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For several decades, authors are interested in the existence and meaning of painful symptoms in a population of psychiatric inpatients. But, to date, studies specifically focused on the impact of pain in patient populations in psychiatric hospitals are few. More recently, a review of the literature highlights the difficulties of evaluation of pain in populations of psychiatric patients but also the complex interrelationships between painful symptoms and psychiatric diseases. The first national survey conducted among 172 health which evaluate pain and its management in the field of psychiatry concluded on the need to develop research in this area.
Pain in all the populations remains a major public health issue. Patients with mental illness consult less their general practitioners while they have an increased risk of physical disease. In addition, they have a net reduction in life expectancy due to their mental illness, living conditions and drug treatments.
In this particular population, doctors faces especially difficulties assessment and treatment of pain. Indeed, there is for example in some of these patients difficulties to express that pain.
These painful events make more complex the care of hospitalized patients (eg interrelationship between pain complaints and psychiatric symptoms) and seem to lengthen their hospital stay. This is not without consequences as long as hospitalizations represent an obstacle to the patients psychosocial rehabilitation (installation of daytime activities, project work rehabilitation, development of social network ...) and impair their quality of life.
And for the patients with psychiatric disorders some points can be noticed :
The secondary objectives of this study are:
Confirmation of these objectives would lead to a better understanding of the factors influencing psychiatric hospital stays and thus more efficient management of health resources.
In addition, the present study will well identify and implement standardized assessments of pain for these patients.
For these patients the interest is important because they can be in great difficulty to express a painful complaint. These people have often difficulties to communicate, and live in a sometimes precarious environment and severity of disorders reduce their access to care.
This approach is part of a comprehensive approach taking account of the psychiatric and somatic disorders in a very vulnerable population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Patients with psychiatric disorders will be assessed using five evaluation of pain scales :
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pain scales | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Influence of pain on hospitalization stay evaluated with pain visual analogic scale | Multivariate regression analysis | Day 1 |
| Influence of pain on hospitalization stay evaluated with pain visual analogic scale | Multivariate regression analysis | Day 7 |
| Influence of pain on hospitalization stay evaluated with pain visual analogic scale | Multivariate regression analysis | 2 days before patient end of hospitalization |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of pain in psychiatric population with visual analogic scale of pain | Day 1 | |
| Evaluation of pain in psychiatric population with visual analogic scale of pain | Day 7 | |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with psychiatric disorders
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| Name | Affiliation | Role |
|---|---|---|
| Laurent SCHMITT, PHD, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Functionnal unit of psychiatry | Toulouse | 31000 | France |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Evaluation of pain in psychiatric population with visual analogic scale of pain |
| 2 days before patient end of hospitalization |
| Evaluation of pain intensity impact on Mini International Neuropsychiatric Interview score | Day 1 |
| Evaluation of pain intensity impact on Mini International Neuropsychiatric Interview score | 2 days before the patient end of hospitalization |
| Evaluation of gender impact on pain intensity using visual analogic scale of pain | Day 1 |
| Evaluation of gender impact on pain intensity using visual analogic scale of pain | 2 days before the patient end of hospitalization |
| Evaluation of age impact on pain intensity using visual analogic scale of pain | Day 1 |
| Evaluation of age impact on pain intensity using visual analogic scale of pain | 2 days before the patient end of hospitalization |
| Evaluation of Mini International Neuropsychiatric Interview score impact on hospitalization stay | Day 1 |
| Evaluation of Mini International Neuropsychiatric Interview score impact on hospitalization stay | 2 days before the patient end of hospitalization |