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Predictors of pain intensity and pain functioning in patients with the hepatitis C virus
Benjamin J Morasco1, Marilyn Huckans, Jennifer M Loftis
1Northwest Hepatitis C Resource Center and Mental Health and Clinical Neurosciences Division, Portland VA Medical Center, Portland, OR 97239, USA. benjamin.morasco@va.gov
Insights
Psychological factors like depression significantly impact pain intensity and functioning in hepatitis C virus (HCV) patients. Understanding these links is crucial for developing effective chronic pain interventions in HCV populations.
Area of Science:
- Medical Research
- Hepatology
- Pain Management
Background:
- Hepatitis C virus (HCV) infection is associated with significant pain.
- The interplay between biological, psychological, and pain outcomes in HCV patients requires further elucidation.
Purpose of the Study:
- To investigate the associations between biological and psychological variables and pain intensity.
- To examine the relationships among biological and psychological variables and pain functioning in patients with HCV.
Main Methods:
- 49 patients with HCV completed validated assessments of pain intensity and functioning.
- Psychological functioning was measured, and medical records were reviewed for disease-related variables.
Main Results:
- 67.3% of participants had a pain-related condition diagnosis.
- Psychosocial variables, especially depression severity, significantly predicted pain intensity (21% variance) and pain functioning (33% variance).
- These findings persisted after controlling for demographic, opioid, and disease-related factors.
Conclusions:
- Preliminary evidence supports the role of biological and psychological factors in HCV-related pain.
- Further research should comprehensively assess pain-related factors and their associations with disease and biological variables.
- A deeper understanding of these factors will guide future interventions for chronic pain in HCV patients.
Objective:
To examine the relationships among biological and psychological variables with pain intensity and pain functioning in patients with the hepatitis C virus (HCV).
Methods:
Participants were 49 patients with HCV who completed well-validated assessments of pain intensity and pain functioning. Participants also completed measures of psychological functioning, and medical records were reviewed.
Results:
Thirty-three (67.3%) of 49 participants had a current diagnosis for a pain-related condition. Regression analyses were conducted to examine variables associated with pain intensity and pain functioning. The psychosocial variables, particularly depression severity, accounted for an additional 21% of the variance in average pain intensity (P=.002) and 33% of the variance in pain functioning (P<.001). These results remained significant even after controlling for demographic characteristics, opioid prescription status and disease-related variables.
Conclusion:
These results provide preliminary support for the role of biological and psychological factors in the development and exacerbation of pain in HCV patients. Future studies should include a more comprehensive assessment of pain-related factors and examine their associations with additional disease-related and biological variables. Developing a better understanding of the factors associated with pain in HCV patients will help to inform future interventions for chronic pain in this patient population.
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