Abstract
Purpose
To examine the association between catastrophizing and pain intensity with acute herpes zoster, and the association of treatment-related early changes in depressive symptoms, anxiety, and catastrophizing with postherpetic neuralgia (PHN) development, independent of acute pain intensity.
Methods
We analyzed 44 outpatient participants with acute herpes zoster who completed a 6-month follow-up. Participants completed a self-reported questionnaire with a Visual Analog Scale (VAS), the Pain Catastrophizing Scale (PCS), and the Hospital Anxiety and Depression Scale (HADS) at first visit, and 3 and 6 months, thereafter. We assessed associations between acute pain intensity and analyzed factors using univariate regression analyses. Univariate and bivariate logistic regression models were constructed to assess associations of variables at the first visit and early changes in psychological factors with PHN development.
Results
Sex, severe skin rash at first visit, PCS, and HADS depression were associated with acute pain intensity {standardized regression coefficient, 0.46 [95% confidence interval (CI) 0.12–0.74], 0.36 (95% CI 0.07–0.65), 0.33 (95% CI 0.03–0.62), 0.47 (95% CI 0.19–0.74), respectively}. Acute pain intensity and early change in pain intensity were associated with PHN development [odds ratio (OR) 1.08 (95% CI 1.02–1.14) OR 2.38 (95% CI 1.10–5.16), respectively]. Decreased PCS was associated with decreased risk of PHN development, independent of acute pain intensity [OR 0.31 (95% CI: 0.12–0.80)].
Conclusion
Catastrophizing was associated with acute pain intensity, and lower pain-related catastrophizing among patients with acute herpes zoster was associated with less risk of PHN development, independent of acute pain intensity.
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References
Mahalingam R, Wellish M, Wolf W, Dueland AN, Cohrs R, Vafai A, Gilden D. Latent varicella-zoster viral DNA in human trigeminal and thoracic ganglia. N Engl J Med. 1990;323:627–31.
Kawai K, Gebremeskel BG, Acosta CJ. Systematic review of incidence and complications of herpes zoster: towards a global perspective. BMJ Open. 2014;4:e004833.
Johnson RW, Bouhassira D, Kassianos G, Leplège A, Schmader KE, Weinke T. The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Med. 2010;8:37.
Dworkin RH, Boon RJ, Griffin DR, Phung D. Postherpetic neuralgia: impact of famciclovir, age, rash severity, and acute pain in herpes zoster patients. J Infect Dis. 1998;178(Suppl):S76–80.
Volpi A, Gatti A, Pica F, Bellino S, Marsella LT, Sabato AF. Clinical and psychosocial correlates of post-herpetic neuralgia. J Med Virol. 2008;80:1646–52.
Imoto K, Okazaki A, Onishi F, Miyazaki Y, Okeda M, Yano S, Takao Y, Gomi Y, Ishikawa T, Okuno Y, Mori Y, Iso H, Yamanishi K, Asada H; SHEZ study group. VZV skin-test reaction, but not antibody, is an important predictive factor for postherpetic neuralgia. J Dermatol Sci. 2015;79:235–40.
Takao Y, Okuno Y, Mori Y, Asada H, Yamanishi K, Iso H. Associations of perceived mental stress, sense of purpose in life, and negative life events with the risk of incident herpes zoster and postherpetic neuralgia. Am J Epidemiol. 2018;187:251–9.
Schlereth T, Heiland A, Breimhorst M, Féchir M, Kern U, Magerl W, Birklein F. Association between pain, central sensitization and anxiety in postherpetic neuralgia. Eur J Pain. 2015;19:193–201.
Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85:317–32.
Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30:77–94.
Sullivan MJL, Adams H, Martel MO, Scott W, Wideman T. Catastrophizing and perceived injustice: Risk factors for the transition to chronicity after whiplash injury. Spine. 2011;36:S244–S249249.
Racine M, Moulin DE, Nielson WR, Morley-Forster PK, Lynch M, Clark AJ, Stitt L, Gordon A, Nathan H, Smyth C, Ware MA, Jensen MP. The reciprocal associations between catastrophizing and pain outcomes in patients being treated for neuropathic pain. Pain. 2016;157:1.
Rating scales– there are three types of rating scales: glossary. Spine. 2000;25:3200–2.
Sullivan MJL, Bishiop SR, Pivik J. The Pain Catastrophizing Scale: development and validation. Psychol Assess. 1995;7:524–32.
Iwaki R, Arimura T, Jensen MP, Nakamura T, Yamashiro K, Makino S, Obata T, Sudo N, Kubo C, Hosoi M. Global catastrophizing vs catastrophizing subdomains: assessment and associations with patient functioning. Pain Med. 2012;13:677–87.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70.
Higashi A, Yashiro H, Kiyota K, Inokuchi H, Hatta H, Fujita K, Watanabe Y, Kawai K. Validation and reliability of Japanese version of hospital anxiety and depression scale (in Japanese). Nihon Shokakibyo Gakkai Zasshi. 1996;38:884–92.
Adams H, Ellis T, Stanish WD, Sullivan MJL. Psychosocial factors related to return to work following rehabilitation of whiplash injuries. J Occup Rehabil. 2007;17:305–15.
Sullivan MJL, Adams H, Rhodenizer T, Stanish WD. A psychosocial risk factor–targeted intervention for the prevention of chronic pain and disability following whiplash injury. Phys Ther. 2006;86:8–18.
Raftery MN, Murphy AW, O’Shea E, Newell J, McGuire BE. Effectiveness of a cognitive behavioural therapy-based rehabilitation programme (Progressive Goal Attainment Program) for patients who are work-disabled due to back pain: study protocol for a multicentre randomised controlled trial. Trials. 2013;14:290.
Acknowledgements
We thank Benjamin Knight, MSc, and Jane Charbonneau, DVM, from Edanz Group (https://www.edanzediting.com/ac) for editing drafts of this manuscript.
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Koga, R., Yamada, K., Ishikawa, R. et al. Association between treatment-related early changes in psychological factors and development of postherpetic neuralgia. J Anesth 33, 636–641 (2019). https://doi.org/10.1007/s00540-019-02679-5
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DOI: https://doi.org/10.1007/s00540-019-02679-5