Deciphering Pain in Vulnerable People with Chronic Conditions

Charlotte Faurie; Demi Cheng; Claire Duflos; Liset E.M. Elstgeest; Rosanna Ferreira; Hein Raat; Verushka Valsecchi; Alberto Pilotto; Graham Baker; Marta María Pisano-Gónzalez; Yves-Marie Pers

doi:10.20944/preprints202303.0123.v2

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preprints.org > medicine & pharmacology > general medical research > doi: 10.20944/preprints202303.0123.v2

Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Deciphering Pain in Vulnerable People with Chronic Conditions

^* ,

Marta María Pisano-Gónzalez

Yves-Marie Pers

Version 1 : Received: 6 March 2023 / Approved: 7 March 2023 / Online: 7 March 2023 (03:06:47 CET)
Version 2 : Received: 13 March 2023 / Approved: 14 March 2023 / Online: 14 March 2023 (01:42:07 CET)

How to cite: Faurie, C.; Cheng, D.; Duflos, C.; Elstgeest, L.E.; Ferreira, R.; Raat, H.; Valsecchi, V.; Pilotto, A.; Baker, G.; Pisano-Gónzalez, M.M.; Pers, Y. Deciphering Pain in Vulnerable People with Chronic Conditions. Preprints 2023, 2023030123. https://doi.org/10.20944/preprints202303.0123.v2. Faurie, C.; Cheng, D.; Duflos, C.; Elstgeest, L.E.; Ferreira, R.; Raat, H.; Valsecchi, V.; Pilotto, A.; Baker, G.; Pisano-Gónzalez, M.M.; Pers, Y. Deciphering Pain in Vulnerable People with Chronic Conditions. Preprints 2023, 2023030123. https://doi.org/10.20944/preprints202303.0123.v2.

Cite as:

Faurie, C.; Cheng, D.; Duflos, C.; Elstgeest, L.E.; Ferreira, R.; Raat, H.; Valsecchi, V.; Pilotto, A.; Baker, G.; Pisano-Gónzalez, M.M.; Pers, Y. Deciphering Pain in Vulnerable People with Chronic Conditions. Preprints 2023, 2023030123. https://doi.org/10.20944/preprints202303.0123.v2. Faurie, C.; Cheng, D.; Duflos, C.; Elstgeest, L.E.; Ferreira, R.; Raat, H.; Valsecchi, V.; Pilotto, A.; Baker, G.; Pisano-Gónzalez, M.M.; Pers, Y. Deciphering Pain in Vulnerable People with Chronic Conditions. Preprints 2023, 2023030123. https://doi.org/10.20944/preprints202303.0123.v2.

Abstract

Chronic pain is a source of major alterations in quality of life. It represents significant costs for health systems, and reduces the competitiveness of the working population. Vulnerability can drive the incidence of chronic pain, through its influence on modifiable risk factors, and reduced utilization of health care systems. But vulnerability can also be the consequence of a chronic pain: illness can push people into precariousness. We analysed the factors associated with pain intensity among vulnerable persons with a chronic condition, in five European countries (N=1,364). Pain was, among the whole set of variables, the main predictor of sleep problems, fatigue, depression, self-perceived health, physical and mental quality of life. This is in line with other studies showing the major impact of pain on an individual’s health and life. Multivariable analyses, adjusting for the whole set of variables, showed that women had more intense pain, as well as participants with a lower education level. These results confirm the social component in the complex etiology of pain and clearly plaid in favor of integrated care, taking into account individual characteristics and environment.

Keywords

chronic pain; patient education; vulnerable populations; low income; quality of life

Subject

MEDICINE & PHARMACOLOGY, General Medical Research

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comments (1)

Comment 1

Received: 14 March 2023
Commenter: Charlotte FAURIE
Commenter's Conflict of Interests: Author

Comment: Minor revisions according to reviewers's comments

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