PAIN QUESTIONNAIRE “PAINDETECT” AS A WAY TO OBJECTIFY THE NEUROPATHIC COMPONENT OF THE PAIN SYNDROME
DOI:
https://doi.org/10.32782/2226-2008-2025-2-6Keywords:
pain syndrome, chronic pain, neuropathic component, painDetect questionnaire, woundAbstract
Introduction. The phenomenon of pain is extremely common in Ukraine today, both among military personnel and civilians. The problem of objectification and therapy of pain is multidisciplinary. Pain is multifactorial: biological, psychological and social factors contribute to the development of pain syndrome. The problem of pain disorders during martial law in Ukraine is extremely acute and relevant. The problem of diagnosing and treating pain disorders should be handled by a multidisciplinary team, with a neurologist and a specialist in the treatment of mental disorders being among the key members.The aim of the study was to describe the diagnostic value of the painDetect questionnaire for physicians in Ukraine, to consider the possibility of using it in the Ukrainian language version, and to present our own experience of its use in the Ukrainian population for patients with neuropathic pain disorders.Materials and methods. The study involved 62 male patients who had a history of gunshot shrapnel wounds of the extremities of various localizations and suffered from chronic pain lasting more than 3 months at the time of the examination.Results and discussion. Based on the results of personal experience of using the painDetect questionnaire among the Ukrainian population, it was concluded that this questionnaire is a reliable and convenient tool for assessing the intensity of pain and determining the presence of a neuropathic component of pain syndrome.
References
Malik NA. Revised definition of pain by ‘International Association for the Study of Pain’: Concepts, challenges and compromises. Anaesthesia, Pain & Intensive Care. 2020; 10(24(5)): 481‒483. https://doi.org/10.35975/apic.v24i5.1352.
Delva M, Delva I, Pinchuk V, Kryvchun A, Purdenko T. Prevalence and predictors of fatigue in patients with episodic migraine. Wiad Lek. 2022; 75(8 pt 2): 1970‒1974. DOI: https://doi.org/10.36740/WLek202208205.
Verma R, Mohan B, Attri JP, Chatrath V, Bala A, Singh M. Anesthesiologist: The silent force behind the scene. Anesth Essays Res. 2015 Sep-Dec; 9(3): 293‒297. https://doi.org/10.4103/0259-1162.159775.
Sorrenti V, Cecchetto C, Maschietto M, Fortinguerra S, Buriani A, Vassanelli S. Understanding the Effects of Anesthesia on Cortical Electrophysiological Recordings: A Scoping Review. Int J Mol Sci. 2021 Jan 28; 22(3): 1286. https://doi.org/10.3390/ijms22031286.
Chaudhary F, Ahmed Z, Agrawal DK. Critical Assessment of the Neurological Complications during High-Risk Anesthe- sia Procedures. J Surg Res (Houst). 2024; 7(2): 250‒266. Epub 2024 Jun 6. PMID: 38947250; PMCID: PMC11213287. https://pmc.ncbi.nlm.nih.gov/articles/PMC11213287/.
Bailey C, Tamasauskas A, Bradley-Westguard А, et al. What are the experiences of people with motor and sensory functional neurological disorder? A systematic review and thematic synthesis of qualitative studies. Disability and Rehabilitation. 2024: 1–15. https://doi.org/10.1080/09638288.2024.2333491.
De Andrés J, Pérez-Cajaraville J, Lopez-Alarcón MD, et al. Cultural adaptation and validation of the painDETECT scale into Spanish. Clin J Pain. 2012 Mar-Apr; 28(3): 243‒253. https://doi.org/10.1097/AJP.0b013e31822bb35b.
Freynhagen R, Tölle TR, Gockel U, Baron R. The painDETECT project – far more than a screening tool on neuropathic pain. Curr Med Res Opin. 2016 Jun;32(6):1033‒1057. https://doi.org/10.1185/03007995.2016.1157460.
Tampin B, Bohne T, Callan M, et al. Reliability of the English version of the painDETECT questionnaire. Curr Med Res Opin. 2017 Apr; 33(4): 741‒748. https://doi.org/10.1080/03007995.2017.1278682.
Hess CW, Van Orden AR, Mesaroli G, Stinson JN, Borsook D, Simons LE. Application of PainDETECT in pediatric chronic pain: how well does it identify neuropathic pain and its characteristics? Pain Rep. 2023 Nov 28; 8(6): e1109. DOI: 10.1097/PR9.0000000000001109. https://pmc.ncbi.nlm.nih.gov/articles/PMC10686590/.
Arafat, SM Yasir. Cross Cultural Adaptation & Psychometric Validation of Instruments: Step-wise Description. International journal of psychiatry. 2016; 1(1): 4. https://doi.org/10.33140/IJP/01/01/00001.
Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010 Feb 10; 10: 13. https://doi.org/10.1186/1471-2288-10-13.
Freynhagen R, Baron R, Gockel U, Tölle TR. PainDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006 Oct; 22(10): 1911–1920. https://doi.org/10.1185/030079906X132488.
Shkodina AD, Bardhan M, Chopra H, et al. Pharmacological and Non-pharmacological Approaches for the Management of Neuropathic Pain in Multiple Sclerosis. CNS Drugs. 2024 Mar; 38(3): 205–224. https://doi.org/10.1007/s40263-024-01072-5.
Borysenko VV, Kydon PV, Kazakov OA, et al. Psychosocial maladaptation in the context of anxiety and depressive disorders under conditions of social and stressful events in Ukraine. Azerbaijan Medical Journal. 2023; 3: 90–95. https://doi.org/10.34921/amj.2023.3.015, https://repository.pdmu.edu.ua/items/3dd55aef-f495-4283-a613-abbed076a8f0.
Boiko DI, Shkodina AD, Hasan MM, et al. Melatonergic Receptors (Mt1/Mt2) as a Potential Additional Target of Novel Drugs for Depression. Neurochem Res. 2022 Oct; 47(10): 2909‒2924. https://doi.org/10.1007/s11064-022-03646-5.
Hryn КV. Depression in the Elderly: Prevalence, Clinical and Psychopathological Features. Ukrainian Journal of Medicine, Biology and Sports. 2020; 5(3(25)): 40–45. https://uajmbs.com.ua/web/uploads/journals_pdf/UJMBS_2020_No3.pdf.
Hryn K, Sydorenko A, Vlasova O, Kolot E, Martynenko Y. Clinical, pharmacotherapeutic and biorhythmological peculiarities of depressive disorders, comorbid with cardiovascular pathology. Georgian Med News. 2021 Mar; (312): 57‒61. https://pubmed.ncbi.nlm.nih.gov/33964827/.
Hryn KV, Hryn VH, Fedorchenko IL, Yushchenko YuP. The dependence of the manifestation of affective disorders on morphofunctional state of the brain after traumatic brain injury. The world of medicine and biology. 2018; 2(64): 29–32. DOI: 10.26724/2079-8334-2018-2-64-29-32 https://womab.com.ua/en/smb-2018-02/7179.
Raja SN, Carr DB, Cohen M, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020 Sep 1; 161(9): 1976‒1982. DOI: 10.1097/j.pain.0000000000001939.
