Associação entre dor crônica e funcionalidade em mulheres adultas: um estudo transversal com o World Health Organization Disability Assessment Schedule? WHODAS 2.0

Abstract

INTRODUCTION: Chronic pain is defined as persistent or relapsing, sensory and emotional pain for more than 3 months and can be classified as a disease if the individual's functionality is compromised. Women are more likely to experience pain due to biopsychosocial factors. The literature does not clarify which aspects of functionality are most affected by pain. Thus, the objective of this study was to assess the association between chronic pain and the functionality of adult women. METHODS: A cross-sectional study was carried out with women of reproductive age from 19 to 49 years. To characterize the sample, a sociodemographic questionnaire was prepared, which contained data such as age, occupation, self-perceived health, income, and the presence of comorbidities. Chronic pain was assessed using the visual analog scale and body diagram. Functionality through the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), whose score ranges from 0 to 100, where 0 means complete or no disability and 100 complete or no disability. Data were analyzed using inferential statistics and considered statistically significant when p <0.05. RESULTS: The prevalence of chronic pain in adult women was 53.3%. The place with the highest prevalence of chronic pain was the lumbar spine (17.9%) and the one with the lowest prevalence was the hip (4.1%). Women with chronic pain had higher scores in the general WHODAS 2.0 score (p = 0.010) and, in the domains mobility (p = 0.001), domestic activities (p = 0.027) and participation (p = 0.004). The average intensity of chronic pain per patient was 6.62 ± 2.26. This painful intensity is associated with difficulties only in the mobility domain, with greater difficulty for women with severe and severe pain, when compared to patients with mild pain. CONCLUSION: Women with chronic pain presented a greater limitation in functioning than women without chronic pain. The most affected domains were mobility, domestic activities and participation.