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BMC Medicine
Published in: BMC Medicine 1/2018

Open Access 01-12-2018 | Research article

General and disease-specific pain trajectories as predictors of social and political outcomes in arthritis and cancer

Authors: Richard J. E. James, David A. Walsh, Eamonn Ferguson

Published in: BMC Medicine | Issue 1/2018

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Abstract

Background

While the heterogeniety of pain progression has been studied in chronic diseases, the extent to which patterns of pain progression among people in general as well as across different diseases affect social, civic and political engagement is unclear. We explore these issues for the first time.

Methods

Using data from the English Longitudinal Study of Ageing, latent class growth models were used to estimate trajectories of self-reported pain in the entire cohort, and within subsamples reporting diagnoses of arthritis and cancer. These were compared at baseline on physical health (e.g. body mass index, smoking) and over time on social, civic and political engagement.

Results

Very similar four-trajectory models fit the whole sample and arthritis subsamples, whereas a three-trajectory model fit the cancer subsample. All samples had a modal group experiencing minimal chronic pain and a group with high chronic pain that showed slight regression (more pronounced in cancer). Biometric indices were more predictive of the most painful trajectory in arthritis than cancer. In both samples the group experiencing the most pain at baseline reported impairments in social, civic and political engagement.

Conclusions

The impact of pain differs between individuals and between diseases. Indicators of physical and psychological health differently predicted membership of the trajectories most affected by pain. These trajectories were associated with differences in engagement with social and civic life, which in turn were associated with poorer health and well-being.
Appendix
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Metadata
Title
General and disease-specific pain trajectories as predictors of social and political outcomes in arthritis and cancer
Authors
Richard J. E. James
David A. Walsh
Eamonn Ferguson
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2018
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/s12916-018-1031-9

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