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Influence of Trauma on Pain Area and Widespreadness in Chronic Pain Patients

Completed
Conditions
Trauma
Chronic Pain
Registration Number
NCT05190367
Lead Sponsor
Hannover Medical School
Brief Summary

It is well known that patients suffering from chronic pain report higher levels of pain, anxiety, and depression if they have experienced a traumatic event. However, little is know about pain area and widespreadness.

In this retrospective study, we want to investigate whether pain area and widespreadness differs in chronic pain patients with and without traumatic events. To test this hypothesis we will retrospectively analyse pain drawings collected at the pain outpatient department from Hannover Medical School. Participants will be divided into four groups depending on the severity of their traumatic events: no trauma; accidental trauma; interpersonal trauma; post-traumatic stress disorder (PTSD).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
914
Inclusion Criteria
  • Chronic pain
Exclusion Criteria
  • None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Difference in pain widespreadnessFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Widespread pain index (WPI) derived from electronic pain drawings (SymptomMapper). The score ranges from 0 (no pain) to 19 (pain affects all possible regions).

Difference in pain areaFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Pain area derived from electronic pain drawings (SymptomMapper). The score ranges from 0 to 100% body area.

Secondary Outcome Measures
NameTimeMethod
Difference in mean pain in the last four weeksFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Visual analogue scale from 0 ("no pain") to 100 ("maximal imaginable pain").

Difference in current painFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Visual analogue scale from 0 ("no pain") to 100 ("maximal imaginable pain").

Difference in stressFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Stress assessed via the 10-item stress scale (PHQ-Stress) from the German version of the Patient Health Questionnaire (PHQ-D). The score ranges from 0 (no stress) to 20 (maximal stress).

Difference in maximal pain in the last four weeksFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Visual analogue scale from 0 ("no pain") to 100 ("maximal imaginable pain").

Difference in acceptable painFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Visual analogue scale from 0 ("no pain") to 100 ("maximal imaginable pain").

Difference in somatic symptomsFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Somatic symptoms assessed via the 15-item somatic scale (PHQ-15) from the German version of the Patient Health Questionnaire (PHQ-D). The score ranges from 0 (no somatic symptom burden) to 30 (maximal somatic symptom burden).

Difference in anxietyFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Anxiety assessed via the 7-item anxiety scale (GAD-7) from the German version of the Patient Health Questionnaire (PHQ-D). The score ranges from 0 (no anxiety) to 21 (maximal anxiety).

Difference in sleep impairmentFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Visual analogue scale from 0 ("no impairment") to 100 ("maximal imaginable impairment").

Difference in pain-related disabilityFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Pain-related disability assessed via the Pain Disability Index (PDI). The score ranges from 0 (no pain-related disability) to 70 (maximal disability).

Difference in depressionFirst visit of each patient at the Pain outpatient department of Hannover Medical School between 2019-02-28 and 2020-07-07

Depression assessed via the 9-item depression scale (PHQ-9) from the German version of the Patient Health Questionnaire (PHQ-D). The score ranges from 0 (no depression) to 27 (maximal depression).

Trial Locations

Locations (1)

Hannover Medical School

🇩🇪

Hannover, Germany

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