Cognitive function in patients with chronic pain treated with opioids: characteristics and associated factors

Background The paucity of studies regarding cognitive function in patients with chronic pain, and growing evidence regarding the cognitive effects of pain and opioids on cognitive function prompted us to assess cognition via neuropsychological measurement in patients with chronic non-cancer pain treated with opioids. Methods In this cross-sectional study, 49 patients were assessed by Continuous Reaction Time, Finger Tapping, Digit Span, Trail Making Test-B and Mini-mental State Examination tests. Linear regressions were applied. Results Patients scored poorly in the Trail Making Test-B (mean?=?107.6?s, SD?=?61.0, cut-off?=?91?s); and adequately on all other tests. Several associations among independent variables and cognitive tests were observed. In the multiple regression analyses, the variables associated with statistically significant poor cognitive performance were female sex, higher age, lower annual income, lower schooling, anxiety, depression, tiredness, lower opioid dose, and more than 5?h of sleep the night before assessment (P?<?0.05). Conclusions Patients with chronic pain may have cognitive dysfunction related to some reversible factors, which can be optimized by therapeutic interventions.

Danish Agency for Science Technology and Innovation [09-065590]

Danish Agency for Science Technology and Innovation

State of Sao Paulo Research Foundation

State of Sao Paulo Research Foundation

Programa Nacional de Pos-Doutoramento da Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior

Programa Nacional de PosDoutoramento da Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior

Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior

Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior