Understanding the postpartum cesarean pain experience in publicly insured individuals

Abstract. Objective: To factor analyze the Pain Patient Profile questionnaire (P3; Tollison & Langley, 1995 ), a self-report measure of emotional distress in respondents with chronic pain. Method: An unweighted least squares factor analysis with oblique rotation was conducted on the P3 scores of 160 pain patients to look for evidence of three distinct factors (i.e., Depression, Anxiety, and Somatization). Results: Fit indices suggested that three distinct factors, accounting for 32.1%, 7.0%, and 5.5% of the shared variance, provided an adequate representation of the data. However, inspection of item groupings revealed that this structure did not map onto the Depression, Anxiety, and Somatization division purportedly represented by the P3. Further, when the analysis was re-run, eliminating items that failed to meet salience criteria, a two-factor solution emerged, with Factor 1 representing a mixture of Depression and Anxiety items and Factor 2 denoting Somatization. Each of these factors correlated significantly with a subsample's assessment of pain intensity. Conclusion: Results were not congruent with the P3's suggested tripartite model of pain experience and indicate that modifications to the scale may be required.

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Men's pain experience as a function of attachment and social support

PsycEXTRA Dataset ◽

10.1037/e512142015-546 ◽

2014 ◽

Author(s):

Carol L. Wilson ◽

Mary Havers ◽

Alicia Marie Carroll ◽

Meghan Nee ◽

Geran Lorraine

Keyword(s):

Social Support ◽

Pain Experience

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Schmerztherapie nach thoraxchirurgischen Eingriffen

Allgemein- und Viszeralchirurgie up2date ◽

10.1055/a-0583-8249 ◽

2018 ◽

Vol 12 (02) ◽

pp. 155-165

Author(s):

Holger Hendrix ◽

Vladimir Kamlak ◽

Georgi Prisadov ◽

Katrin Welcker

Keyword(s):

Thoracic Surgery ◽

Pain Therapy ◽

Pain Treatment ◽

Internal Standards ◽

Pain Experience ◽

Thoracic Surgical Procedures ◽

Therapeutic Algorithm ◽

Alternative Procedures ◽

The Individual ◽

Documentation Form

The treatment of pain after thoracic surgery is a challenge and takes place in the individual clinics mostly according to clinic internal standards. It exists no currently valid S3 guideline for the treatment of acute perioperative and posttraumatic pain. For an effective pain treatment as well individual pain experience as the pain intensity of the various thoracic surgical procedures must be considered. Regular pain assessment with appropriate methods and their documentation form the basis for adequate and adapted pain therapy.There are a number of different pain therapy methods, non-medicamentous and drug-based methods, whose effectiveness is described in the literature partially different. For the treatment of acute postoperative pain after thoracic surgery, mainly drug-related procedures are used, except for physiotherapy as a non-medicamentous method. Increasingly, alternative procedures for the peridural catheter as a therapeutic gold standard in the treatment of pain after thoracic surgery are used. Their application can be integrated into a therapeutic algorithm.

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Comparison of Injection Site Pain Experience for Semaglutide and Dulaglutide sc

Case Medical Research ◽

10.31525/ct1-nct04189848 ◽

2019 ◽

Author(s):

Keyword(s):

Injection Site ◽

Injection Site Pain ◽

Pain Experience ◽

Site Pain

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Faculty Opinions recommendation of Sensory profiles are comparable in patients with distal and proximal entrapment neuropathies, while the pain experience differs.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.732833378.793575243 ◽

2020 ◽

Author(s):

César Fernández de las Peñas

Keyword(s):

Pain Experience ◽

Entrapment Neuropathies ◽

Sensory Profiles

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Experiencing Pain in Imperial Greek Culture

10.1093/oso/9780198810513.001.0001 ◽

2017 ◽

Cited By ~ 1

Author(s):

Daniel King

Keyword(s):

Roman Empire ◽

Art Criticism ◽

Cultural Theory ◽

Embodied Experience ◽

Physical Pain ◽

Pain Experience ◽

Emotional Context ◽

Social And Emotional ◽

Greek Culture ◽

Christian Society

Much of the Western intellectual tradition’s interest in pain can be traced back to Greek material. This book investigates one theme in the interest in physical pain in Greek culture under the Roman Empire. Traditional accounts of pain in the Roman Empire have either focused on philosophical or medical theories of pain or on Christian notions of ‘suffering’; and fascination with the pained body has often been assumed to be a characteristic of Christian society, rather than ancient culture in general. The book uses ideas from medical anthropology, as well as contemporary philosophical discussions and cultural theory, to help unpack the complex engagement with pain in the ancient world. It argues, centrally, that pain was approached as a type of embodied experience, in which ideas about the body’s physiology, its representation, and communication, as well as its emotional and cognitive impact on those who felt pain and others around them, were important aspects of what it meant to be in pain. The formulation of this sense of pain experience is examined across a range of important areas of Imperial Greek culture, including rational medicine, rhetoric, and literature, as well as ancient art criticism. What is common across these disparate areas of cultural activity is the notion that pain must be understood within its broad personal, social, and emotional context.

