The association between bodily functions and cognitive and emotional factors in chronic pain patients treated with neuromodulation: a systematic review
EANS Academy. Goudman L. 10/06/21; 339534; EP08030
Dr. Lisa Goudman
Contributions
Contributions
Abstract
Background: Chronic pain is among the leading causes of disability, with a drastic impact on patients and the society. Spinal Cord Stimulation (SCS) is considered an effective treatment option for certain chronic pain population, among which patients with Failed Back Surgery Syndrome or Complex Regional Pain Syndrome. After SCS implantation, treatment is often primarily focusing on bodily functions, without taking other components of the International Classification of Functioning, Disability and Health (ICF) framework into account. Therefore, the aim of this study is to systematically review the evidence of the association between bodily functions and cognitive and emotional factors in chronic pain patients who are treated with SCS.
Methods: Four databases were consulted for this systematic literature review (PubMed, Web of Science, Scopus and Embase) until December 2020. The modified Downs and Black Checklist is used to assess the risk of bias. The study protocol was prospectively registered at PROSPERO.
Results: The initial database search identified a total of 1432 citations. After removing duplicates and a thorough screening on title and abstract (phase 1) and full text (phase 2), 22 studies were included in this systematic review. The majority of the included studies revealed a positive correlation between depressive symptoms and pain intensity, and between pain intensity and psychological disorders.
Conclusions: Based on this systematic literature review, an association between cognitive and emotional factors on the one hand, and bodily functions on the other hand, seems very plausible. These findings suggest a potentially important role of properly addressing both bodily function and psychological factors such as cognitive and emotional components in patients suffering from chronic pain, who are treated with SCS.
Methods: Four databases were consulted for this systematic literature review (PubMed, Web of Science, Scopus and Embase) until December 2020. The modified Downs and Black Checklist is used to assess the risk of bias. The study protocol was prospectively registered at PROSPERO.
Results: The initial database search identified a total of 1432 citations. After removing duplicates and a thorough screening on title and abstract (phase 1) and full text (phase 2), 22 studies were included in this systematic review. The majority of the included studies revealed a positive correlation between depressive symptoms and pain intensity, and between pain intensity and psychological disorders.
Conclusions: Based on this systematic literature review, an association between cognitive and emotional factors on the one hand, and bodily functions on the other hand, seems very plausible. These findings suggest a potentially important role of properly addressing both bodily function and psychological factors such as cognitive and emotional components in patients suffering from chronic pain, who are treated with SCS.
Background: Chronic pain is among the leading causes of disability, with a drastic impact on patients and the society. Spinal Cord Stimulation (SCS) is considered an effective treatment option for certain chronic pain population, among which patients with Failed Back Surgery Syndrome or Complex Regional Pain Syndrome. After SCS implantation, treatment is often primarily focusing on bodily functions, without taking other components of the International Classification of Functioning, Disability and Health (ICF) framework into account. Therefore, the aim of this study is to systematically review the evidence of the association between bodily functions and cognitive and emotional factors in chronic pain patients who are treated with SCS.
Methods: Four databases were consulted for this systematic literature review (PubMed, Web of Science, Scopus and Embase) until December 2020. The modified Downs and Black Checklist is used to assess the risk of bias. The study protocol was prospectively registered at PROSPERO.
Results: The initial database search identified a total of 1432 citations. After removing duplicates and a thorough screening on title and abstract (phase 1) and full text (phase 2), 22 studies were included in this systematic review. The majority of the included studies revealed a positive correlation between depressive symptoms and pain intensity, and between pain intensity and psychological disorders.
Conclusions: Based on this systematic literature review, an association between cognitive and emotional factors on the one hand, and bodily functions on the other hand, seems very plausible. These findings suggest a potentially important role of properly addressing both bodily function and psychological factors such as cognitive and emotional components in patients suffering from chronic pain, who are treated with SCS.
Methods: Four databases were consulted for this systematic literature review (PubMed, Web of Science, Scopus and Embase) until December 2020. The modified Downs and Black Checklist is used to assess the risk of bias. The study protocol was prospectively registered at PROSPERO.
Results: The initial database search identified a total of 1432 citations. After removing duplicates and a thorough screening on title and abstract (phase 1) and full text (phase 2), 22 studies were included in this systematic review. The majority of the included studies revealed a positive correlation between depressive symptoms and pain intensity, and between pain intensity and psychological disorders.
Conclusions: Based on this systematic literature review, an association between cognitive and emotional factors on the one hand, and bodily functions on the other hand, seems very plausible. These findings suggest a potentially important role of properly addressing both bodily function and psychological factors such as cognitive and emotional components in patients suffering from chronic pain, who are treated with SCS.
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