(344) The relationship between the Pain Resilience Scale and perceived disability, pain interference, and depression in chronic pain

Objective. To evaluate the relationship between opioid use and specific personality traits among individuals with chronic pain stratified by morphine equivalent doses (MEQ). Design. Observational cohort study. Setting. Chronic pain outpatient clinic in Canada (2017–2019). Patients. Participants were included if they (1) were at least 18 years old, (2) had been diagnosed with chronic pain (pain >3 months), and (3) were able to read and write in English. Interventions. None. Main Outcome Measures. Completion of the following outcome measures: Acceptance and Action Questionnaire, Anxiety Sensitivity Index, Brief-Coping with Problems Experience 28-item, Brief Pain Inventory Short Form, CAGE-AID substance misuse screening tool, EuroQol-5D, Generalized Anxiety Disorder 7-item, and Patient Health Questionnaire 9-item. One-way analysis of variance compared outcomes between MEQ groups. Results. 215 individuals (64.2% female) were included with a mean age of 52.7 ± 11.7 years and time since pain onset of 14.1 ± 10.2 years (range 1–45). There were no significant differences between MEQ groups with respect to sociodemographic and clinical health variables except for gender and employment status and time since pain onset. After controlling for gender, time since pain onset, and average pain severity, patients with MEQ 90+ mg had significantly higher scores for experiential avoidance and anxiety sensitivity in addition to increased pain interference, greater depressive and anxiety symptoms, more dysfunctional coping, and poorer QoL than those with MEQ 1–89 mg or MEQ 0 mg. Conclusions. Compared to individuals using no or lower-dose opioids to treat chronic pain, those using high-dose opioids had higher scores on two maladaptive personality traits (i.e., anxiety sensitivity and experiential avoidance) which was associated with poorer mood, greater pain interference, lower quality of life, and dysfunctional coping. These maladaptive personality traits may help to explain how individuals with chronic pain utilize higher doses of opioid analgesics.

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Action identification and meaning in life in chronic pain

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2015.04.024 ◽

2015 ◽

Vol 9 (1) ◽

pp. 1-10 ◽

Cited By ~ 5

Author(s):

Helen Richardson ◽

Stephen Morley

Keyword(s):

Chronic Pain ◽

Meaning In Life ◽

Pain Interference ◽

Action Identification ◽

Life Meaning ◽

Behavioural Activity ◽

Chronic Pain Patients ◽

High Level ◽

The Relationship ◽

Pain Patients

AbstractBackground and aimsWe explore the relationship between behaviour and cognition in chronic pain by applying Action Identification Theory (AIT). AIT holds that every action may be construed in several ways. High level construals confer greater meaning than lower level construals. When an action is interrupted a lower level, more concrete identity with reduced meaning is elicited. We hypothesized that interference of activity by chronic pain affects the meaning ascribed to activity and thus a person’s overall sense of meaning in life.MethodsIn Study 1, a measure of Action Identification in Pain (AIP) is developed. In Study 2, the AIP was administered to 47 chronic pain patients who also completed the Meaningful Life Measure and measures of pain interference, depression, acceptance and optimism.ResultsHigh levels of action identification were positively correlated with meaning in life and high levels of interference were negatively correlated with meaning in life. Contrary to expectation interference and action identification were not associated. Further analyses showed that inclusion of depression, acceptance and optimism eliminated the effect of pain interference but only optimism abolished the effect of action identification.ConclusionChronic pain patients holding higher levels of action identification report a greater sense of meaning in life. Meaning in life is also associated with the amount of interference of behavioural activity. The anticipated relationship between action identification and interference was not observed. The present evidence suggests that interference and action identification contribute independently to a person’s sense of meaning in life.

