scholarly journals Individual differences in momentary pain-affect coupling and their associations with mental health in patients with chronic pain

2020 ◽  
Vol 138 ◽  
pp. 110227
Author(s):  
Hio Wa Mak ◽  
Stefan Schneider
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Individual Differences ◽  
Pain Affect

Individual differences in the evolution of mental health: Which are the most relevant in chronic pain?

2014 ◽  
Vol 60 ◽  
pp. S33
Author(s):  
C. Suso Ribera ◽  
M. Jornet-Gibert ◽  
L. Camacho Guerrero ◽  
M.V. Ribera Canudas ◽  
D. Gallardo-Pujol
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Individual Differences

scholarly journals Predictors of Veterans Health Administration utilization and pain persistence among soldiers treated for postdeployment chronic pain in the Military Health System

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rachel Sayko Adams ◽  
Esther L. Meerwijk ◽  
Mary Jo Larson ◽  
Alex H. S. Harris
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Chronic Pain ◽  
Veterans Health Administration ◽  
First Year ◽  
Veterans Health ◽  
Health Administration ◽  
Military Health System ◽  
Military Health ◽  
The Military

Abstract Background Chronic pain presents a significant burden for both federal health care systems designed to serve combat Veterans in the United States (i.e., the Military Health System [MHS] and Veterans Health Administration [VHA]), yet there have been few studies of Veterans with chronic pain that have integrated data from both systems of care. This study examined 1) health care utilization in VHA as an enrollee (i.e., linkage to VHA) after military separation among soldiers with postdeployment chronic pain identified in the MHS, and predictors of linkage, and 2) persistence of chronic pain among those utilizing the VHA. Methods Observational, longitudinal study of soldiers returning from a deployment in support of the Afghanistan/Iraq conflicts in fiscal years 2008–2014. The analytic sample included 138,206 active duty soldiers for whom linkage to VHA was determined through FY2019. A Cox proportional hazards model was estimated to examine the effects of demographic characteristics, military history, and MHS clinical characteristics on time to linkage to VHA after separation from the military. Among the subpopulation of soldiers who linked to VHA, we described whether they met criteria for chronic pain in the VHA and pain management treatments received during the first year in VHA. Results The majority (79%) of soldiers within the chronic pain cohort linked to VHA after military separation. Significant predictors of VHA linkage included: VHA utilization as a non-enrollee prior to military separation, separating for disability, mental health comorbidities, and being non-Hispanic Black or Hispanic. Soldiers that separated because of misconduct were less likely to link than other soldiers. Soldiers who received nonpharmacological treatments, opioids/tramadol, or mental health treatment in the MHS linked earlier to VHA than soldiers who did not receive these treatments. Among those who enrolled in VHA, during the first year after linking to the VHA, 49.7% of soldiers met criteria for persistent chronic pain in VHA. Conclusions The vast majority of soldiers identified with chronic pain in the MHS utilized care within VHA after military separation. Careful coordination of pain management approaches across the MHS and VHA is required to optimize care for soldiers with chronic pain.

scholarly journals Information Technology in Mental Health Research: Impediments and Implications in One Chronic Pain Study Population

Pain Medicine ◽  
2007 ◽  
Vol 8 (suppl 3) ◽  
pp. S176-S181 ◽  
Author(s):  
Samar A. Jasser ◽  
Jennifer H. Garvin ◽  
Nancy Wiedemer ◽  
Dominic Roche ◽  
Rollin M. Gallagher
Keyword(s):  
Mental Health ◽  
Information Technology ◽  
Chronic Pain ◽  
Health Research ◽  
Mental Health Research ◽  
Study Population

Understanding the Users with Chronic Pain on AI CBT Mental Health App (Wysa): A Mixed-Methods Retrospective Observational Study (Preprint)

2021 ◽  
Author(s):  
S Meheli ◽  
Chaitali Sinha ◽  
Madhura Kabada
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Pain Management ◽  
Observational Study ◽  
Real World ◽  
Effect Size ◽  
Retrospective Observational Study ◽  
Medium Effect ◽  
Health Concerns ◽  
Perceived Needs

