Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study
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OBJECTIVES: The objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these negative feelings, analyzing the relationship between CPPs and their caregivers. METHODS: We enrolled a total of 208 patients, divided into CPPs and controls affected by internistic diseases. Assessment included collection of sociodemographic and health care data, pain characteristics, administration of visual analog scale (VAS), Modified Overt Aggression Scale (MOAS), Barratt Impulsiveness Scale Version 11 (BIS), Hamilton Depression Rating Scale (HDRS), and a caregiver self-administered questionnaire. All variables were statistically analyzed. RESULTS: A significant difference of VAS, MOAS-total/verbal/auto-aggression, HDRS-total/suicide mean scores between the groups were found. BIS mean score was higher in CPPs misusing analgesics. In CPPs a correlation between MOAS-total/verbal/auto-aggression with BIS mean score, MOAS with HDRS-suicide mean score and BIS with HDRS-suicide mean scores were found. The MOAS and BIS mean scores were significantly higher when caregivers were not supportive. CONCLUSION: In CPPs, aggression and impulsivity could increase the risk of suicide. Moreover, impulsivity, overt aggression and pain could be interrelated by a common biological core. Our study supports the importance of a multidisciplinary approach in the CPPs management and the necessity to supervise caregivers, which may become risk/protective factors for the development of feelings interfering with the treatment and rehabilitation of CPPs.
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These disorders are most frequently worsened by accompanying psychopathology and unclearly related to organic pathology.
“These disorders are most frequently worsened by accompanying psychopathology and unclearly related to organic pathology.160”
From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [160]
The Introduction (page unavailable) says psychological factors contribute to pain and that depression accompanying pain may be either a cause or a result. It also says pain cannot be explained solely by anatomical mechanisms. The paper does not establish that accompanying psychopathology most frequently worsens these disorders or that their relationship to organic pathology is unclear. (LLM, conf=0.82)
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References 36 · Cited by 37
Research works printed but not linked: 1
- [1]Task Force on Taxonomy of the International Association for the Study of Pain Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms 2nd ed Seattle IASP Press 1994
- Authors
- Margari, F., Lorusso, M., Matera, E., Pastore, A., zagaria, G., Bruno, F., Puntillo, F., & margari, L.
- Affiliations
- University of Bari Aldo Moro (IT)
- Corresponding author
- Margari, Francesco
- Venue
- Neuropsychiatric Disease and Treatment
- Publisher
- Informa UK Limited
- Published
- 2014-09
- Volume
- 10
- Pages
- 1613
- ISSN
- 1176-6328 (ISSN-L)
- 1178-2021
- PMC
- PMC4159127
- OpenAlex
- W2061392888
- Cited by
- 37
- References
- 36
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 3 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 1
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Neuropsychiatric Disease and Treatment (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicide risk, overt aggression, impulsivity, caregiver support, analgesic misuse, depression, pain intensity, psychopathology, suicide risk factors
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