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Clinical Characteristics of Pain Among Five Chronic Overlapping Pain Conditions
Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY, United States.
Malmö University, Faculty of Odontology (OD). Department of Oral Diagnostic Sciences, University at Buffalo, School of Dental Medicine, Buffalo, NY, United States.ORCID iD: 0000-0002-1887-7420
Department of Community Dentistry and Behavioral Science, Pain Research and Intervention Center of Excellence, College of Dentistry University of Florida, Gainesville, FL, United States.
Department of Neural and Pain Sciences, Brotman Facial Pain Clinic Center to Advance Chronic Pain Research, School of Dentistry University of Maryland, Baltimore, MD, United States.
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2020 (English)In: Journal of Oral & Facial Pain and Headache, ISSN 2333-0384, Vol. 34, no Suppl, p. 29-42Article in journal (Refereed) Published
Abstract [en]

Aims: To describe the pain characteristics of five index chronic overlapping pain conditions (COPCs) and to assess each COPC separately in order to determine whether the presence of comorbid COPCs is associated with bodily pain distribution, pain intensity, pain interference, and high-impact pain of the index COPC. Methods: Data were from a convenience sample of 655 US adults, of whom 388 had one or more of the five COPCs: painful temporomandibular disorders, headache, low back pain, irritable bowel syndrome, and/or fibromyalgia. Data were collected using pain location checklists and self-report questions regarding pain attributes. The contributions of the COPCs to reported pain intensity and interference were assessed using multivariable regression models. Results/Conclusion: Heat maps from a pain body manikin illustrated that very little of the body was pain free within these COPCs. All pain attributes were the most severe for fibromyalgia and the least severe for irritable bowel syndrome. Within each index COPC, pain intensity, pain interference, and the proportion of participants with high-impact pain increased with each additional comorbid COPC up to four or more COPCs (including the index COPC) (P < .01). High-impact pain associated with an index COPC was influenced by type and number of comorbid COPCs, largely in a gradient-specific manner.

Place, publisher, year, edition, pages
Quintessence , 2020. Vol. 34, no Suppl, p. 29-42
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-41117DOI: 10.11607/ofph.2573ISI: 000612434900007PubMedID: 32975539Scopus ID: 2-s2.0-85091669515OAI: oai:DiVA.org:mau-41117DiVA, id: diva2:1535546
Available from: 2021-03-09 Created: 2021-03-09 Last updated: 2023-10-17Bibliographically approved

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Sharma, Sonia

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