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Mental pain as a global person-centered outcome measure
CNS Spectrums ( IF 3.4 ) Pub Date : 2021-07-27 , DOI: 10.1017/s1092852921000699
Fiammetta Cosci 1, 2 , Giovanni Mansueto 1, 3 , Silvia Benemei 4 , Alberto Chiarugi 1, 4 , Francesco De Cesaris 4 , Tom Sensky 5
Affiliation  

Background

Mental pain has been proposed as a global person-centered outcome measure. The aim of this cross-sectional study was to test an essential requisite of such a measure, namely that mental pain incorporates independent contributions from a range of discrete but disparate outcome measures.

Methods

Two hundred migraine patients were assessed concerning migraine disability, psychosomatic syndromes, mental pain, depression, anxiety, and psychosocial dimensions. General linear models were tested to verify which measures would individually make unique contributions to overall mental pain.

Results

The final model, accounting for 44% of variance, identified that higher mental pain was associated with more severe depressive symptoms, higher migraine disability, lower well-being, and poorer quality of life.

Conclusion

In this sample, mental pain was shown to behave as expected of a global outcome measure, since multiple measures of symptomatology and quality of life showed modest but significant bivariate correlations with mental pain and some of these measures individually made unique contributions to overall mental pain.



中文翻译:

精神痛苦作为全球以人为本的结果衡量标准

背景

精神痛苦已被提议作为全球以人为本的结果衡量标准。这项横断面研究的目的是测试这种措施的基本要求,即精神痛苦包含来自一系列离散但不同的结果措施的独立贡献。

方法

对 200 名偏头痛患者进行了偏头痛残疾、心身综合征、精神疼痛、抑郁、焦虑和心理社会方面的评估。对一般线性模型进行了测试,以验证哪些措施会单独对整体精神痛苦做出独特贡献。

结果

最终模型占 44% 的方差,确定较高的精神痛苦与较严重的抑郁症状、较高的偏头痛残疾、较低的幸福感和较差的生活质量相关。

结论

在这个样本中,精神疼痛的表现与全球结果测量的预期一致,因为症状学和生活质量的多项测量显示与精神疼痛适度但显着的双变量相关性,其中一些测量单独对整体精神疼痛做出独特贡献。

更新日期:2021-07-27
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