Evidence for indirect effects of pain catastrophizing on clinical pain among myofascial temporomandibular disorder participants: The mediating role of sleep disturbance

Pain ◽  
2012 ◽  
Vol 153 (6) ◽  
pp. 1159-1166 ◽  
Author(s):  
Luis F. Buenaver ◽  
Phillip J. Quartana ◽  
Edward G. Grace ◽  
Eleni Sarlani ◽  
Mpepera Simango ◽  
...  
2021 ◽  
Author(s):  
Antonio Varela

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.


2011 ◽  
pp. 1607-1617
Author(s):  
March L. To ◽  
Eric W.T. Ngai

Managerial attitudes play an important role in facilitating the championship of innovation adop-tion. However, there are few empirical studies which show the mediating role of managerial attitudes as a link between innovation determinants and adoption. Based on innovation theory (Rogers, 1983), we posit a conceptual model to show how managers evaluate internal (relative advantage and compatibility of adopting an innovation) and external (competitive pressure and partner conflict) determinants that affect the intention to adopt technological innovations. We focus on empirical tests conducted on B2C e-commerce. Data collected from 109 differ-ent enterprises indicate that managerial attitudes, through perceived relative advantage and compatibility of adopting a technological innovation, have indirect effects on the intention to adopt the innovation. In addition, competitive pressure has a direct influence on the adoption of an innovation.


2019 ◽  
Vol 33 (6) ◽  
pp. 980-991 ◽  
Author(s):  
Liesbet De Baets ◽  
Thomas Matheve ◽  
Mira Meeus ◽  
Filip Struyf ◽  
Annick Timmermans

Objective: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. Data sources: Electronic databases (PubMed, Web of Science, Embase and PsycINFO) were searched until 14 January 2019. Study selection: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected. Results: A total of 23 articles, describing 21 studies and involving 3769 participants, were included. Three studies had a high risk of bias. There was no predictive role of baseline depression, anxiety, coping, somatization or distress on pain or disability across types of shoulder treatment. No predictive role of fear-avoidance beliefs was identified in patients receiving physiotherapy, which contrasted to the results found when surgical treatment was applied. Baseline catastrophizing was also not predictive for pain or disability in patients receiving physiotherapy. After conservative medical treatments, results on the predictive role of catastrophizing were inconclusive. Treatment expectations and baseline self-efficacy predicted pain and disability in patients receiving physiotherapy, which was not the case in patients receiving conservative medical treatment. Finally, there was a moderating role for optimism in the relationship between pain catastrophizing and disability in patients receiving physiotherapy. Conclusion: There is evidence that expectations of recovery and self-efficacy have a predictive role and optimism a moderating role on pain and/or disability following physiotherapy for musculoskeletal shoulder pain. After surgical treatment, fear-avoidance is a predictor of pain and disability.


2018 ◽  
Vol 36 (10) ◽  
pp. 3159-3177
Author(s):  
Gregory S. Seibert ◽  
Matthew E. Jaurequi ◽  
Ross W. May ◽  
Ashley N. Cooper ◽  
Thomas Ledermann ◽  
...  

Although the importance of occupational burnout for sleep has long been recognized, it is largely examined as an individual phenomenon. Because a majority of adults in the U.S. share the bedroom with their partner, the current study examines the role of occupational burnout in understanding the link between self-control and sleep disturbance in close relationships. Data from 96 married couples were analyzed using the actor–partner interdependence mediation model. Both husbands’ and wives’ self-control (predictor) were linked to their levels of occupational burnout (mediator), and to husbands’ sleep disturbance (outcome) through husbands’ occupational burnout. Neither husbands’ or wives’ self-control nor occupational burnout scores related to wives’ sleep disturbance. Findings from the current study identify burnout management in husbands as a potential nonpharmacological alternative approach to treating sleep disorders and emphasizes the need to examine predictors of sleep in a relational context.


2019 ◽  
Author(s):  
Xabier Soto-Goñi ◽  
Ana Cristina Viñals ◽  
Fabian Pérez-González ◽  
Luis Sánchez-Labrador ◽  
Adelaida Domínguez-Gordillo ◽  
...  

