Psychological characteristics of people with spinal cord injury-related persisting pain referred to a tertiary pain management center

摘要

This study examines the psychological characteristics of a cohort of individuals with spinal cord injury (SCI) and persisting pain referred to a tertiary pain management center. Fortyfive individuals completed measures of pain, mood, disability, and both pain and SCIrelated psychological variables such as selfefficacy and catastrophizing. Compared with a general pain clinic population attending the same tertiary pain management center (n = 5,941), the sample was found to have lower pain intensity, comparable pain catastrophizing levels, and less activity interference due to pain. In contrast, those with SCI pain reported poorer mood. Pain catastrophizing was associated with anxiety, depression, and activity interference due to pain; pain selfefficacy was close to being significantly associated with these variables also. SCI acceptance and selfefficacy were also associated with some of these variables. These findings suggest that the biopsychosocial model of pain is applicable in this sample and that further treatment benefits could be obtained through use of interventions targeting psychological and social variables within this model.