BACKGROUND: Pain is a complex experience with both sensory and affective dimensions, and the affective dimension can increase the risks of chronic pain development. It is thus critical to identify factors influencing the affective dimension of pain. OBJECTIVE: This study aimed to identify the relationship between the affective dimension of pain and disorder site (primary pain source). METHODS: Study participants were recruited from patients referred for physical therapy at an orthopedic outpatient clinic. Pain quality including the affective dimension, disorder site from descriptive medical diagnosis, pain intensity, duration from pain onset, and demographic data, was collected. A multivariable logistic regression model was constructed to analyze the relationship between the affective dimension of pain and the disorder site. RESULTS: A total of 282 participants were included. Cervical and lumbar spine disorders were significantly associated with an affective dimension of pain compared to limb disorders when adjusted for age, sex, pain intensity, and duration from the onset in the regression model. CONCLUSIONS: Regardless of duration from the onset and other confounding factors, disorder site is correlated with the affective dimension of pain. Multidimensional pain assessment is crucial when clinicians evaluate patients with cervical and lumbar spine disorders, even in the acute phase.

中文翻译：

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疼痛的情感维度与疾病部位的关系：一项横断面研究

背景：疼痛是一种复杂的体验，具有感觉和情感两个维度，情感维度会增加慢性疼痛发展的风险。因此，确定影响疼痛情感维度的因素至关重要。目的：本研究旨在确定疼痛的情感维度与疾病部位（主要疼痛源）之间的关系。方法：研究参与者是从在骨科门诊接受物理治疗的患者中招募的。收集了疼痛质量，包括情感维度、描述性医学诊断的疾病部位、疼痛强度、疼痛发作的持续时间和人口统计数据。构建多变量逻辑回归模型分析疼痛的情感维度与疾病部位之间的关系。结果：总共包括 282 名参与者。在回归模型中根据年龄、性别、疼痛强度和发病持续时间进行调整后，与肢体疾病相比，颈椎和腰椎疾病与疼痛的情感维度显着相关。结论：无论发病持续时间和其他混杂因素如何，疾病部位与疼痛的情感维度相关。当临床医生评估颈椎和腰椎疾病患者时，即使在急性期，多维疼痛评估也至关重要。无论发病持续时间和其他混杂因素如何，疾病部位与疼痛的情感维度相关。当临床医生评估颈椎和腰椎疾病患者时，即使在急性期，多维疼痛评估也至关重要。无论发病持续时间和其他混杂因素如何，疾病部位与疼痛的情感维度相关。当临床医生评估颈椎和腰椎疾病患者时，即使在急性期，多维疼痛评估也至关重要。