Neuropsychological assessment of chronic non-malignant pain patients treated in a multidisciplinary pain centre
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Neuropsychological assessment of chronic non-malignant pain patients treated in a multidisciplinary pain centre. / Sjøgren, Per; Christrup, Lona Louring; Petersen, Morten Aa; Højsted, Jette.
In: European Journal of Pain, Vol. 9, No. 4, 08.2005, p. 453-62.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Neuropsychological assessment of chronic non-malignant pain patients treated in a multidisciplinary pain centre
AU - Sjøgren, Per
AU - Christrup, Lona Louring
AU - Petersen, Morten Aa
AU - Højsted, Jette
PY - 2005/8
Y1 - 2005/8
N2 - The aim of the study was to investigate the influence of pain, sedation, pain medications and socio-demographics on cognitive functioning in chronic non-malignant pain patients. Chronic non-malignant pain patients (N=91) treated in a multidisciplinary pain centre were compared with age and sex matched healthy volunteers (N=64). Furthermore four subgroups of patients were examined: Group 1 (N=21) received no pain medications, group 2 (N=19) were in long-term oral opioid treatment, group 3 (N=18) were treated with antidepressants and/or anticonvulsants and group 4 (N=33) were treated with a combination of long-term oral opioids and antidepressants and/or anticonvulsants. Assessments comprised pain (PVAS) and sedation (SVAS), Continuous Reaction Time (CRT) testing for sustained attention, Finger Tapping Test (FTT) testing for psychomotor speed, Paced Auditory Serial Addition Task (PASAT) testing for information processing and working memory and Mini Mental State Examination (MMSE). CRT and FTT were impaired in the total patient sample. Treatment with opioids was associated with poorer performance of PASAT. High scores of PVAS and SVAS were associated with poor performance of PASAT and CRT, respectively. MMSE seems to be too insensitive for detecting the milder forms of cognitive impairment found in chronic non-malignant patients.
AB - The aim of the study was to investigate the influence of pain, sedation, pain medications and socio-demographics on cognitive functioning in chronic non-malignant pain patients. Chronic non-malignant pain patients (N=91) treated in a multidisciplinary pain centre were compared with age and sex matched healthy volunteers (N=64). Furthermore four subgroups of patients were examined: Group 1 (N=21) received no pain medications, group 2 (N=19) were in long-term oral opioid treatment, group 3 (N=18) were treated with antidepressants and/or anticonvulsants and group 4 (N=33) were treated with a combination of long-term oral opioids and antidepressants and/or anticonvulsants. Assessments comprised pain (PVAS) and sedation (SVAS), Continuous Reaction Time (CRT) testing for sustained attention, Finger Tapping Test (FTT) testing for psychomotor speed, Paced Auditory Serial Addition Task (PASAT) testing for information processing and working memory and Mini Mental State Examination (MMSE). CRT and FTT were impaired in the total patient sample. Treatment with opioids was associated with poorer performance of PASAT. High scores of PVAS and SVAS were associated with poor performance of PASAT and CRT, respectively. MMSE seems to be too insensitive for detecting the milder forms of cognitive impairment found in chronic non-malignant patients.
KW - Adult
KW - Aged
KW - Analgesics
KW - Analgesics, Opioid
KW - Anticonvulsants
KW - Antidepressive Agents
KW - Chronic Disease
KW - Cognition
KW - Cognition Disorders
KW - Denmark
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Neuropsychological Tests
KW - Pain Clinics
KW - Pain Measurement
KW - Pain, Intractable
KW - Psychomotor Performance
KW - Treatment Outcome
U2 - 10.1016/j.ejpain.2004.10.005
DO - 10.1016/j.ejpain.2004.10.005
M3 - Journal article
C2 - 15979026
VL - 9
SP - 453
EP - 462
JO - European Journal of Pain
JF - European Journal of Pain
SN - 1090-3801
IS - 4
ER -
ID: 46098352