Abstract：
OBJECTIVE: The study aimed to profile patients with uncontrolled chronic pain referred from primary care to a tertiary hospital in a developing country, and identify factors associated with pain intensity, interference, and its link with mental health.
METHODS: Cross-sectional design.
METHODS: Data from 906 adult patients with nonmalignant chronic pain during their first visit to the multidisciplinary pain center at the State University of Rio de Janeiro in 2019 were used. The brief pain inventory and the Hospital Anxiety and Depression Scale questionnaire assessed pain intensity, its impact on daily activity, and symptoms of anxiety and depression.
RESULTS: The population was predominantly female (68.8%), over 50 (66.3%), with less than 11 years of education (86.5%), and 75.2% were overweight or obese. Most (81.9%) reported moderate or severe pain, significantly interfering with daily activities (>50%). The lower back was the most commonly affected site. Widespread pain was present in 43.6% of patients. High scores for anxiety (67.4%) and depression (52.2%) were observed. Severe pain was predominantly seen in middle-aged women and individuals with high levels of anxiety and depression.
CONCLUSIONS: Patients with uncontrolled chronic pain referred from primary care to a tertiary hospital were predominantly female, overweight or obese, and exhibited a high prevalence of depression and anxiety. Their pain significantly interfered with daily activities.
CONCLUSIONS: The study provides valuable insight into the biopsychosocial characteristics of uncontrolled chronic pain patients in primary care, emphasizing the importance of implementing multidisciplinary approaches to manage chronic pain effectively within primary care settings.
METHODS: Cross-sectional design.
METHODS: Data from 906 adult patients with nonmalignant chronic pain during their first visit to the multidisciplinary pain center at the State University of Rio de Janeiro in 2019 were used. The brief pain inventory and the Hospital Anxiety and Depression Scale questionnaire assessed pain intensity, its impact on daily activity, and symptoms of anxiety and depression.
RESULTS: The population was predominantly female (68.8%), over 50 (66.3%), with less than 11 years of education (86.5%), and 75.2% were overweight or obese. Most (81.9%) reported moderate or severe pain, significantly interfering with daily activities (>50%). The lower back was the most commonly affected site. Widespread pain was present in 43.6% of patients. High scores for anxiety (67.4%) and depression (52.2%) were observed. Severe pain was predominantly seen in middle-aged women and individuals with high levels of anxiety and depression.
CONCLUSIONS: Patients with uncontrolled chronic pain referred from primary care to a tertiary hospital were predominantly female, overweight or obese, and exhibited a high prevalence of depression and anxiety. Their pain significantly interfered with daily activities.
CONCLUSIONS: The study provides valuable insight into the biopsychosocial characteristics of uncontrolled chronic pain patients in primary care, emphasizing the importance of implementing multidisciplinary approaches to manage chronic pain effectively within primary care settings.
摘要：
目的：该研究旨在描述发展中国家从初级保健机构转诊到三级医院的不受控制的慢性疼痛患者，并确定与疼痛强度相关的因素，干扰,以及它与心理健康的联系。
方法：横断面设计。
方法：使用2019年首次访问里约热内卢州立大学多学科疼痛中心的906例非恶性慢性疼痛成年患者的数据。简短的疼痛清单和医院焦虑和抑郁量表问卷评估疼痛强度，它对日常活动的影响，还有焦虑和抑郁的症状.
结果：人口主要是女性（68.8%），50岁以上(66.3%)，教育不足11年(86.5%)，75.2%为超重或肥胖。大多数（81.9%）报告中度或重度疼痛，显著干扰日常活动(>50%)。下背部是最常见的受影响的部位。43.6％的患者存在广泛的疼痛。焦虑（67.4%）和抑郁（52.2%）得分较高。严重疼痛主要见于中年女性和高度焦虑和抑郁的个体。
结论：从初级护理转诊到三级医院的慢性疼痛失控患者主要为女性，超重或肥胖，并表现出抑郁和焦虑的高患病率。他们的疼痛严重干扰了日常活动。
结论：这项研究提供了对初级保健中不受控制的慢性疼痛患者的生物心理社会特征的宝贵见解，强调在初级保健环境中实施多学科方法以有效管理慢性疼痛的重要性。
方法：横断面设计。
方法：使用2019年首次访问里约热内卢州立大学多学科疼痛中心的906例非恶性慢性疼痛成年患者的数据。简短的疼痛清单和医院焦虑和抑郁量表问卷评估疼痛强度，它对日常活动的影响，还有焦虑和抑郁的症状.
结果：人口主要是女性（68.8%），50岁以上(66.3%)，教育不足11年(86.5%)，75.2%为超重或肥胖。大多数（81.9%）报告中度或重度疼痛，显著干扰日常活动(>50%)。下背部是最常见的受影响的部位。43.6％的患者存在广泛的疼痛。焦虑（67.4%）和抑郁（52.2%）得分较高。严重疼痛主要见于中年女性和高度焦虑和抑郁的个体。
结论：从初级护理转诊到三级医院的慢性疼痛失控患者主要为女性，超重或肥胖，并表现出抑郁和焦虑的高患病率。他们的疼痛严重干扰了日常活动。
结论：这项研究提供了对初级保健中不受控制的慢性疼痛患者的生物心理社会特征的宝贵见解，强调在初级保健环境中实施多学科方法以有效管理慢性疼痛的重要性。
