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 Health  Vol.8 No.1 , January 2016
Prevalence of Chronic Pain, Especially Headache, and Relationship with Health-Related Quality of Life in Middle-Aged Japanese Residents
Abstract: The aim of this study was to evaluate the prevalence of chronic pain (CP) and the relationship between CP, especially headache adjusted for CP at other sites, and health-related quality of life (HRQoL) in middle-aged Japanese residents. We examined the prevalence of CP (defined as pain persisting for 3 months or more) and HRQoL (SF-36) in 1117 middle-aged residents of Japan. We assessed the eight dimensions of health status and the 3 component SF-36 summary score to evaluate HRQoL. The prevalence of CP was 15.3% among men and 15.1% among women. Multiple linear regression analysis demonstrated that lumbar pain (p < 0.001, β = -0.132), knee pain (p < 0.001, β = -0.115), foot pain (p = 0.042, β = -0.065), and age (p < 0.001, β = -0.154) were independently correlated with a lower physical component score (PCS). Older age (p< 0.001, β = 0.221) showed a significant positive correlation with mental component score (MCS), while neck/shoulder pain (p< 0.01, β = -0.096), knee pain (p < 0.001, β = -0.109), upper limb pain (p < 0.01, β = -0.098), and lumbar pain (p = 0.022, β = -0.077) all showed a significant negative correlation with MCS. The presence of chronic headache (p = 0.011, β = -0.082) was the only factor significantly correlated with a lower role component score (RCS). We identified a negative correlation between chronic headache and RCS, unlike the relation between musculoskeletal pain and PCS or MCS, suggesting that RCS was an independently influenced by CP differently from PCS or MCS in Japanese residents.
Cite this paper: Mitoma, J. , Kitaoka, M. , Asakura, H. , Anyenda, E. , Hori, D. , Tao, N. , Hamagishi, T. , Hayashi, K. , Suzuki, F. , Shimizu, Y. , Tsujiguchi, H. , Kambayashi, Y. , Hibino, Y. , Konoshita, T. , Sagara, T. , Shibata, A. and Nakamura, H. (2016) Prevalence of Chronic Pain, Especially Headache, and Relationship with Health-Related Quality of Life in Middle-Aged Japanese Residents. Health, 8, 116-124. doi: 10.4236/health.2016.81014.
References

[1]   Merskey, H. and Bogduk, N. (1994) Classification of Chronic Pain. 2nd Edition, IASP Task Force on Taxonomy. IASP Press, Seattle.
http://www.iasp-pain.org/Education/content.aspx?ItemNumber=1698

[2]   Harstall, C. and Ospina, M. (2003) PAIN Clinical Updates 2003, XI, 7-9.
http://iasp.files.cms-plus.com/Content/ContentFolders/Publications2/PainClinicalUpdates/Archives/PCU03-2_1390265045864_38.pdf

[3]   Gureje, O., Von Korff, M., Simon, G.E. and Gater, R. (1998) Persistent Pain and Well-Being. Jama, 280, 147.
http://dx.doi.org/10.1001/jama.280.2.147

[4]   Dawson, J., Linsell, L., Zondervan, K., Rose, P., Carr, A., Randall, T., et al. (2005) Impact of Persistent Hip or Knee Pain on Overall Health Status in Elderly People: A Longitudinal Population Study. Arthritis Rheum, 53, 368-374.
http://dx.doi.org/10.1002/art.21180

[5]   Breivik, H., Collett, B., Ventafridda, V., Cohen, R. and Gallacher, D. (2006) Survey of Chronic Pain in Europe: Prevalence, Impact on Daily Life, and Treatment. European Journal of Pain, 10, 287-333.
http://dx.doi.org/10.1016/j.ejpain.2005.06.009

[6]   Hattori, S. (2006) The Prevalence of Chronic Pain in Japan. Nihon Yakurigaku Zasshi, 127, 176-180.
http://dx.doi.org/10.1254/fpj.127.176

[7]   Nakamura, M., Nishiwaki, Y., Ushida, T. and Toyama, Y. (2011) Prevalence and Characteristics of Chronic Musculoskeletal Pain in Japan. Journal of Orthopaedic Science, 16, 424-432.
http://dx.doi.org/10.1007/s00776-011-0102-y

[8]   Matsudaira, K., Takeshita, K., Kunogi, J., Yamazaki, T., Hara, N., Yamada, H., et al. (2011) Prevalence and Characteristics of Chronic Pain in the General Japanese Population. Pain Clin, 32, 1345-1356.

