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Chronic widespread pain, mental health, and physical role function in OEF/OIF veterans.
Pain Med. 2009 Oct; 10(7):1174-82.PM

Abstract

OBJECTIVE

Describe the associations among pain, mental health concerns, and function in veterans of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF).

DESIGN

Retrospective review of self-reported, standardized clinical intake surveys.

SETTING

A multidisciplinary deployment health clinic at a Veterans Affairs (VA) medical center.

PATIENTS

The first 429 veterans of OEF/OIF presenting for clinical evaluation at a deployment health clinic.

OUTCOME MEASURES

Function, measured with the Role Physical (RP) scale of the Veterans RAND (VR)-36 survey, was compared for veterans with and without chronic widespread pain (CWP).

RESULTS

After controlling for age, sex, and positive screens for depression and post-traumatic stress disorder (PTSD), the presence of CWP had a significant, clinically relevant, and independent effect on VR-36 RP (-6.2 points, DeltaR(2) = 0.052, P < 0.001). Mean VR-36 RP normed score was 43.3 (standard deviation 11.9). CWP was common (29%), as were positive mental health screens (PTSD 53%, depression 60%, alcohol misuse 63%).

CONCLUSIONS

In this sample of OEF/OIF veterans, the majority of whom reported good or better general health, CWP was common and related to poorer physical role function, independent of comorbid mental health concerns.

Authors+Show Affiliations

Michael E DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX 77030, USA. drew.helmer@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

19818029

Citation

Helmer, Drew A., et al. "Chronic Widespread Pain, Mental Health, and Physical Role Function in OEF/OIF Veterans." Pain Medicine (Malden, Mass.), vol. 10, no. 7, 2009, pp. 1174-82.
Helmer DA, Chandler HK, Quigley KS, et al. Chronic widespread pain, mental health, and physical role function in OEF/OIF veterans. Pain Med. 2009;10(7):1174-82.
Helmer, D. A., Chandler, H. K., Quigley, K. S., Blatt, M., Teichman, R., & Lange, G. (2009). Chronic widespread pain, mental health, and physical role function in OEF/OIF veterans. Pain Medicine (Malden, Mass.), 10(7), 1174-82. https://doi.org/10.1111/j.1526-4637.2009.00723.x
Helmer DA, et al. Chronic Widespread Pain, Mental Health, and Physical Role Function in OEF/OIF Veterans. Pain Med. 2009;10(7):1174-82. PubMed PMID: 19818029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic widespread pain, mental health, and physical role function in OEF/OIF veterans. AU - Helmer,Drew A, AU - Chandler,Helena K, AU - Quigley,Karen S, AU - Blatt,Melissa, AU - Teichman,Ronald, AU - Lange,Gudrun, PY - 2009/10/13/entrez PY - 2009/10/13/pubmed PY - 2010/1/7/medline SP - 1174 EP - 82 JF - Pain medicine (Malden, Mass.) JO - Pain Med VL - 10 IS - 7 N2 - OBJECTIVE: Describe the associations among pain, mental health concerns, and function in veterans of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF). DESIGN: Retrospective review of self-reported, standardized clinical intake surveys. SETTING: A multidisciplinary deployment health clinic at a Veterans Affairs (VA) medical center. PATIENTS: The first 429 veterans of OEF/OIF presenting for clinical evaluation at a deployment health clinic. OUTCOME MEASURES: Function, measured with the Role Physical (RP) scale of the Veterans RAND (VR)-36 survey, was compared for veterans with and without chronic widespread pain (CWP). RESULTS: After controlling for age, sex, and positive screens for depression and post-traumatic stress disorder (PTSD), the presence of CWP had a significant, clinically relevant, and independent effect on VR-36 RP (-6.2 points, DeltaR(2) = 0.052, P < 0.001). Mean VR-36 RP normed score was 43.3 (standard deviation 11.9). CWP was common (29%), as were positive mental health screens (PTSD 53%, depression 60%, alcohol misuse 63%). CONCLUSIONS: In this sample of OEF/OIF veterans, the majority of whom reported good or better general health, CWP was common and related to poorer physical role function, independent of comorbid mental health concerns. SN - 1526-4637 UR - https://www.unboundmedicine.com/medline/citation/19818029/Chronic_widespread_pain_mental_health_and_physical_role_function_in_OEF/OIF_veterans_ L2 - https://academic.oup.com/painmedicine/article-lookup/doi/10.1111/j.1526-4637.2009.00723.x DB - PRIME DP - Unbound Medicine ER -