Impact of adolescent complex regional pain syndrome on the psychopathology of young men ahead of military service: A retrospective cohort analysis of Korean conscription data

Shin-Heon Lee; Myeong-Jin Ko; Taek-Kyun Nam; Jeong-Taik Kwon; Yong-Sook Park

doi:10.1186/s40779-020-00294-0

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Impact of adolescent complex regional pain syndrome on the psychopathology of young men ahead of military service: A retrospective cohort analysis of Korean conscription data

RESEARCH | Updated：2023-02-28

- Impact of adolescent complex regional pain syndrome on the psychopathology of young men ahead of military service: A retrospective cohort analysis of Korean conscription data
- Military Medical Research Vol. 8, Issue 3, Pages: 363-372(2021)
- Affiliations：
  
  Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul 06973, South Korea
- Author bio：
  
  * cuttage@cau.ac.kr
- Funds：
- DOI：10.1186/s40779-020-00294-0
  CLC：
- Published：2021-09
- Accepted：
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Lee et al.: Impact of adolescent complex regional pain syndrome on the psychopathology of young men ahead of military service: A retrospective cohort analysis of Korean conscription data. Mil Med Res, 2020, 7: 62.
DOI：

Lee et al.: Impact of adolescent complex regional pain syndrome on the psychopathology of young men ahead of military service: A retrospective cohort analysis of Korean conscription data. Mil Med Res, 2020, 7: 62. DOI： 10.1186/s40779-020-00294-0.

摘要

Abstract

Background:

The relationship between physical and psychopathological features in complex regional pain syndrome (CRPS) has been a subject of constant interest

but no data are available in adolescents. Therefore

we aimed to identify the factors associated with psychopathology in adolescents with CRPS ahead of military service.

Methods:

We retrospectively reviewed all conscription examinees who had completed a Military Personality Inventory (MPI) during a period between February 2013 and December 2016. A total of 63 persons with a history of CRPS (19-years of age for all) were enrolled. Basic demographic and pain-related data were analyzed to examine their association with MPI results. The mean FGR score as well as the 8 subdomain scores were compared between those with pain duration at

15 months (

=30)

. ≥15 months (

=33). Binary MPI results (normal-abnormal) were also compared between the two groups.

Results:

In multivariate analysis

abnormal MPI was associated with pain duration

with an odds ratio (

) at 1.05 for every 1-month increase [95% confidence interval (CI) 1.02–1.08;

=0.002]. Subjects with pain duration at ≥15 months have lower faking good response score (

0.001

. those with pain duration at

15 months)

and higher abnormal MPI result rate

faking bad response

inconsistency

anxiety

depression

somatization

paranoid

personality disorder cluster A

and personality disorder cluster B scores (

0.05). Pain duration was significantly associated with the MPI variables.

Conclusions:

Pain duration is associated with psychopathology in adolescents with CRPS. Psychopathologic features increased as the disease duration increased. A comprehensive understanding of time-dependent psychopathological factors could support the planning of multimodal approaches for managing adolescent CRPS.

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Keywords

references

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