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A comparison of the relationship between depression, perceived disability, and physical performance in persons with chronic pain

European Journal of Pain ◽

10.1016/j.ejpain.2007.11.003 ◽

2008 ◽

Vol 12 (6) ◽

pp. 757-764 ◽

Cited By ~ 58

Author(s):

Kevin N. Alschuler ◽

Mary E. Theisen-Goodvich ◽

Andrew J. Haig ◽

Michael E. Geisser

Keyword(s):

Chronic Pain ◽

Physical Performance ◽

Perceived Disability ◽

The Relationship

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Reply to Rob Smeets’ letter to the editor regarding the article “A comparison of the relationship between depression, perceived disability, and physical performance in persons with chronic pain” (2008)

European Journal of Pain ◽

10.1016/j.ejpain.2008.08.007 ◽

2009 ◽

Vol 13 (1) ◽

pp. 111-112 ◽

Cited By ~ 1

Author(s):

Michael E. Geisser ◽

Kevin N. Alschuler ◽

Mary E. Theisen-Goodvich ◽

Andrew J. Haig

Keyword(s):

Chronic Pain ◽

Physical Performance ◽

Perceived Disability ◽

Letter To The Editor ◽

The Relationship

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Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain

Frontiers in Psychology ◽

10.3389/fpsyg.2021.668930 ◽

2021 ◽

Vol 12 ◽

Author(s):

Zoe Zambelli ◽

Elizabeth J. Halstead ◽

Antonio R. Fidalgo ◽

Dagmara Dimitriou

Keyword(s):

Chronic Pain ◽

Sleep Quality ◽

Sleep Problems ◽

Pain Severity ◽

Pain Interference ◽

Poor Sleep ◽

Regression Analyses ◽

Cross Sectional Survey ◽

The Relationship ◽

Good Sleep

Individuals with chronic pain often experience co-existing sleep problems and depression-related states. Chronic pain, sleep problems, and depression interrelate, and have been shown to exacerbate one another, which negatively impacts quality of life. This study explored the relationships between pain severity, pain interference, sleep quality, and depression among individuals with chronic pain. Secondly, we tested whether sleep quality may moderate the relationship between pain and depression. A cross-sectional survey was completed by 1,059 adults with non-malignant chronic pain conditions (Mage 43 years, 88% identified as women) and collected measures related to pain severity, pain interference, sleep quality, and depression. Multiple regression analyses found that pain severity, pain interference, and sleep quality are all significantly associated with depression. Secondly, moderated regression analyses revealed that sleep quality moderates the relationship between pain interference and depression among individuals with chronic pain such that good sleep quality attenuates the effect of pain interference on depression, and poor sleep quality amplifies the effect of pain interference on depression. These findings suggest that sleep quality may be a relevant therapeutic target for individuals with chronic pain and co-existing depression.

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Electronic Health Literacy in Individuals with Chronic Pain and Its Association with Psychological Function

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312528 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12528

Author(s):

Elena Castarlenas ◽

Elisabet Sánchez-Rodríguez ◽

Rubén Roy ◽

Catarina Tomé-Pires ◽

Ester Solé ◽

...

Keyword(s):

Chronic Pain ◽

Health Literacy ◽

Self Efficacy ◽

Literacy Skills ◽

Pain Interference ◽

The Internet ◽

Online Information ◽

Ehealth Literacy ◽

Electronic Health ◽

The Relationship

Electronic health literacy skills and competences are important for empowering people to have an active role in making appropriate health care decisions. The aims of this cross-sectional study were to (1) examine the frequency of use of the Internet for seeking online information about chronic pain, (2) determine the level of eHealth literacy skills in the study sample, (3) identify the factors most closely associated with higher levels of eHealth literacy, and (4) examine self-efficacy as a potential mediator of the association between eHealth literacy and measures of pain and function in a sample of adults with chronic pain. One-hundred and sixty-one adults with chronic pain completed measures assessing internet use, eHealth literacy, pain interference, anxiety, depression, and pain-related self-efficacy. Results indicated that 70% of the participants are active users of the Internet for seeking information related to their health. The level of eHealth literacy skills was not statistically significantly associated with participants’ age or pain interference but was significantly negatively associated with both anxiety and depression. In addition, the findings showed that self-efficacy fully explained the relationship between eHealth literacy and depression and partially explained the relationship between eHealth literacy and anxiety. Self-efficacy should be considered as a treatment target in eHealth literacy interventions, due to its role in explaining the potential benefits of eHealth literacy.

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