Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study

Kosuke Kawai; Alison Tse Kawai; Peter Wollan; Barbara P Yawn

doi:10.1093/fampra/cmx034

Table 3.

Adverse impact of chronic pain on physical functioning in the Olmsted County Health Study in Minnesota, 2004 to 2006

Characteristics Adjusted mean difference (95% CI) P value
Chronic pain
No chronic pain Reference
Abdominal chronic pain –4.8 (–9.6, –0.1) 0.048
Joint chronic pain –7.9 (–12.1, –3.6) <0.001
Low back chronic pain –6.9 (–10.8, –3.1) <0.001
Neuropathic chronic pain –10.0 (–13.9, –6.1) <0.001
Multisite chronic pain –16.8 (–22.0, –11.6) <0.001
Age category
≤49 years Reference
50–59 years –7.5 (–10.9, –4.0) <0.001
≥60 years –12.1 (–15.3, –8.9) <0.001
Female, gender –3.8 (–6.5, –1.1) 0.007
Education, high school or less –4.1 (–7.8, –0.4) 0.029
Poor or fair health status –23.0 (–28.1, –17.9) <0.001
Obesity –7.3 (–10.6, –4.0) <0.001
Mild/major depressive symptoms –6.4 (–10.6, –2.3) 0.002

Medical Outcomes Study Short Form (SF) Physical Functioning score ranges from 0 to 100, with 100 being the best health state.

Characteristics	Adjusted mean difference	(95% CI)	P value
Chronic pain
No chronic pain	Reference
Abdominal chronic pain	–4.8	(–9.6, –0.1)	0.048
Joint chronic pain	–7.9	(–12.1, –3.6)	<0.001
Low back chronic pain	–6.9	(–10.8, –3.1)	<0.001
Neuropathic chronic pain	–10.0	(–13.9, –6.1)	<0.001
Multisite chronic pain	–16.8	(–22.0, –11.6)	<0.001
Age category
≤49 years	Reference
50–59 years	–7.5	(–10.9, –4.0)	<0.001
≥60 years	–12.1	(–15.3, –8.9)	<0.001
Female, gender	–3.8	(–6.5, –1.1)	0.007
Education, high school or less	–4.1	(–7.8, –0.4)	0.029
Poor or fair health status	–23.0	(–28.1, –17.9)	<0.001
Obesity	–7.3	(–10.6, –4.0)	<0.001
Mild/major depressive symptoms	–6.4	(–10.6, –2.3)	0.002