The Impact of Social Isolation on Pain Interference: A Longitudinal Study.
- Karayannis NV Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, Palo Alto, CA USA.
- Baumann I Institute for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland.
- Sturgeon JA Department of Anesthesiology and Pain Management, University of Washington, Seattle, Washington, USA.
- Melloh M Institute for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland.
- Mackey SC Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, Palo Alto, CA USA.
- 2018-04-19
Published in:
- Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. - 2019
Activities of Daily Living
Adult
Cross-Sectional Studies
Depression
Female
Humans
Longitudinal Studies
Male
Pain Management
Pain Measurement
Pain Perception
Retrospective Studies
Social Isolation
English
Background
Evidence suggests social interactions play an important role in pain perception.
Purpose
The aim of this study was to determine whether social isolation (SI) in people with persistent pain determines pain interference (PI) and physical function over time.
Methods
Patients seeking care at a tertiary pain management referral center were administered the Patient Reported Outcome Measurement Information System (PROMIS®) SI, PI, physical function, depression, and average pain intensity item banks at their initial consultation and subsequent visits as part of their routine clinical care. We used a post hoc simulation of an experiment using propensity score matching (n = 4,950) and carried out a cross-lagged longitudinal analysis (n = 312) of retrospective observational data.
Results
Cross-lagged longitudinal analysis showed that SI predicted PI at the next time point, above and beyond the effects of pain intensity and covariates, but not vice versa.
Conclusions
These data support the importance of SI as a factor in pain-related appraisal and coping and demonstrate that a comprehensive assessment of the individuals' social context can provide a better understanding of the differential trajectories for a person living with pain. Our study provides evidence that the impact of pain is reduced in individuals who perceive a greater sense of inclusion from and engagement with others. This study enhances the understanding of how social factors affect pain and have implications for how the effectiveness of therapeutic interventions may be improved. Therapeutic interventions aimed at increasing social connection hold merit in reducing the impact of pain on engagement with activities.
Evidence suggests social interactions play an important role in pain perception.
Purpose
The aim of this study was to determine whether social isolation (SI) in people with persistent pain determines pain interference (PI) and physical function over time.
Methods
Patients seeking care at a tertiary pain management referral center were administered the Patient Reported Outcome Measurement Information System (PROMIS®) SI, PI, physical function, depression, and average pain intensity item banks at their initial consultation and subsequent visits as part of their routine clinical care. We used a post hoc simulation of an experiment using propensity score matching (n = 4,950) and carried out a cross-lagged longitudinal analysis (n = 312) of retrospective observational data.
Results
Cross-lagged longitudinal analysis showed that SI predicted PI at the next time point, above and beyond the effects of pain intensity and covariates, but not vice versa.
Conclusions
These data support the importance of SI as a factor in pain-related appraisal and coping and demonstrate that a comprehensive assessment of the individuals' social context can provide a better understanding of the differential trajectories for a person living with pain. Our study provides evidence that the impact of pain is reduced in individuals who perceive a greater sense of inclusion from and engagement with others. This study enhances the understanding of how social factors affect pain and have implications for how the effectiveness of therapeutic interventions may be improved. Therapeutic interventions aimed at increasing social connection hold merit in reducing the impact of pain on engagement with activities.
- Language
-
- English
- Open access status
- hybrid
- Identifiers
-
- DOI 10.1093/abm/kay017
- PMID 29668841
- Persistent URL
- https://sonar.ch/global/documents/32837
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