3.9 Article

Psychosocial factors and adjustment to chronic pain in spinal cord injury: Replication and cross-validation

期刊

出版社

JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2008.03.0044

关键词

adjustment; attributions; biopsychosocial model; catastrophizing; chronic pain; coping; CPCI; pain interference; rehabilitation; SOPA; spinal cord injury

资金

  1. NICHD NIH HHS [P01 HD033988, P01 HD033988-10, P01 HD33988] Funding Source: Medline
  2. EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [P01HD033988] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Recent studies have documented the importance of psychological Factors in the experience of chronic pain in persons With spinal cord injury (SCI). The current study sought to replicate and extend previous work demonstrating associations among specific pain-related beliefs, coping, mental health, and pain outcomes in persons With SCI. A return-by-mail survey assessing psychological functioning and pain was completed by 130 individuals with SCI. Measures included short forms of the Survey of Pain Attitudes and the Chronic Pain Coping, Inventory. After factor analysis, multiple regression Was used to predict pain outcomes (psychological functioning and pain interference) after controlling for pain intensity. Results indicated that psychological factors, particularly beliefs about pain (including catastrophizing) and pain-related coping strategies (including passive coping), were significant predictors of pain outcomes and accounted for 21% to 25%, of unique variance. Zero-order corrections suggested that the specific variables most closely associated with negative pain outcomes were perception of oneself as disabled, perceptions of low control over pain, and tendency to catastrophize. In general, negative attributions and coping were stronger predictors of pain adjustment than were positive ones. Results highlight the importance of psychological factors in understanding chronic pain in persons with SCI and provide further support for the biopsychosocial model.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

3.9
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Medicine, Research & Experimental

Telephone-delivered cognitive behavioral therapy for veterans with chronic pain following traumatic brain injury: Rationale and study protocol for a randomized controlled trial study

Jeanne M. Hoffman, Dawn M. Ehde, Sureyya Dikmen, Tiara Dillworth, Kevin Gertz, Carrie Kincaid, Sylvia Lucas, Nancy Temkin, Kate Sawyer, Rhonda Williams

CONTEMPORARY CLINICAL TRIALS (2019)

Article Health Care Sciences & Services

Physical activity and depression in MS: The mediating role of behavioral activation

Aaron P. Turner, Narineh Hartoonian, Abbey J. Hughes, Anne Arewasikporn, Kevin N. Alschuler, Alicia P. Sloan, Dawn M. Ehde, Jodie K. Haselkorn

DISABILITY AND HEALTH JOURNAL (2019)

Article Clinical Neurology

Moderators of Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain: A Test of the Limit, Activate, and Enhance Model

Melissa A. Day, Beverly E. Thorn, Dawn M. Ehde, John W. Burns, Amanda Barnier, Jason B. Mattingley, Natasha Matthews, Mark P. Jensen

JOURNAL OF PAIN (2020)

Article Clinical Neurology

Prioritizing progressive MS rehabilitation research: A call from the International Progressive MS Alliance

Kathleen M. Zackowski, Jennifer Freeman, Giampaolo Brichetto, Diego Centonze, Ulrik Dalgas, John DeLuca, Dawn Ehde, Sara Elgott, Vanessa Fanning, Peter Feys, Marcia Finlayson, Stefan M. Gold, Matilde Inglese, Ruth Ann Marrie, Michelle Ploughman, Christine N. Sang, Jaume Sastre-Garriga, Caroline Sincock, Jonathan Strum, Johan van Beek, Anthony Feinstein

Summary: This research emphasizes key symptoms for people with progressive MS and calls for high-quality studies focused on symptom management and rehabilitation. Through collaboration of an international expert group, four main symptoms and factors affecting treatment efficacy are highlighted. This coordinated call to action aims to address gaps in rehabilitation research for those affected by progressive MS.

MULTIPLE SCLEROSIS JOURNAL (2021)

Article Clinical Neurology

Willingness to obtain COVID-19 vaccination in adults with multiple sclerosis in the United States

Dawn M. Ehde, Michelle K. Roberts, Tracy E. Herring, Kevin N. Alschuler

Summary: The study found that during the COVID-19 pandemic, approximately two-thirds of individuals with multiple sclerosis were willing to receive a future COVID-19 vaccine. Willingness to receive the vaccine was associated with education level, perceived risk of COVID-19 infection, and trust in information sources.

MULTIPLE SCLEROSIS AND RELATED DISORDERS (2021)

Article Clinical Neurology

Prevalence, co-occurrence, and trajectories of pain, fatigue, depression, and anxiety in the year following multiple sclerosis diagnosis

Thomas R. Valentine, Kevin N. Alschuler, Dawn M. Ehde, Anna L. Kratz

Summary: The study found that pain, fatigue, depression, and anxiety are common in patients with multiple sclerosis, often co-occurring. Most patients experienced at least one clinically significant symptom within the year after diagnosis, indicating a significant impact on patients. Symptom severity showed fluctuations at the individual level, highlighting the need for timely screening and treatment.

