Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain

ObjectivesRandomized clinical trials are used to evaluate the efficacy of various pain treatments individually, while a limited number of observational studies have portrayed the overall relief experienced by persons living with chronic pain. This study aimed to describe pain relief in real-world cl...

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Main Authors: Meriem Zerriouh, Gwenaelle De Clifford-Faugère, Hermine Lore Nguena Nguefack, M. Gabrielle Pagé, Line Guénette, Lucie Blais, Anaïs Lacasse
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2024.1306479/full
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author Meriem Zerriouh
Gwenaelle De Clifford-Faugère
Hermine Lore Nguena Nguefack
M. Gabrielle Pagé
M. Gabrielle Pagé
Line Guénette
Line Guénette
Lucie Blais
Anaïs Lacasse
author_facet Meriem Zerriouh
Gwenaelle De Clifford-Faugère
Hermine Lore Nguena Nguefack
M. Gabrielle Pagé
M. Gabrielle Pagé
Line Guénette
Line Guénette
Lucie Blais
Anaïs Lacasse
author_sort Meriem Zerriouh
collection DOAJ
description ObjectivesRandomized clinical trials are used to evaluate the efficacy of various pain treatments individually, while a limited number of observational studies have portrayed the overall relief experienced by persons living with chronic pain. This study aimed to describe pain relief in real-world clinical settings and to identify associated factors.MethodsThis exploratory web-based cross-sectional study used data from 1,419 persons recruited in the community. Overall pain relief brought by treatments used by participants was assessed using a 0%–100% scale (10-unit increments).ResultsA total of 18.2% of participants reported minimal pain relief (0%–20%), 60.0% moderate to substantial pain relief (30%–60%), and 21.8% extensive pain relief (70%–100%). Multivariable multinomial regression analysis revealed factors significantly associated with greater pain relief, including reporting a stressful event as circumstances surrounding the onset of pain, living with pain for ≥10 years, milder pain intensity, less catastrophic thinking, use of prescribed pain medications, use of nonpharmacological pain treatments, access to a trusted healthcare professional, higher general health scores, and polypharmacy. Factors associated with lower pain relief included surgery as circumstances surrounding pain onset, use of over-the-counter pain medications, and severe psychological distress.DiscussionIn this community sample of persons living with chronic pain, 8 out of 10 persons reported experiencing at least moderate relief with their treatment. The analysis has enabled us to explore potential modifiable factors as opportunities for improving the well-being of persons living with chronic pain.
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spelling doaj.art-c1fbf710ecab47d8b9de8f80869d981a2024-03-15T04:53:51ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2024-03-01510.3389/fpain.2024.13064791306479Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic painMeriem Zerriouh0Gwenaelle De Clifford-Faugère1Hermine Lore Nguena Nguefack2M. Gabrielle Pagé3M. Gabrielle Pagé4Line Guénette5Line Guénette6Lucie Blais7Anaïs Lacasse8Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaCentre de Recherche, Centre Hospitalier de l’Université de Montréal (CHUM), Montréal, QC, CanadaDépartement d’Anesthésiologie et de Médecine de la Douleur, Faculté de Médecine, Université de Montréal, Montréal, QC, CanadaFaculté de Pharmacie, Université Laval, Quebec City, QC, CanadaCentre de Recherche, Centre Hospitalier Universitaire (CHU) de Québec—Université Laval, Axe Santé des Populations et Pratiques Optimales en Santé, Quebec City, QC, CanadaFaculté de Pharmacie, Université de Montréal, Montréal, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaObjectivesRandomized clinical trials are used to evaluate the efficacy of various pain treatments individually, while a limited number of observational studies have portrayed the overall relief experienced by persons living with chronic pain. This study aimed to describe pain relief in real-world clinical settings and to identify associated factors.MethodsThis exploratory web-based cross-sectional study used data from 1,419 persons recruited in the community. Overall pain relief brought by treatments used by participants was assessed using a 0%–100% scale (10-unit increments).ResultsA total of 18.2% of participants reported minimal pain relief (0%–20%), 60.0% moderate to substantial pain relief (30%–60%), and 21.8% extensive pain relief (70%–100%). Multivariable multinomial regression analysis revealed factors significantly associated with greater pain relief, including reporting a stressful event as circumstances surrounding the onset of pain, living with pain for ≥10 years, milder pain intensity, less catastrophic thinking, use of prescribed pain medications, use of nonpharmacological pain treatments, access to a trusted healthcare professional, higher general health scores, and polypharmacy. Factors associated with lower pain relief included surgery as circumstances surrounding pain onset, use of over-the-counter pain medications, and severe psychological distress.DiscussionIn this community sample of persons living with chronic pain, 8 out of 10 persons reported experiencing at least moderate relief with their treatment. The analysis has enabled us to explore potential modifiable factors as opportunities for improving the well-being of persons living with chronic pain.https://www.frontiersin.org/articles/10.3389/fpain.2024.1306479/fullchronic painpainmanagementrelieftreatmentclinical relevance
spellingShingle Meriem Zerriouh
Gwenaelle De Clifford-Faugère
Hermine Lore Nguena Nguefack
M. Gabrielle Pagé
M. Gabrielle Pagé
Line Guénette
Line Guénette
Lucie Blais
Anaïs Lacasse
Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
Frontiers in Pain Research
chronic pain
pain
management
relief
treatment
clinical relevance
title Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
title_full Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
title_fullStr Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
title_full_unstemmed Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
title_short Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain
title_sort pain relief and associated factors a cross sectional observational web based study in a quebec cohort of persons living with chronic pain
topic chronic pain
pain
management
relief
treatment
clinical relevance
url https://www.frontiersin.org/articles/10.3389/fpain.2024.1306479/full
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