[9]   Suka, M. and Yoshida, K. (2009) The National Burden of Musculoskeletal Pain in Japan: Projections to the Year 2055. Questionnaire Survey on Musculoskeletal Pain, 25, 313-319.

[10]   Nakamura, M., Nishiwaki, Y., Ushida, T. and Toyama, Y. (2014) Prevalence and Characteristics of Chronic Musculoskeletal Pain in Japan: A Second Survey of People with or without Chronic Pain. Journal of Orthopaedic Science, 19, 339-350.
http://dx.doi.org/10.1007/s00776-013-0525-8

[11]   Bigal, M.E., Rapoport, A.M., Lipton, R.B., Tepper, S.J. and Sheftell, F.D. (2003) Assessment of Migraine Disability Using the Migraine Disability Assessment (MIDAS) Questionnaire: A Comparison of Chronic Migraine with Episodic Migraine. Headache, 43, 336-342.
http://dx.doi.org/10.1046/j.1526-4610.2003.03068.x

[12]   Bigal, M.E., Serrano, D., Reed, M. and Lipton, R.B. (2008) Chronic Migraine in the Population: Burden, Diagnosis, and Satisfaction with Treatment. Neurology, 71, 559-566.
http://dx.doi.org/10.1212/01.wnl.0000323925.29520.e7

[13]   Buse, D.C., Manack, A., Serrano, D., Turkel, C. and Lipton, R.B. (2010) Sociodemographic and Comorbidity Profiles of Chronic Migraine and Episodic Migraine Sufferers. Journal of Neurology, Neurosurgery & Psychiatry, 81, 428-432.
http://dx.doi.org/10.1136/jnnp.2009.192492

[14]   Fukuhara, S., Bito, S., Green, J., Hsiao, A. and Kurokawa, K. (1998) Translation, Adaptation, and Validation of the SF-36 Health Survey for Use in Japan. Journal of Clinical Epidemiology, 51, 1037-1044.
http://dx.doi.org/10.1016/S0895-4356(98)00095-X

[15]   Fukuhara, S. and Yoshimi, S. (2011) Manual of SF-36v2 Japanese Version. Institute for Health Outcome and Process Evaluation Research.

[16]   Fukuhara, S., Ware, J.E., Kosinski, M., Wada, S. and Gandek, B. (1998) Psychometric and Clinical Tests of Validity of the Japanese SF-36 Health Survey. Journal of Clinical Epidemiology, 51, 1045-1053.
http://dx.doi.org/10.1016/S0895-4356(98)00095-X

[17]   Li, L., Wang, H.M. and Shen, Y. (2003) Chinese SF-36 Health Survey: Translation, Cultural Adaptation, Validation, and Normalisation. Journal of Epidemiology & Community Health, 57, 259-263.
http://dx.doi.org/10.1136/jech.57.4.259

[18]   Yu, J., Coons, S.J., Draugalis, J.R., Ren, X.S. and Hays, R.D. (2003) Equivalence of Chinese and US-English Versions of the SF-36 Health Survey. Quality of Life Research, 12, 449-457.
http://dx.doi.org/10.1023/A:1023446110727

[19]   Fuh, J.L., Wang, S.J., Lu, S.R., Juang, K.D., Lee, S.J. (2000) Psychometric Evaluation of a Chinese (Taiwanese) Version of the SF-36 Health Survey amongst Middle-Aged Women from a Rural Community. Quality of Life Research, 9, 675-683.
http://dx.doi.org/10.1023/A:1008993821633

[20]   Thumboo, J., Fong, K.Y., Machin, D., Chan, S.P., Leon, K.H., Feng, P.H., et al. (2001) A Community-Based Study of Scaling Assumptions and Construct Validity of the English (UK) and Chinese (HK) SF-36 in Singapore. Quality of Life Research, 10, 175-188.
http://dx.doi.org/10.1023/A:1016701514299

[21]   Ware Jr., J.E., Kosinski, M., Bayliss, M.S., McHorney, C.A., Rogers, W.H. and Raczek, A. (1995) Comparison of Methods for the Scoring and Statistical Analysis of SF-36 Health Profile and Summary Measures: Summary of Results from the Medical Outcomes Study. Medical Care, 33, AS264-AS279.

