain. This study investigated the perceptionsof treatment, accompanying symptoms, and other problems in patients with chronic pain. Methods: The authors enrolled patients with chronic pain from 19 university hospitals in South Korea. Datawas collected on age, gender, diagnosis, disease duration, severity of pain, perception of pain treatment, andaccompanying symptoms or problems using an anonymous survey comprising 19 questions. Results: In total, 833 patients with chronic pain completed the survey, and 257 (31.0%) and 537 (64.5%) patientsexpressed concerns about the potential adverse effects of medication and opioid addiction, respectively. Personalitychanges such as irritability or anger were the most frequent accompanying symptoms in 507 (63.8%) patients,followed by depression and sleep disturbance in 462 (58.1%) and 450 (54.5%) patients, respectively. Depression (P= 0.001) and anxiety (P = 0.029) were more common among women, whereas divorce (P = 0.016), family conflict(P < 0.001), unemployment (P < 0.001), suicide attempts (P < 0.001), and restrictions on economic activity (P <0.001) were more common among men. The frequency of accompanying symptoms, except for suicidal ideation,was higher in the younger patients aged ≤ 40 years than in the older patients aged > 40 years. Conclusions: Many patients with chronic pain had concerns about adverse effects or medication tolerance andexperienced anxiety, depression, or sleep disturbances. The prevalence of accompanying problems varies accordingto age and gender.