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Global Translational Medicine                                     New insights into chronic pain management
































            Figure 6. Study design and groups of patients in accordance with pain origin.
















            Figure  7.  Incidence of depression (detected by HADS) and insomnia
            (detected by DSM-5 clinical criteria) in patients with neuropathic and
            nociceptive pain origins.  P-values were obtained from Pearson’s Chi-
            square test.                                       Figure 9. Correlation of pain relief in age-stratified patient groups after
                                                               1 , 3 , and 12  week of vortioxetine treatment. P-values were obtained
                                                                st
                                                                        th
                                                                  rd
                                                               from Student’s t-tests.
                                                               Table 1. Correlation of pain relief with duration of pain,
                                                               origin of pain, and gender
                                                               Parameters      Pain relief, mean mm  Pain relief, mean mm
                                                                                (1  week treatment) (12  week treatment)
                                                                                 st
                                                                                                 th
                                                               Duration of pain (>12   2.36 versus 2.0,   3.72 versus 3.3,
                                                               months/≤12 months)   P=0.279        P=0.45
                                                               Origin of pain     1.0 versus 0.82,   3.33 versus 3.59
                                                               (neuropathic and     P=0.696        P=0.675
                                                               nociceptive)
            Figure 8. Correlation of pain relief by visual analog scale depending on   Gender (male and   1.17 versus 0.76,   4.17 versus 3.29,
            presence of comorbid symptoms (clinical depression and insomnia).   female)  P=0.37    P=0.141
            P-values were obtained from Student’s t-tests.     P-values were obtained from Student’s t-tests.

            comorbid symptoms such as depression and insomnia. The   changes in the CNS participating in pain control and also
            core of pathogenic mechanism of pain is the functional   psychological, social and emotional stress, instead of organic


            Volume 2 Issue 2 (2023)                         6                         https://doi.org/10.36922/gtm.312
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