[22]   Suzukamo, Y., Fukuhara, S., Green, J., Kosinski, M., Gandek, B. and Ware, J.E. (2011) Validation Testing of a Three-Component Model of Short Form-36 Scores. Journal of Clinical Epidemiology, 64, 301-308.
http://dx.doi.org/10.1016/j.jclinepi.2010.04.017

[23]   Jensen, R. and Stovner, L.J. (2008) Epidemiology and Comorbidity of Headache. The Lancet Neurology, 7, 354-361.
http://dx.doi.org/10.1016/S1474-4422(08)70062-0

[24]   Takeshima, T., Ishizaki, K., Fukuhara, Y., Ijiri, T., Kusumi, M., Wakutani, Y., et al. (2004) Population-Based Door-to-Door Survey of Migraine in Japan: The Daisen Study. Headache, 44, 8-19.
http://dx.doi.org/10.1111/j.1526-4610.2004.04004.x

[25]   Sakai, F. and Igarashi, H. (1997) Prevalence of Migraine in Japan: A Nationwide Survey. Cephalalgia, 17, 15-22.
http://dx.doi.org/10.1046/j.1468-2982.1997.1701015.x

[26]   Castillo, J., Mu-oz, P., Guitera, V. and Pascual, J. (1999) Kaplan Award 1998. Epidemiology of Chronic Daily Headache in the General Population. Headache, 39, 190-196.
http://dx.doi.org/10.1046/j.1526-4610.1999.3903190.x

[27]   Russell, M.B. (2005) Tension-Type Headache in 40-Year-Olds: A Danish Population-Based Sample of 4000. The Journal of Headache and Pain, 6, 441-447.
http://dx.doi.org/10.1007/s10194-005-0253-3

[28]   Scher, A.I., Stewart, W.F., Liberman, J. and Lipton, R.B. (1998) Wolff Award 1998 Prevalence of Frequent Headache in a Population Sample. Headache, 38, 497-506.
http://dx.doi.org/10.1046/j.1526-4610.1998.3807497.x

[29]   Park, J., Moon, H., Kim, J., Lee, K. and Chu, M.K. (2014) Chronic Daily Headache in Korea: Prevalence, Clinical Characteristics, Medical Consultation and Management. Journal of Clinical Neurology, 10, 236-243.
http://dx.doi.org/10.3988/jcn.2014.10.3.236

[30]   Nezu, S., Okamoto, N., Morikawa, M., Saeki, K., Obayashi, K., Tomioka, K., et al. (2014) Health-Related Quality of Life (HRQOL) Decreases Independently of Chronic Conditions and Geriatric Syndromes in Older Adults with Diabetes: The Fujiwara-Kyo Study. Journal of Epidemiology, 24, 259-266.
http://dx.doi.org/10.2188/jea.JE20130131

[31]   Glass, T.A., de Leon, C.M., Marottoli, R.A. and Berkman, L.F. (1999) Population Based Study of Social and Productive Activities as Predictors of Survival among Elderly Americans. BMJ, 319, 478-483.
http://dx.doi.org/10.1136/bmj.319.7208.478

[32]   World Health Organization (2001) International Classification of Functioning, Disability and Health (ICF). Geneva.
http://www.who.int/classifications/icf/en/

[33]   Sakai, F. and Igarashi, H. (1997) Prevalence of Migraine in Japan: A Nationwide Survey. Cephalalgia, 17, 15-22.
http://dx.doi.org/10.1046/j.1468-2982.1997.1701015.x

[34]   Wang, S.J., Fuh, J.L., Lu, S.R. and Juang, K.D. (2001) Quality of Life Differs among Headache Diagnoses: Analysis of SF-36 Survey in 901 Headache Patients. Pain, 89, 285-292.
http://dx.doi.org/10.1016/S0304-3959(00)00380-8

[35]   Holroyd, K.A., Stensland, M., Lipchik, G.L., Hill, K.R., O’Donnell, F.S. and Cordingley, G. (2000) Psychosocial Correlates and Impact of Chronic Tension-Type Headaches. Headache, 40, 3-16.
http://dx.doi.org/10.1046/j.1526-4610.2000.00001.x

 
 
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