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Presence and predictors of persistent pain among persons who sustained an injury in a road traffic crash
Author(s) -
Gopinath B.,
Jagnoor J.,
Nicholas M.,
Blyth F.,
Harris I.A.,
Casey P.,
Cameron I.D.
Publication year - 2015
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1002/ejp.634
Subject(s) - medicine , physical therapy , pain catastrophizing , telephone interview , chronic pain , social science , sociology
Abstract Background There is a paucity of prospective studies with long follow‐up that have examined a wide range of correlates associated with persistent pain outcomes in persons who sustained a mild or moderate injury in a road traffic crash. This study aimed to establish the independent predictors of pain severity over 24 months. Methods A total of 364, 284 and 252 persons with mild/moderate musculoskeletal injuries sustained in a vehicle‐related crash participated in telephone interviews in the subacute phase, and at 12 and 24 months, respectively. The numeric rating scale ( NRS ) assessed pain severity. P ain‐ R elated S elf‐ S tatements S cale‐ C atastrophizing ( PRSS ‐ C atastrophizing) and the Short Form O rebro M usculoskeletal P ain S creening Q uestionnaire ( OMPSQ ) were also administered. Results After multivariable adjustment, each 1 SD increase in Short Form‐12 Physical Component Score ( SF ‐12 PCS ) in the subacute phase was associated with 0.73 ( p = 0.002) and 1.11 ( p < 0.0001) decrease in NRS scores after 12 and 24 months, respectively. Each unit increase in the PRSS ‐Catastrophizing score in the subacute phase was associated with 0.54 ( p = 0.001) and 0.43 ( p = 0.03) increase in NRS scores 12 and 24 months later, respectively. Subacute phase OMPSQ scores were positively associated with NRS scores at 12‐ and 24‐month follow‐ups ( p < 0.0001). Conclusions Self‐perceived physical well‐being, pain‐related work disability and pain catastrophizing could play a role in determining long‐term pain‐related outcomes following traffic‐related injuries.