Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.

<h4>Objective</h4>Anxiety symptoms are common in chronic pain patients. High levels of anxiety are associated with increased pain experience and disability. Proneness to anxiety has a large interindividual variation. The aim of the study was to determine whether the anxiety-related tempe...

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Autores principales:	Peter Knaster, Ann-Mari Estlander, Hasse Karlsson, Jaakko Kaprio, Eija Kalso
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6ad2e36f8f324ee990f156ed6aa28606
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spelling	oai:doaj.org-article:6ad2e36f8f324ee990f156ed6aa286062021-11-18T08:11:03ZTemperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.1932-620310.1371/journal.pone.0045672https://doaj.org/article/6ad2e36f8f324ee990f156ed6aa286062012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23133510/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Anxiety symptoms are common in chronic pain patients. High levels of anxiety are associated with increased pain experience and disability. Proneness to anxiety has a large interindividual variation. The aim of the study was to determine whether the anxiety-related temperament trait Harm Avoidance (HA), is associated with pain-related anxiety.<h4>Methods</h4>One hundred chronic pain patients in a multidisciplinary pain clinic participated in the study. The patients were assessed using the HA scale of the Temperament and Character Inventory (TCI) of Cloninger and Pain Anxiety Symptoms Scale-20 (PASS-20). Both the HA total score and the four subscales of HA were analyzed. Current pain intensity was measured using the Visual Analogue Scale (VAS). The Beck Depression Inventory (BDI) was used to control for the influence of depression on the personality measurement.<h4>Results</h4>The HA total score was associated with PASS-20, but the association became non-significant after controlling for depression. The HA4 Fatigability subscale was associated with the PASS scales. Depression did not influence this association. Pain intensity was not correlated with HA or the PASS scales. However, the association between HA4 Fatigability and PASS was influenced by pain intensity. Higher pain intensity was associated with stronger association between the scales.<h4>Conclusion</h4>Harm Avoidance, representing temperament and trait-related anxiety, has relevance in pain-related anxiety. Assessing personality and temperament may deepen the clinician's understanding of the pain experience and behavior in chronic pain patients.Peter KnasterAnn-Mari EstlanderHasse KarlssonJaakko KaprioEija KalsoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 10, p e45672 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Peter Knaster Ann-Mari Estlander Hasse Karlsson Jaakko Kaprio Eija Kalso Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
description	<h4>Objective</h4>Anxiety symptoms are common in chronic pain patients. High levels of anxiety are associated with increased pain experience and disability. Proneness to anxiety has a large interindividual variation. The aim of the study was to determine whether the anxiety-related temperament trait Harm Avoidance (HA), is associated with pain-related anxiety.<h4>Methods</h4>One hundred chronic pain patients in a multidisciplinary pain clinic participated in the study. The patients were assessed using the HA scale of the Temperament and Character Inventory (TCI) of Cloninger and Pain Anxiety Symptoms Scale-20 (PASS-20). Both the HA total score and the four subscales of HA were analyzed. Current pain intensity was measured using the Visual Analogue Scale (VAS). The Beck Depression Inventory (BDI) was used to control for the influence of depression on the personality measurement.<h4>Results</h4>The HA total score was associated with PASS-20, but the association became non-significant after controlling for depression. The HA4 Fatigability subscale was associated with the PASS scales. Depression did not influence this association. Pain intensity was not correlated with HA or the PASS scales. However, the association between HA4 Fatigability and PASS was influenced by pain intensity. Higher pain intensity was associated with stronger association between the scales.<h4>Conclusion</h4>Harm Avoidance, representing temperament and trait-related anxiety, has relevance in pain-related anxiety. Assessing personality and temperament may deepen the clinician's understanding of the pain experience and behavior in chronic pain patients.
format	article
author	Peter Knaster Ann-Mari Estlander Hasse Karlsson Jaakko Kaprio Eija Kalso
author_facet	Peter Knaster Ann-Mari Estlander Hasse Karlsson Jaakko Kaprio Eija Kalso
author_sort	Peter Knaster
title	Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
title_short	Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
title_full	Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
title_fullStr	Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
title_full_unstemmed	Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
title_sort	temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/6ad2e36f8f324ee990f156ed6aa28606
work_keys_str_mv	AT peterknaster temperamenttraitsandchronicpaintheassociationofharmavoidanceandpainrelatedanxiety AT annmariestlander temperamenttraitsandchronicpaintheassociationofharmavoidanceandpainrelatedanxiety AT hassekarlsson temperamenttraitsandchronicpaintheassociationofharmavoidanceandpainrelatedanxiety AT jaakkokaprio temperamenttraitsandchronicpaintheassociationofharmavoidanceandpainrelatedanxiety AT eijakalso temperamenttraitsandchronicpaintheassociationofharmavoidanceandpainrelatedanxiety
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Temperament traits and chronic pain: the association of harm avoidance and pain-related anxiety.

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