BACKGROUND Digital health interventions can bridge barriers in access to treatment of care for individuals with chronic pain. OBJECTIVE This study aimed to evaluate the perceived needs, engagement and the effectiveness of the mental health app Wysa on mental health outcomes among real-world users who reported chronic pain and engaged with the app for support. METHODS Real-world data from users (N = 2,194) who reported chronic pain and associated health conditions in their conversations with a mental health app was analyzed using a mixed-method retrospective observational study. An inductive thematic analysis was used to analyse conversational data of users with chronic pain to assess perceived needs, along with comparative macro-analyses of conversational flows to capture engagement within the app. Additionally, the scores from a subset of users who completed a set of pre-post assessment questionnaires, namely PHQ-9 (N=69) and GAD-7 (N=57), were examined to evaluate the effectiveness of Wysa in providing support for mental health concerns for those managing chronic pain. RESULTS The themes emerging from the conversations of users with chronic pain included Health Concerns, Socioeconomic Concerns, and Pain Management Concerns. Findings from the quantitative analysis indicated that users with chronic pain showed significantly greater app engagement (p value <2.2e-16) than users without chronic pain, with a large effect size (Vargha and Delaney’s A- 0.76 -0.8). Furthermore, the sample of users with pre-post assessments during the study period were found to have significant improvements in group means on both PHQ-9 and GAD-7 symptom scores, with medium effect size (Cohens’d, 0.6-0.61), respectively. CONCLUSIONS The findings indicate that users look for tools that can help them address their concerns related to mental health, pain management, and sleep issues. The study findings also indicate the breadth of needs for users with chronic pain and the lack of support structures, and suggests that Wysa can provide effective support to bridge the gap.

scholarly journals Fusing Mobile Phone Sensing and Brain Imaging to Assess Depression in College Students

2018 ◽  
Author(s):  
Jeremy F. Huckins ◽  
Alex W. daSilva ◽  
Rui Wang ◽  
Weichen Wang ◽  
Elin L. Hedlund ◽  
...  
Keyword(s):  
Mental Health ◽  
Individual Differences ◽  
Antidepressant Treatment ◽  
Brain Activity ◽  
Resting State Functional Connectivity ◽  
Neuroscience Research ◽  
Affective Processes ◽  
Usage Patterns ◽  
Mobile Phone Sensing ◽  
Functional Brain Activity

AbstractAs smartphone usage has become increasingly prevalent in our society, so have rates of depression, particularly among young adults. Individual differences in smartphone usage patterns have been shown to reflect individual differences in underlying affective processes such as depression (Wang et al., 2018). In the current study, we identified a positive relationship between smartphone screen time (e.g. phone unlock duration) and resting-state functional connectivity (RSFC) between the subgenual cingulate cortex (sgCC), a brain region implicated in depression and antidepressant treatment response, and regions of the ventromedial/orbitofrontal cortex, such that increased phone usage was related to stronger connectivity between these regions. We then used this cluster to constrain subsequent analyses looking at depressive symptoms in the same cohort and observed partial replication in a separate cohort. We believe the data and analyses presented here provide relatively simplistic initial analyses which replicate and provide a first step in combining functional brain activity and smartphone usage patterns to better understand issues related to mental health. Smartphones are a prevalent part of modern life and the usage of mobile sensing data from smartphones promises to be an important tool for mental health diagnostics and neuroscience research.

scholarly journals Theories of Personality

2020 ◽  
Author(s):  
Cassandra M Brandes ◽  
Kathleen Wade Reardon ◽  
Jennifer L Tackett
Keyword(s):  
Mental Health ◽  
Academic Achievement ◽  
Individual Differences ◽  
Life Course ◽  
Personality Traits ◽  
Interpersonal Relationships ◽  
Personality Development ◽  
Adult Individual ◽  
Foundational Research ◽  
The Life Course

The study of personality development has seen significant advances in the last two decades. For many years, youth and adult individual differences were studied from separate theoretical standpoints. However, more recent research has indicated that teenagers display personality traits in many of the same ways as adults. These personality traits are moderately stable throughout the life course, but there are important developmental shifts in their expression, structure, and maturation, especially in adolescence. This has resulted in an effort to study youth personality “in its own right” (Tackett, Kushner, De Fruyt, &amp; Mervielde, 2013). Early personality associations with important lifelong outcomes including academic achievement, mental health, and interpersonal relationships further underscore the importance of studying traits in youth. Here we discuss current consensus and controversy on adolescent personality and highlight foundational research on the topic.

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