Abstract Background Patients suffering pain related temporomandibular disorders (TMD) exhibit greater levels of psychological distress, environmental stress, somatic symptoms, anxiety, depression, somatic awareness, pain catastrophizing, and pain coping strategies compared to pain-free controls. However, little is known about psychological factors involved in the different TMD types fulfilling DC/TMD criteria. Furthermore, regardless of the severity, the role of general coping strategies and styles in TMD is not yet well understood. The main goal of this study was to investigate anxiety, personality traits, and coping behavior in a group of dentistry students suffering from temporomandibular disorder with myalgia. Methods A total of 102 participants were recruited for this study. Following clinical evaluation, a mylagic TMD group (24 participants) and a control group (25 participants) were formed. Participants were later assessed in anxiety, stress coping strategies, and personality measures. Results The myalgic TMD group presented greater levels of trait anxiety and neuroticism in comparison to the control group. In addition, participants with myalgia showed higher levels of avoidance coping. Conclusions Avoidance coping strategies are generally considered maladaptive, as they seem to increase perceived stress, a robust predictor of TMD. Interventions to reduce stress levels and prevent maladaptive coping styles, tailored to the needs of myalgic TMD patients, might improve temporomandibular health and prevent the myalgic TMD and its chronification.


Author(s):  
Octav Sorin Candel ◽  

"Previous literature pointed out that narcissism affects the quality of interpersonal relationships. It has a negative impact on the functioning of the romantic dyads, determining higher levels of conflict and the use of maladaptive conflict resolution styles. However, the mechanisms linking narcissism and couple conflict are not sufficiently explored. This study expands the literature by examining the mediating role of the sense of relational entitlement. Participants in this study were 493 individuals (52.1 % women, M age = 22.39 years old) who were in a romantic relationship during the study (M relationship length = 26 months). The results indicated that some forms of relational entitlement mediated the link between narcissism and couple conflict. A person’s narcissism was related to their level of couple conflict, excessive and assertive entitlement. Both types of entitlement were related to conflict but in opposite directions. Higher excessive entitlement was associated with higher conflict, while higher assertive entitlement was associated with lower conflict. The indirect effects through both types of entitlement were significant. Restricted entitlement was not associated with narcissism or couple conflict. This study showed that although narcissism can lead to higher levels of relational entitlement and conflict, not all forms of entitlement negatively contributed to couple conflict."


Author(s):  
Luke F. Olsson ◽  
Michael C. Grugan ◽  
Joseph N. Martin ◽  
Daniel J. Madigan

Perfectionism is a consistent predictor of athlete burnout. Researchers have therefore sought to examine the psychological mechanisms that may explain this relationship. In the present study, guided by Smith’s cognitive-affective stress model, we extend existing research by examining whether perceived stress is one such explanatory factor. A sample of 256 adult athletes completed measures of perfectionism (perfectionistic strivings and perfectionistic concerns), perceived stress, and burnout. Correlational analyses indicated that perfectionistic concerns was positively related to burnout, while perfectionistic strivings was either negatively related or unrelated to burnout. Tests of bias-corrected bootstrapped indirect effects showed that perceived stress mediated the positive relationship between perfectionistic concerns and burnout. This finding was evident when examining total burnout and all three burnout symptoms. It appears that athletes high in perfectionistic concerns are likely to experience heightened levels of stress in sport which may in turn render them more vulnerable to burnout.


Author(s):  
SeungGeun Baeck ◽  
KangHyun Shin ◽  
JungSun Won ◽  
JungYeon Jo ◽  
JongHyun Lee

The purpose of this study was to examine the mediating role of two self-esteem (organization-based self-esteem: OBSE; task-specific self-esteem: TSSE) in predicting two types of employee commitment (job involvement, organizational commitment) based on the framework of Lavelle, McMahan and Harris(2009)’s target similarity model. A sample of 746 south korean employees were participated in this study and data were analyzed by MPLUS 6.12. The main results are as follows. First, the indirect effects reflecting target similarity effect were supported, but another indirect effects which reflect spillover effect between two dimensions was not. Second, the result of comparison between target similarity effect and spillover effect, which has same predictor and criterion but different mediator in each dimensions, was significant in organization domain, but not in job domain. Finally, the implications and limitations were discussed.


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