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Positive psychological well-being predicts lower severe pain in the general population: a 2-year follow-up study of the SwePain cohort
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.ORCID iD: 0000-0001-9019-4125
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Lund Univ, Sweden; Skane Univ Hosp Lund, Sweden.
2019 (English)In: Annals of General Psychiatry, ISSN 1744-859X, E-ISSN 1744-859X, Vol. 18, article id 8Article in journal (Refereed) Published
Abstract [en]

BackgroundPositive psychology indicators like well-being and life satisfaction may play a pivotal role in pain-related outcomes. In this study, we aimed to examine the prospective associations of positive well-being and life satisfaction with pain severity.Methods and SubjectsThis longitudinal study, with a follow-up of 2years, included 9361 participants (4266 males, 5095 females; mean age: 52.5years; SD: 17.5) without and with chronic pain (CP) at baseline. All analyses were stratified by the two sub-cohortsparticipants without CP (sub-cohort 1) and participants with CP (sub-cohort 2) at baseline. The predictive associations, assessed using ordinal regression in a Generalized Linear Model, were adjusted for baseline potential confounders and reported as odds ratios (ORs) with corresponding 95% confidence intervals (CIs).ResultsAfter adjustments, in sub-cohort 1 positive well-being at baseline was associated with lower severe pain at follow-up compared to participants with severe distress (OR: 0.64; 95% CI 0.49-0.84; pamp;lt;0.001). In sub-cohort 2, both positive well-being and life satisfaction at baseline were associated with lower severe pain at follow-up compared to participants with severe distress and not satisfied with life (OR: 0.80; 95% CI 0.65-0.98; p=0.031 and OR: 0.82; 95% CI 0.69-0.96; p=0.014, respectively).ConclusionsPositive well-being is predictive of lower pain severity both among participants without and with CP at baseline, whereas life satisfaction was found predictive of lower pain severity only for subjects with CP. Future research should emphasize implementing treatments associated with promoting and maintaining positive well-being and life satisfaction in patients who suffer from chronic pain and in risk populations.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 18, article id 8
Keywords [en]
Chronic pain; Positive well-being; Positive outcomes; Cohort; Pain severity; Multimorbidity
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-158566DOI: 10.1186/s12991-019-0231-9ISI: 000469848200002PubMedID: 31164910OAI: oai:DiVA.org:liu-158566DiVA, id: diva2:1334876
Note

Funding Agencies|Swedish Pain Foundation; Linkoping University; Medical Research Council of Southeast Sweden

Available from: 2019-07-03 Created: 2019-07-03 Last updated: 2019-11-06

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