The role of stressful traumatic events, personality traits and psychiatric disorders in the formation of chronic pain syndromes

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Abstract

BACKGROUND: Chronic pain syndrome is a highly prevalent condition that negatively affects the ability to work and quality of life, as well as worsening the prognosis of the disease and increasing the risk of early death. One of the most important scientific and practical medical tasks is the identification of risk factors for the transition of acute pain to chronic pain, which in the future will allow to develop mechanisms for preventing the development of chronic pain. It has been established that various psychological and psychopathological factors, in particular, personality traits and mental disorders, psychotraumatic events, make a significant contribution to the perpetuation of pain, but these data require clarification.

AIM: To determine the contribution of stressful events, personality profile and comorbid psychiatric disorders to the formation of chronic pain syndromes.

MATERIALS AND METHODS: The study included 105 patients aged 18 to 70 years with unexplained somatic or neurological pain syndrome that existed for more than 6 months and served as a reason for hospitalization. All patients underwent clinical-anamnestic and psychometric examination, statistical processing of the results was performed using SPSS Statistics v22.

RESULTS: In the course of the study, 4 groups of patients with psychiatric disorders comorbid with chronic pain were formed: 1 — chronic pain within the framework of prolonged reaction to stress\exhaustion disorder, 42 observations (12 men, 30 women); 2 — chronic pain within the framework of prolonged masked depressive episodes, 41 observations (6 men, 35 women); 3 — chronic pain as part of hypochondriacal spectrum disorders (limited hypochondria), 15 observations (8 men, 7 women); 4 — chronic pain as part of constitutional anomalies with a tendency to experience pain (pain prone personality), 7 observations (5 men, 2 women).

CONCLUSION: A significant association of chronic pain syndromes with stressful events has been established.

About the authors

Dmitriy S. Petelin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: petelinhome1@yandex.ru
ORCID iD: 0000-0002-2228-6316
SPIN-code: 4426-2811

MD, Cand. Sci. (Med.), Assistant, Depart. of Psychiatry and Psychososmatics

Russian Federation, Moscow

Ekaterina M. Anpilogova

JSC “Medicina” (academician Roytberg’s clinic)

Email: truelass@hotmail.com
ORCID iD: 0000-0001-9478-5838
SPIN-code: 8499-0506

MD, Cand. Sci. (Med.), Dermatologist

Russian Federation, Moscow

Artem O. Tolokonin

Clinic “Neo Vita”

Email: tolokonin@yandex.ru
ORCID iD: 0000-0001-5156-2378
SPIN-code: 2789-2672

MD, Cand. Sci. (Med.), Head, Institutuon for Psychosomatics

Russian Federation, Moscow

Aysylu N. Galiautdinova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: aysylu.gamirova@gmail.com
ORCID iD: 0000-0002-9543-4041
SPIN-code: 6609-3512

Medical Resident, Department of Psychiatry and Psychososmatics

Russian Federation, Moscow

Olga N. Voskresenskaya

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: vos-olga@yandex.ru
ORCID iD: 0000-0002-7330-633X
SPIN-code: 1248-8985

MD, Dr. Sci. (Med.), Prof., Department for Nervous Diseases and Neurosurgery

Russian Federation, Moscow

Beatrice A. Volel

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: beatrice.volel@gmail.com
ORCID iD: 0000-0003-1667-5355
SPIN-code: 1120-7630

MD, Dr. Sci. (Med.), Prof., Director, N.V. Sklifosovsky Institute of Clinical Medicine

Russian Federation, Moscow

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2. Fig. 1. Distribution of the nature of psychotraumatic events that preceded the formation of chronic pain syndrome.

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