Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain
The Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/13/2817 |
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| author | Nicolas Naiditch Maxime Billot Maarten Moens Lisa Goudman Philippe Cornet David Le Breton Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Kevin Nivole Pierre Pries Cecile Swennen Simon Teyssedou Elodie Charrier Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Tanguy Vendeuvre Philippe Rigoard |
| author_facet | Nicolas Naiditch Maxime Billot Maarten Moens Lisa Goudman Philippe Cornet David Le Breton Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Kevin Nivole Pierre Pries Cecile Swennen Simon Teyssedou Elodie Charrier Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Tanguy Vendeuvre Philippe Rigoard |
| author_sort | Nicolas Naiditch |
| collection | DOAJ |
| description | The Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and worldwide. Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome type 2 (PSPS-T2) represents one of its most fascinating and disabling conditions. However, the influence of SGH on PSPS-T2 has been poorly explored. We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (<i>p</i> < 0.05). High SGH patients have a higher ODI score than low SGH patients (<i>p</i> < 0.10). Our results suggest that SGH is a relevant factor to guide prevention, research, and ultimately intervention in PSPS-T2 patients and could be more widely transposed to chronic pain. |
| first_indexed | 2024-03-10T10:02:18Z |
| format | Article |
| id | doaj.art-0f6383d34dec443583ae74d7f1cbc760 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:02:18Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0f6383d34dec443583ae74d7f1cbc7602023-11-22T01:49:10ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013281710.3390/jcm10132817Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic PainNicolas Naiditch0Maxime Billot1Maarten Moens2Lisa Goudman3Philippe Cornet4David Le Breton5Manuel Roulaud6Amine Ounajim7Philippe Page8Bertille Lorgeoux9Kevin Nivole10Pierre Pries11Cecile Swennen12Simon Teyssedou13Elodie Charrier14Géraldine Brumauld de Montgazon15Pierre François Descoins16Brigitte Roy-Moreau17Nelly Grimaud18Romain David19Tanguy Vendeuvre20Philippe Rigoard21PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FranceDepartment of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, BelgiumDepartment of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, BelgiumDepartment of General Medicine, Sorbonne University, 75012 Paris, FranceDyname, UMR 7367, Faculty of Social Sciences, University of Strasbourg, 67083 Strasbourg, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FranceDepartment of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FranceDepartment of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, FranceDepartment of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, FranceDepartment of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, FrancePain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, FrancePain Evaluation and Treatment Centre, La Rochelle Hospital, 17000 La Rochelle, FrancePain Evaluation and Treatment Centre, Nord Deux-Sèvres Hospital, 79000 Niort, FrancePain Evaluation and Treatment Centre, Nord Deux-Sèvres Hospital, 79000 Niort, FrancePain Evaluation and Treatment Centre, Centre Clinical Elsan, 16800 Soyaux, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FrancePRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, FranceThe Social Gradient of Health (SGH), or position in the social hierarchy, is one of the major determinants of health. It influences the development and evolution of many chronic diseases. Chronic pain dramatically affects individual and social condition. Its medico-economic impact is significant and worldwide. Failed Back Surgery Syndrome or Persistent Spinal Pain Syndrome type 2 (PSPS-T2) represents one of its most fascinating and disabling conditions. However, the influence of SGH on PSPS-T2 has been poorly explored. We designed a prospective multicentric study (PREDIBACK study) to assess the SGH prevalence, and to examine its association with medical and psychological variables, in PSPS-T2 patients. This study included 200 patients to determine the SGH association with pain (NPRS), Quality of life (EQ-5D-5L), kinesiophobia (FABQ-Work), catastrophism (CSQ), and functional capacity (ODI). Around 85.3% of PSPS-T2 patients in our study had low SGH. Low SGH patients had a higher FABQ-Work and CSQ-Catastrophizing score than high SGH patients (<i>p</i> < 0.05). High SGH patients have a higher ODI score than low SGH patients (<i>p</i> < 0.10). Our results suggest that SGH is a relevant factor to guide prevention, research, and ultimately intervention in PSPS-T2 patients and could be more widely transposed to chronic pain.https://www.mdpi.com/2077-0383/10/13/2817social gradient of healthpersistent spinal pain syndrome type 2failed back surgery syndromesocial determinants of health |
| spellingShingle | Nicolas Naiditch Maxime Billot Maarten Moens Lisa Goudman Philippe Cornet David Le Breton Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Kevin Nivole Pierre Pries Cecile Swennen Simon Teyssedou Elodie Charrier Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Tanguy Vendeuvre Philippe Rigoard Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain Journal of Clinical Medicine social gradient of health persistent spinal pain syndrome type 2 failed back surgery syndrome social determinants of health |
| title | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
| title_full | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
| title_fullStr | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
| title_full_unstemmed | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
| title_short | Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), a Social Pain? Advocacy for a Social Gradient of Health Approach to Chronic Pain |
| title_sort | persistent spinal pain syndrome type 2 psps t2 a social pain advocacy for a social gradient of health approach to chronic pain |
| topic | social gradient of health persistent spinal pain syndrome type 2 failed back surgery syndrome social determinants of health |
| url | https://www.mdpi.com/2077-0383/10/13/2817 |
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