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Psychosocial and pain

Cortney M Schoonover, Stephen L Turner, Yvette Woods, Enrique Smith-Forbes, Daniel I Rhon
Low back pain (LBP) is a common condition suffered by military personnel. Psychosocial factors play a role in LBP prognosis and can be addressed with self-management tools. This study's purpose was to (1) describe clinical changes in psychosocial factors of LBP following a self-management intervention and (2) explore the LBP experience of military trainees. Ten participants in Initial Entry Training (IET) were included in this mixed methods study. A self-management intervention of exercises and psychosocial education was provided...
March 1, 2019: Military Medicine
Alisa J Johnson, Ellen Terry, Emily Bartley, Cynthia Garvan, Yenisel Cruz-Almeida, Burel Goodin, Toni Glover, Roland Staud, Laurence Bradley, Roger Benton Fillingim, Kim Sibille
Telomere length, a measure of cellular aging, is inversely associated with chronic pain severity. While psychological resilience factors (e.g., optimism, acceptance, positive affect, active coping) are associated with lower levels of clinical pain and greater physical functioning, it is unknown whether resilience may buffer against telomere shortening in individuals with chronic pain. Additionally, a broader conceptualization of resilience that includes social and biobehavioral factors may improve our understanding of the relationship between resilience, chronic pain, and health outcomes...
March 22, 2019: Molecular Pain
Margie K Olds, Richard Ellis, Priya Parmar, Paula Kersten
Objective: To develop a multivariate tool that would predict recurrent instability after a first-time traumatic anterior shoulder dislocation. Methods: Participants (aged 16-40 years) were recruited across New Zealand into a prospective cohort study. Baseline data were collected during a telephone interview and through examination of radiology records. Variables associated with recurrent instability were selected for the multivariate logistic regression model using backwards selection (p<0...
2019: BMJ Open Sport & Exercise Medicine
Ho Lee, Seong-Yong Cho, Jin-Seok Kim, Seong-Yong Yoon, Bu-Il Kim, Jong-Min An, Ki-Beom Kim
Background: The objective of this study was to compare differences in lifestyle diseases, musculoskeletal pain, psychosocial stress, and self-health awareness according to gender in Korean farmers. Methods: The study population comprised 436 farmers residing in rural areas in Korea. A self-administered questionnaire was used to survey demographic characteristics, health-related behaviors, and musculoskeletal pain. The psychosocial well-being index short form (PWI-SF) was used to survey psychosocial stress, and the 12-item short form health survey (SF-12) was used to survey self-health awareness...
2019: Annals of Occupational and Environmental Medicine
Yoshiki Imamura, Takahiro Shinozaki, Akiko Okada-Ogawa, Noboru Noma, Masahiro Shinoda, Koichi Iwata, Akihiko Wada, Osamu Abe, Kelun Wang, Peter Svensson
Burning mouth syndrome (BMS) is a chronic orofacial pain disorder of unknown cause. It is more common in peri- and postmenopausal women, and sex hormone dysregulation is believed to be an important causative factor. Psychosocial events often trigger or exacerbate symptoms, and persons with BMS appear to be predisposed toward anxiety and depression. Atrophy of small nerve fibers in the tongue epithelium has been reported, and potential neuropathic mechanisms for BMS are now widely investigated. Historically, BMS was thought to comprise endocrinological, psychosocial, and neuropathic components...
March 20, 2019: Journal of Oral Rehabilitation
Nathalia Costa, Paul W Hodges, Manuela L Ferreira, Joanna Makovey, Jenny Setchell
OBJECTIVE: For many, low back pain (LBP) is a lifelong condition with symptoms varying over time. Previous studies have investigated long-term risk factors and triggers for onset of LBP. No study has examined causes for less distinct fluctuations of symptoms, such as "flares," which individuals with LBP identify as a significant and worrisome part of LBP. As little is known about what triggers this type of fluctuation, we aimed to investigate individuals' perspectives on LBP flare triggers...
March 19, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Vincenzo De Sanctis, Vincenzo Abbasciano, Ashraf T Soliman, Nada Soliman, Salvatore Di Maio, Bernadette Fiscina, Christos Kattamis
Juvenile fibromyalgia syndrome (JFMS) is a chronic condition characterized by symptoms of chronic diffuse musculoskeletal pain and multiple painful tender points on palpation. It is often accompanied by fatigue, disorders of sleep, chronic headaches, irritable bowel syndrome, and subjective soft tissue swelling. The complexity of the presenting clinical picture in JPFS has not been sufficiently defined in the literature. Similarities to adult fibromyalgia syndrome in JFMS are often difficult to compare, because many of the symptoms are "medically unexplained" and often overlap frequently with other medical conditions...
