Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review
- PMID: 32321056
- PMCID: PMC7135143
- DOI: 10.11606/s1518-8787.2020054001675
Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review
Abstract
Objective: To examine and map the consequences of chronic pain in adulthood.
Method: Documents addressing the impact of chronic pain on the psychological and social spheres of people suffering from chronic pain, published in Spanish and English between 2013 and 2018, were included. Those who addressed pharmacological treatments, chronic pain resulting from surgical interventions or who did not have access to the full text were excluded. Finally, 28 documents from the 485 reviewed were included.
Results: Studies show that pain is related to high rates of limitation in daily activities, sleep disorders and anxiety-depression spectrum disorders. People in pain have more problems to get the workday done and to maintain social relationships. Chronic pain is also associated with worse family functioning.
Conclusions: This review shows that limitations in the ability to perform activities of daily living, sleep, psychological health, social and work resources and family functioning are lines of interest in published articles. However, knowledge gaps are detected in areas such as the influence of having suffered pain in childhood or adolescence, the consequences of non-fulfillment of working hours and gender inequalities.
OBJETIVO: Examinar y mapear las consecuencias del dolor crónico en la edad adulta.
MÉTODO: Se incluyeron documentos que abordaban las repercusiones del dolor crónico en las esferas psicológica y social de las personas que lo padecen, publicados en español e inglés entre los años 2013–2018. Aquellos que abordaban tratamientos farmacológicos, dolor crónico derivado de intervenciones quirúrgicas o que no tenían acceso a texto completo fueron excluidos. Finalmente, se incluyeron 28 documentos de los 485 revisados.
RESULTADOS: Los estudios muestran que el dolor se relaciona con altas tasas de limitación en las actividades de la vida diaria, alteraciones del sueño y trastornos del espectro ansiedad-depresión. Las personas con dolor experimentan más problemas para rendir en la jornada laboral y mantener relaciones sociales. Con respecto a la familia, el dolor crónico se ha asociado con un peor funcionamiento familiar.
CONCLUSIONES: Esta revisión pone de manifiesto que las limitaciones en la capacidad para realizar actividades de la vida diaria, el sueño, la salud psicológica, los recursos sociales y laborales y el funcionamiento familiar son líneas de interés en los trabajos publicados. Sin embargo, se detectan lagunas de conocimiento en áreas como la influencia de haber padecido dolor en la infancia o adolescencia, las consecuencias por incumplimiento de la jornada laboral y las desigualdades de género.
Conflict of interest statement
Conflict of Interest: The authors declare no conflicts of interest.
Figures
References
-
- 1. International Association for the Study of Pain (IASP). Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2. ed. Seattle (USA): IASP Press; 1986. - PubMed
- International Association for the Study of Pain (IASP) Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2. Seattle (USA): IASP Press; 1986. - PubMed
-
- 3. Campbell G, Darke S, Bruno R, Degenhardt L. The prevalence and correlates of chronic pain and suicidality in a nationally representative sample. Aust N Z J Psychiatry. 2015;49(9):803-11. 10.1177/0004867415569795 - DOI - PubMed
- Campbell G, Darke S, Bruno R, Degenhardt L. The prevalence and correlates of chronic pain and suicidality in a nationally representative sample. Aust N Z J Psychiatry. 2015;49(9):803–811. doi: 10.1177/0004867415569795. - DOI - PubMed
-
- 4. Castro A, Gili M, Aguilar JL, Pélaez R, Roca M. Sueño y depresión en una muestra de pacientes con dolor crónico. Rev Soc Esp Dolor. 2014;21(6):299-306. 10.4321/S1134-80462014000600002 - DOI
- Castro A, Gili M, Aguilar JL, Pélaez R, Roca M. Sueño y depresión en una muestra de pacientes con dolor crónico. Rev Soc Esp Dolor. 2014;21(6):299–306. doi: 10.4321/S1134-80462014000600002. - DOI
-
- 5. Sola H, Salazar A, Dueñas M, Ojeda B, Failde I. A nationwide cross-sectional study of the impact of chronic pain on an individual´s employment: relationship with the family and the social support. BMJ Open. 2016;6(12):e012246. 10.1136/bmjopen-2016-012246 - DOI - PMC - PubMed
- Sola H, Salazar A, Dueñas M, Ojeda B, Failde I. A nationwide cross-sectional study of the impact of chronic pain on an individual´s employment: relationship with the family and the social support. BMJ Open. 2016;6(12):e012246. doi: 10.1136/bmjopen-2016-012246. - DOI - PMC - PubMed