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Can Residential Greenspace Exposure Improve Pain Experience? A Comparison between Physical Visit and Image Viewing

Healthcare ◽

10.3390/healthcare9070918 ◽

2021 ◽

Vol 9 (7) ◽

pp. 918

Author(s):

Hansen Li ◽

Xing Zhang ◽

Shilin Bi ◽

Yang Cao ◽

Guodong Zhang

Keyword(s):

Heart Rate ◽

State Anxiety ◽

Pain Threshold ◽

Pain Perception ◽

The State ◽

Subjective Stress ◽

Pain Experience ◽

Scenic Beauty ◽

Significant Difference ◽

Pain Stimuli

Reducing the burden of pain via greenspace exposure is a rising research topic. However, insufficient evidence has been found in relation to the environmental effect itself. Residential greenspace, as a convenient but limited natural environment for urban dwellers, has benefits and services yet to be discovered. Therefore, the current study recruited 24 young adults to evaluate the effects of physical visit to, or image viewing of, residential greenspace on pain perception and related psychophysiological outcomes, via simulated pain. Pain threshold and tolerance were recorded via the level of pain stimuli, and pain intensity was evaluated using the Visual Analog Scale (VAS). The state scale of the State–Trait Anxiety Inventory (STAI-S) and two adjective pairs were employed to measure the state anxiety and subjective stress, respectively. Meanwhile, heart rate (HR), heart rate variability (HRV), and blood pressure (BP) were measured to investigate physiological responses. Besides, Scenic Beauty Estimation (SBE) was also employed to assess participants’ preference regarding the experimental environments. The results revealed that visiting the greenspace significantly increased the pain threshold and tolerance, while no significant effect was observed for image viewing. On the other hand, no significant difference was observed in pain-related psychophysiological indices between the experimental settings, but significantly negative associations were found between the scores of SBE and subjective stress and state anxiety. In conclusion, the current study brings experimental evidence of improving pain experience via residential greenspace exposure, while the related psychophysiological benefits require further investigation.

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Voter Registration Among People With HIV in North Carolina

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab037 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Asher J Schranz ◽

Nadya Belenky ◽

Haley A Moss ◽

Sonia Napravnik ◽

David L Rosen

Keyword(s):

North Carolina ◽

Health Status ◽

Vulnerable Population ◽

Voter Registration ◽

Public Resources ◽

Publicly Insured

Abstract Persons with HIV (PWH) represent a socially and medically vulnerable population who often depend on public resources. We examined voter registration among PWH in North Carolina. Sixty-four percent were registered to vote. Registration was lower among PWH who were young, Hispanic, publicly insured or uninsured, and who had poor HIV health status.

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Prenatal Provider Breastfeeding Toolkit: Results of a Pilot to Increase Women’s Prenatal Breastfeeding Support, Intentions, and Outcomes

Journal of Human Lactation ◽

10.1177/08903344211008797 ◽

2021 ◽

pp. 089033442110087

Author(s):

Casey Rosen-Carole ◽

Jill Halterman ◽

Constance D. Baldwin ◽

Hayley Martin ◽

Nicolas P. N. Goldstein ◽

...

Keyword(s):

New York ◽

Breastfeeding Initiation ◽

Provider Education ◽

Breastfeeding Support ◽

Post Intervention ◽

Peer Counselors ◽

Breastfeeding Intention ◽

Healthy People 2020 ◽

Peer Counselor ◽

Publicly Insured

Background Breastfeeding rates for United States women with lower incomes fall below the government’s Healthy People 2020 Goals. Breastfeeding recommendations combined with support from providers and peer counselors help women decide to begin and sustain breastfeeding, but peer counselor uptake is low. Research Aim To evaluate changes in referrals to Women, Infants, and Children’s Supplemental Nutrition Program peer counselors, reported prenatal provider education and support, and breastfeeding outcomes (intention, initiation, 1-month duration of any and exclusive breastfeeding) after a prenatal breastfeeding promotion intervention. Method In this pre-post intervention study (2015–2016; upstate New York), providers implemented a Toolkit to discuss infant feeding recommendations and initiate peer counselor referral. We surveyed women pre- and post-implementation (after delivery; 1 month postpartum) about prenatal breastfeeding intentions, provider support, and breastfeeding outcomes. Analyses controlled for secular trends. Results Pre-intervention ( n = 71) and post-intervention ( n = 70) participants were 49% Black, 61% publicly insured, and 16% uninsured. More post-intervention participants had > 1 Toolkit use (76%), peer counselor program referrals (60.0% post vs. 36.6% pre, p < .01), reported any breastfeeding intention (89% vs. 72%, p = .013), and intended to breastfeed for > 1 year (31% vs. 14%, p = .014). Post-intervention breastfeeding initiation and exclusivity were higher, but not significantly different. Post-intervention participants reported better prenatal breastfeeding support. Conclusions Implementing a prenatal Breastfeeding Toolkit, including facilitating peer counselor referral, was associated with increases in provider counseling, participants’ breastfeeding intentions, and uptake of peer counselors. Replicating this approach may reinforce efforts to support breastfeeding in similar practices serving women with lower incomes.

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