January 23, 2019: Acta Bio-medica: Atenei Parmensis
Jessica Ventura, Joohyun Chung
An educational support group, The Lighten Your Life Program, was developed for adult patients who self-reported depressive symptoms and had one or more comorbid chronic pain condition. Using a mixed methods, pilot design, the purpose of the current study was to test the feasibility of The Lighten Your Life Program, which combined depression education with in-person group support every 2 weeks. The Lighten Your Life Program also encouraged the use of Pacifica, a mobile application (app), as a self-management tool...
March 18, 2019: Journal of Psychosocial Nursing and Mental Health Services
Manfred E Beutel, Jörg Wiltink, Jasmin Ghaemi Kerahrodi, Ana N Tibubos, Elmar Brähler, Andreas Schulz, Philipp Wild, Thomas Münzel, Karl Lackner, Jochem König, Norbert Pfeiffer, Matthias Michal, Michaela Henning
The purpose of the study was (1) to determine the prevalence of somatic symptoms in men and women in the general population and (2) to identify the contributions of psychosocial factors and somatic disease on symptom reporting. A total of 7,925 participants aged 40 to 80 years underwent medical and psychological assessments, based on the PHQ-15 (Patient Health Questionnaire). We excluded 3 items in order to avoid confounding findings: 2 items overlapping with the depression measure (PHQ-9) and the menstruation complaints item which biases sex comparisons...
March 14, 2019: Scientific Reports
Julia Z Benjamin, Cynthia Harbeck-Weber, Leslie Sim
BACKGROUND: Most research on family impacts of pediatric chronic pain has been conducted with mothers, and therefore little is known about fathers' adjustment. However, it is well established that caring for a child with chronic pain takes a toll on caregiver well-being. Parents of children with chronic pain have been found to experience high levels of anxiety, depression, and parenting stress. As such, the goal of this study was to examine differences between mothers and fathers of youth with chronic pain, explore interaction effects between parent gender and child variables, and compare parents' scores to national norms...
March 13, 2019: Child: Care, Health and Development
Ernst Schrier, Jan H B Geertzen, Jelmer Scheper, Pieter U Dijkstra
BACKGROUND: Amputation for longstanding therapy resistant complex regional pain syndrome type-I (CRPS-I) is controversial. Reported results are inconsistent. It is assumed that psychological factors play a role in CRPS-I. OBJECTIVE: To explore which psychological factors prior to amputation are associated with poor outcomes after amputation in the case of longstanding therapy resistant CRPS-I. METHODS: Between May 2008 and August 2015, 31 patients with longstanding therapy resistant CRPS-I were amputated...
2019: PloS One
R Christopher Doiron, Daniel A Shoskes, J Curtis Nickel
INTRODUCTION: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), commonly encountered in urologic practice, carries with it a stigma of poor understanding, ineffective treatment, and significant financial and quality of life burden. MATERIALS AND METHODS: This clinically practical review is based on the authors' personal clinical experience in interpretation and application of currently available evidence. RESULTS: Significant progress has been made in terms of classification and evaluation of the disease, leading to encouraging improvements in treatment outcomes...
March 12, 2019: World Journal of Urology
Edwin N Aroke, Paule V Joseph, Abhrarup Roy, Demario S Overstreet, Trygve O Tollefsbol, David E Vance, Burel R Goodin
African Americans disproportionately suffer more severe and debilitating morbidity from chronic pain than do non-Hispanic Whites. These differences may arise from differential exposure to psychosocial and environmental factors such as adverse childhood experiences, racial discrimination, low socioeconomic status, and depression, all of which have been associated with chronic stress and chronic pain. Race, as a social construct, makes it such that African Americans are more likely to experience different early life conditions, which may induce epigenetic changes that sustain racial differences in chronic pain...
2019: Journal of Pain Research
Ángeles María Márquez-Carrasco, Elena García-García, María Pilar Aragúndez-Marcos
The coccyx is a bone with its own morphology and mobility and pain can occur due to trauma such as a difficult or instrumental delivery. Coccydynia can make it impossible to carry out the activities of daily life, its affects can be both physical and psychosocial, and causes great maternal morbidity. This article highlights the factors that predispose women to coccydynia and actions to relieve and improve it. Postpartum coccydynia is pain that appears as soon as a sitting position is adopted after delivery...
