The role of psychosocial factors in predicting the onset of chronic widespread pain: results from a prospective population-based study

A. Gupta, A. J. Silman, D. Ray, R. Morriss, C. Dickens, , Y. H. Chiu, B. Nicholl and J. McBeth

Chronic widespread pain (CWP) is strongly associated with psychosocial distress both in a clinical setting and in the community. The aim of this study was to determine the contribution of measures of psychosocial distress, health-seeking behaviour, sleep problems and traumatic life events to the development of new cases of CWP in the community.  In a population-based prospective study, 3171 adults aged 25–65 yrs free of CWP were followed-up 15 months later to identify those with new CWP. 324 subjects [10%, 95% confidence interval developed new CWP at follow-up.  The authors concluded that subjects are at substantial increased odds of developing CWP if they display features of somatization, health-seeking behaviour and poor sleep. Psychosocial distress has a strong aetiological influence on CWP.

Rheumatology 2007 46(4):666-671

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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