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Comparative Analysis of Health Domains for Neuropathic Pain Patients
Christine Bader1, Diane Flynn2, Chester Buckenmaier3,4
1University of Pennsylvania School of Nursing, Philadelphia, USA.
Clinical Nursing Research
|July 22, 2021
Summary
Military members with neuropathic pain (NP) experienced worsening sleep impairment over time, unlike those without NP. Identifying and treating NP is crucial for improving military health outcomes.
Area of Science:
- Pain Medicine
- Military Health
- Neurology
Background:
- Active duty military personnel face significant injury risks leading to pain.
- Neuropathic pain (NP) prevalence in military populations is not well-established compared to civilians.
- Understanding pain correlates is essential for military physical, mental, and social well-being.
Purpose of the Study:
- To compare patient-reported outcomes over time in military members screening positive (NP+) versus negative (NP-) for neuropathic pain.
- To analyze trends in fatigue, sleep-related impairment, and anger based on NP status.
- To investigate the interaction effect of NP status and time on sleep-related impairment.
Main Methods:
- Secondary analysis of longitudinal PASTOR data from 190 pain management patients.
- Comparative design comparing NP+ and NP- groups.
- Utilized PROMIS Neuropathic Pain Scale T-scores for NP screening.
Main Results:
- Overall improvements observed in fatigue, sleep-related impairment, and anger over time.
- A significant difference in sleep-related impairment was found between NP+ and NP- groups.
- Sleep-related impairment worsened over time specifically in the NP+ group (cross-level interaction effect).
Conclusions:
- Neuropathic pain significantly impacts military members' sleep quality over time.
- Targeted therapies are needed for military personnel with neuropathic pain.
- Early identification and management of NP are vital for improving health outcomes in military populations.
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