Evidence map›Paper›PMID 41112601›Full record

ArticleWorld journal of psychiatry2025

Neck pain and emotional state in cervical spondylosis: A dual trajectory model analysis.

Jia-Qi Yang, Jie Wu, Jian-En Guo, Zhi-Xin Yang, Jin-Ying Liu, Yu-Man Wang, Yin-Juan Zhang

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Article in World journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jia-Qi YangDepartment of Basic Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Jie WuDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Jian-En GuoDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Zhi-Xin YangDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Jin-Ying LiuDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Yu-Man WangDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China.
Yin-Juan ZhangDepartment of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China. zhang_1986@cdmc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeck pain, a primary symptom of cervical spondylosis, affects patients' physical and mental health, reducing their quality of life. Pain and emotional state interact; however, their longitudinal interrelationship remains unclear. In this study, we applied a dual-trajectory model to assess how neck pain and emotional state evolve together over time and how clinical interventions, particularly acupuncture, influence these trajectories.

aimTo investigate the longitudinal relationship between neck pain and emotional state in patients with cervical spondylosis.

methodsThis prospective cohort study included 472 patients with cervical spondylosis from eight Chinese hospitals. Participants received acupuncture or medication and were followed up at baseline, and at 1, 2, 4, 6, and 8 weeks. Neck pain and emotional distress were assessed using the Northwick Park Neck Pain Questionnaire (NPQ) and the affective subscale of the Short-Form McGill Pain Questionnaire (SF-MPQ), respectively. Group-based trajectory models and dual trajectory analysis were used to identify and correlate pain-emotion trajectories. Multivariate logistic regression identified predictors of group membership.

resultsThree trajectory groups were identified for NPQ and SF-MPQ scores (low, medium, and high). Higher NPQ trajectory was associated with older age (OR = 1.058,

conclusionOver time, neck pain and emotional distress are closely associated in patients with cervical spondylosis. Acupuncture alleviates both outcomes significantly, while age is a risk factor. Integrated approaches to pain and emotional management are encouraged.

Indexed as

Cervical spondylosisDual trajectory analysisEmotional stateGroup-based trajectory modelNeck pain

Identifiers

PMID41112601
PMCPMC12531912

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