Pain and Quality of Life
Abstract
Abstract: This paper deals with the impact of pain on quality of life (QOL). Two major factors have contributed to the enhanced importance of QOL in recent years: the increasing frequency of pain and the resources devoted to its treatment, and the growing theoretical insight that pain affects the person as a whole. QOL is defined as the person's evaluation of his or her well‐being and functioning in different life domains. It is a subjective, phenomenological, multidimensional, dynamic, evaluative, and yet quantifiable, construct. Commonly used scales for its assessment (eg, WHOQOL, SF‐36) are described. Studies show that pain affects most domains of QOL, primarily physical and emotional functioning. The effect depends on the extent, duration, acuteness, intensity, affectivity, and meaning of the pain as well as on the underlying disease and the individual's characteristics. QOL is sensitive also to the treatment of pain and treatment modalities, as shown particularly by studies on cancer pain. Pain reduction is not always attended by the expected improvement in QOL. Pain is not synonymous with poor QOL and constitutes only one important factor determining QOL. The main conclusions are that treatment of pain should be multidisciplinary, considering the impact of pain and the treatment on QOL and targetting also improvement of the affected domains of QOL.
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When the pain is continuous and uncontrolled, it has a detrimental effect on every aspect of the patient's life [53, 54].
“Consistent with other research, when the pain is continuous and uncontrolled, it has a detrimental effect on every aspect of the patient’s life [53, 54]: (1) interferes with the ability to function; (2) hinders the ability to play social and professional roles; and (3) reduces the person’s independence.”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [54]
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- Authors
- Niv, D., & Kreitler, S.
- Affiliations
- Tel Aviv Sourasky Medical Center (IL)
- Tel Aviv University (IL)
- Corresponding author
- Kreitler, Shulamith
- ORCID
- Kreitler, Shulamith
- Venue
- Pain Practice
- Publisher
- Wiley
- Published
- 2001-01
- Volume
- 1
- Issue
- 2
- Pages
- 150-161
- ISSN
- 1530-7085 (ISSN-L)
- 1533-2500
- OpenAlex
- W1997641100
- Cited by
- 179
- References
- 85
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 19 · 2023: 18 · 2022: 14 · 2021: 11 · 2020: 11 · 2019: 8 · 2018: 8 · 2017: 1 · 2016: 8 · 2015: 5 · 2014: 6 · 2013: 6 · 2012: 6
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain, quality of life, pain scales, WHOQOL, SF-36, cancer pain, pain management, multidisciplinary pain management, physical function, emotional functioning, pain intensity and duration
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