Hypervigilance to pain affects activities of daily living: an examination using the Japanese version of the pain vigilance awareness questionnaire.
Hayato Shigetoh
PMID 29643581WHAT IT FOUND
In 50 elderly patients with chronic pain, hypervigilance and pain intensity were the only factors significantly linked to disability.
Anxiety, depression, fear of movement, and catastrophizing did not independently predict daily living limitations.
Key findings
01Multiple regression analysis showed that disability scores were significantly affected by hypervigilance and pain intensity.
02Hypervigilance to pain influenced disability more than other psychological factors examined in this study.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The cross-sectional design means it is unclear if changes in hypervigilance lead to changes in disability. The sample was exclusively elderly, so findings may not apply to younger patients. The majority of participants were female, which may limit generalizability due to potential gender differences in pain processing.
Declared interests
None reported.
The easy way to misread this
Do not assume that anxiety, depression, or fear of movement are irrelevant to these patients' disability; this study only shows they were not independent predictors in this specific statistical model of elderly women.