March 9, 2019: Enfermería Clínica
Laura C Seidman, Sarah R Martin, Meredith W Trant, Laura A Payne, Lonnie K Zeltzer, Tara M Cousineau, Elizabeth Donovan
OBJECTIVE: To conduct a single-arm pilot study assessing the feasibility and acceptability of a 30-day parent-focused mindfulness and psychosocial support mobile app intervention for parents of children with chronic pain. METHODS: Thirty parents completed the intervention, which included a mindfulness curriculum, peer support videos, and written psychoeducational content. Twelve healthcare providers also assessed the app and provided feedback. Feasibility was assessed by server-side documented usage on ≥50% of the days in the intervention period and completion of ≥70% of the mindfulness content...
March 11, 2019: Journal of Pediatric Psychology
Abdurrahman Muhammad Sani, Ismi Ismail Arif, Mohd Mursyid Arshad, Ismaila Arzika Mungadi, Kim Geok Soh, Kim Lam Soh
BACKGROUND: Disorders of sex development (DSD) affect the quality of life of people who live with this condition. In developing countries, diagnoses of DSD are associated with a delay in presentation until the patients developed ambiguous physical traits and features. PURPOSE: This study explores the menstrual experiences of people with DSD and sex reassignment in Nigeria. METHODS: A qualitative approach with a phenomenological study design was employed in this study to explore and describe the experiences of people with DSD at the Usmanu Danfodiyo University Teaching Hospital in Sokoto, Nigeria...
March 7, 2019: Journal of Nursing Research: JNR
Maria Teresa Solis-Soto, Anabel Schön, Manuel Parra, Katja Radon
OBJECTIVE: To assess the association between effort-reward imbalance (ERI) and health indicators among Bolivian school teachers. DESIGN: School-based cross-sectional study. SETTING: Sixty randomly selected schools from rural (33) and urban (27) schools in Chuquisaca, Bolivia. PARTICIPANTS: A total of 1062 school teachers were invited to participate, of which 597 answered the questionnaire (response 56.2%). EXPOSURE MEASURE: Psychosocial factors at work were explored through the short version of the Effort-Reward Questionnaire...
March 8, 2019: BMJ Open
Vanessa Torres, Michelle Darezzo Rodrigues Nunes, Fernanda Machado Silva-Rodrigues, Lilian Bravo, Kathleen Adlard, Rita Secola, Ananda Maria Fernandes, Lucila Castanheira Nascimento, Eufemia Jacob
Malignancy- and cancer-related treatments lead to multiple symptoms. Although treatments focus on cure, few research studies have examined the symptoms that accompany these aggressive and complicated treatments. The purpose of the study was to evaluate the symptoms experienced by children at home. Children (n = 25) and adolescents (n = 33) diagnosed with cancer completed the Memorial Symptoms Assessment Scale during the 5 days at home after discharge from the hospital. The most frequent physical symptoms were fatigue (52...
March 4, 2019: Journal of Pediatric Health Care
Ahmad E Aboshaiqah
The aims of this study were to assess the palliative care knowledge among nurses in Saudi Arabia and to identify the demographic factors influencing such knowledge. A convenience sample of 365 nurses working in 2 hospitals in Saudi Arabia was surveyed using the Palliative Care Quiz for Nursing in this cross-sectional study. The mean score of the respondents in the Palliative Care Quiz for Nursing was 8.88 (SD, 1.75), which is interpreted as low knowledge. In terms of the theoretical categories of the scale, 9 of the 13 items in the category pain and symptom management were answered correctly by the majority of the respondents, whereas all the items in the psychosocial and spiritual care category were answered incorrectly by the majority of the respondents...
March 5, 2019: Journal of Hospice and Palliative Nursing: JHPN
Asir John Samuel, Durairaj Kanimozhi
Understanding the impact of evidence-based practice toward the rehabilitation of patients with knee osteoarthritis (PKOA) is possible with appropriate outcome measures. There is a definite need to summarize the available outcomes with reference to knee OA. This review summarizes the available outcome measures used in the diagnosis, prognosis, and rehabilitation of PKOA. Electronic searches of PubMed, Medline, CINAHL, PsycINFO, Google Scholar, and EBSCO were conducted using terms relating to outcome measures used in the diagnosis, prognosis, and rehabilitation of PKOA...
January 2019: International Journal of Health Sciences
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