MULTIPLE SCLEROSIS JOURNAL (2022)

Article Health Care Sciences & Services

Correlates of sleep disturbance in Veterans with traumatic brain injury and chronic pain: A cross-sectional study

Megan Miller, Rhonda Williams, Kathleen Pagulayan, Jason Barber, Dawn M. Ehde, Jeanne Hoffman

Summary: This study investigated the sleep patterns in Veterans with both traumatic brain injury (TBI) and chronic pain. The results showed that more severe insomnia symptoms were associated with higher depression and PTSD symptoms, as well as slower processing speed. Improving sleep quality in this population may be crucial for improving outcomes following TBI.

DISABILITY AND HEALTH JOURNAL (2022)

Article Rehabilitation

Public health adherence and information-seeking for people with chronic conditions during the early phase of the COVID-19 pandemic

Michelle K. Roberts, Dawn M. Ehde, Tracy E. Herring, Kevin N. Alschuler

Summary: The study found that individuals with chronic conditions showed high adherence to public health guidelines during the early stages of the COVID-19 pandemic, as well as a high willingness to be vaccinated. Trust in information sources varied, with healthcare providers being the most trusted and social media being the least trusted.
Article Anesthesiology

Effects of hypnosis vs mindfulness meditation vs education on chronic pain intensity and secondary outcomes in veterans: a randomized clinical trial

Rhonda M. Williams, Melissa A. Day, Dawn M. Ehde, Aaron P. Turner, Marcia A. Ciol, Kevin J. Gertz, David Patterson, Shahin Hakimian, Pradeep Suri, Mark P. Jensen

Summary: This study compares the effectiveness of hypnosis training, mindfulness meditation, and active education control in treating chronic pain. The results show that all three interventions provide benefits in improving pain and other related factors. The benefits of hypnosis and mindfulness meditation last longer, while the improvements associated with active education gradually diminish.
Article Psychology, Clinical

Association of Physical and Mental Symptoms With Cognition in People With Spinal Cord Injury

Noelle E. Carlozzi, Christopher M. Graves, Jonathan P. Troost, Dawn M. Ehde, Jennifer A. Miner, Anna L. Kratz

Summary: This study finds that high levels of anxiety and fatigue are associated with poorer cognition in individuals with SCI, and pain is also linked to worse cognitive performance. Furthermore, anxiety and fatigue are related to lower self-perceived cognitive function, and anxiety is associated with lower working memory, and fatigue is linked to lower delayed memory performance among those with cognitive impairment.

REHABILITATION PSYCHOLOGY (2021)

Article Psychology, Clinical

Evaluating the Benefits of a Second Pain Treatment Following a Clinical Trial

Tracy M. Anastas, Aaron P. Turner, Erica J. J. Ho, Melissa A. Day, Dawn M. Ehde, Mark P. Jensen, Rhonda M. Williams

Summary: This study validates the value of adding an open label phase after a clinical trial of pain treatments through the analysis of participant characteristics and potential benefits. The results show that a substantial portion of study participants chose to participate in the open label phase and reported it to be beneficial. Analyzing data from an open label phase can provide insights into important aspects of patient experience, barriers to and facilitators of care, and treatment preferences.

REHABILITATION PSYCHOLOGY (2023)

Article Psychology, Clinical

Effects of Hypnosis, Mindfulness Meditation, and Education for Chronic Pain on Substance Use in Veterans: A Supplementary Analysis of a Randomized Clinical Trial

Aaron P. Turner, Karlyn A. Edwards, Mark P. Jensen, Dawn M. Ehde, Melissa A. Day, Rhonda M. Williams

Summary: This study examined the impact of three behavioral interventions on substance use among chronic pain patients. The results showed that mindfulness meditation and hypnosis significantly reduced cannabis use, but had no significant effect on tobacco or alcohol use.

REHABILITATION PSYCHOLOGY (2023)

Article Clinical Neurology

Characterizing cannabis use in a sample of adults with multiple sclerosis and chronic pain: An observational study

Kara Link, Lindsey M. Knowles, Kevin N. Alschuler, Dawn M. Ehde

Summary: This study examined the prevalence and characteristics of cannabis use for pain management among adults with multiple sclerosis (MS) and chronic pain. Results showed that 27% of participants used cannabis, with the most common route of administration being oil/tincture. Cannabis users were younger and had higher levels of pain intensity, pain interference, and neuropathic pain.

MULTIPLE SCLEROSIS AND RELATED DISORDERS (2023)

Article Psychology, Clinical

Feasibility and Acceptability of a Single-Session, Videoconference- Delivered Group Intervention for Pain in Multiple Sclerosis

Kevin N. Alschuler, Jennifer K. Altman, Dawn M. Ehde

Summary: The study aimed to investigate the feasibility and acceptability of remotely delivered single-session group intervention targeting pain coping in individuals with early MS. Results showed that a majority of participants in the treatment arm were satisfied with the intervention and continued to use the strategies learned; the two groups did not differ significantly on outcomes at any time point, with large standard deviations found on most measures. Further research is needed to understand the immediate effectiveness and long-term impact of the intervention.

REHABILITATION PSYCHOLOGY (2021)

Article Clinical Neurology

Cannabinoid use among Americans with MS: Current trends and gaps in knowledge

Tiffany J. Braley, Daniel Whibley, Kevin N. Alschuler, Dawn M. Ehde, Ronald D. Chervin, Daniel J. Clauw, David Williams, Anna L. Kratz

MULTIPLE SCLEROSIS JOURNAL-EXPERIMENTAL TRANSLATIONAL AND CLINICAL (2020)

暂无数据