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Analyse des caractéristiques biopsychosociales observées chez 1 832 patients consultant pour des douleurs chroniques dans le service d’algologie du CHU de Liège

The analysis of biopsychosocial characteristics of 1832 chronic pain patients consulting a tertiary pain center

Douleur et Analgésie volume 27, pages 181–191 (2014)Cite this article

Résumé

Cet article a pour objectif d’établir un « profil » des patients consultant pour des douleurs chroniques dans le service d’algologie du CHU de Liège en vue d’identifier des relations éventuelles entre des diagnostics, des états psychologiques et des modes de gestion de la douleur. Entre 2005 et 2010, 1 832 patients ont bénéficié d’une prise en charge multidisciplinaire. L’article présente les caractéristiques de ces patients et leurs résultats aux tests avant la prise en charge visant à apprécier l’état de santé du patient dans une perspective biopsychosociale. Les tests utilisés sont: le Pain Disability Index (PDI), le Survey of Pain-Attitude (SOPA), le Hospital Anxiety and Depression Scale (HADS), le SF-36 (Short Form Health Survey) et une échelle de la douleur : la Visual Analog Scale (VAS). Les résultats permettent de mieux cerner des contextes de vie et/ou les difficultés associées à certaines pathologies, et ce, en vue de réaménager les stratégies d’accompagnement.

Abstract

This article aims to establish a “profile” of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are presented. The results have clinical implication; they suggest an adaptation of our therapeutic interventions based on these observations.

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Authors and Affiliations

  1. Médecins algologues, service d’algologie — soins palliatifs, université de Liège, CHU de Liège, 4000, Liège, Belgique

    M. -E. Faymonville, R. Fontaine, D. Libbrecht & S. Smitz

  2. Faculté de psychologie et des sciences de l’éducation, ergonomie cognitive et interventions au travail, université de Liège, 4000, Liège, Belgique

    A. Blavier & A. -S. Nyssen

  3. Psychologues, service d’algologie — soins palliatifs, université de Liège, 4000, Liège, Belgique

    V. Palmaricciotti, N. Malaise & I. Salamun

  4. Médecine de l’appareil locomoteur, université de Liège, 4000, Liège, Belgique

    M. Tomasella

  5. Faculté de médecine, Étudiant 3e Master, université de Liège, 4000, Liège, Belgique

    C. Malengreaux

  6. Santé au travail et éducation pour la santé, université de Liège, 4000, Liège, Belgique

    P. Mairiaux

Authors
  1. M. -E. Faymonville
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  2. A. Blavier
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  3. V. Palmaricciotti
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  4. N. Malaise
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  5. I. Salamun
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  6. R. Fontaine
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  7. D. Libbrecht
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  8. M. Tomasella
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  9. S. Smitz
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  10. C. Malengreaux
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  11. P. Mairiaux
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  12. A. -S. Nyssen
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Faymonville, M.E., Blavier, A., Palmaricciotti, V. et al. Analyse des caractéristiques biopsychosociales observées chez 1 832 patients consultant pour des douleurs chroniques dans le service d’algologie du CHU de Liège. Douleur analg 27, 181–191 (2014). https://doi.org/10.1007/s11724-014-0378-8

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  • DOI: https://doi.org/10.1007/s11724-014-0378-8

Mots clés

  • Douleur chronique
  • Étude descriptive
  • Caractéristiques biopsychosociales des patients douloureux chroniques

Keywords

  • Chronic pain
  • Descriptive study
  • Biopsychosocial characteristics of chronic pain patients