960 TRAUMATIC EVENT HISTORIES, PTSD SYMPTOMS, RESILIENCE, PAIN ACCEPTANCE, PROCEDURAL VARIABLES AND DISABILITY IN WOMEN WITH CHRONIC PAIN

AbstractObjectivesFibromyalgia is a chronic widespread pain (CWP) syndrome of unknown etiology with substantial burden of illness and functional impairment. Pain acceptance has emerged as an interesting target of therapy in chronic pain populations, but few studies have yet been done on the effect of pain acceptance on patients with fibromyalgia. The aim of the present study was to examine the relationship between pain acceptance and its impact on function and symptoms in fibromyalgia with both a cross-sectional and longitudinal design.MethodsThree hundred and sixty five participants aged 22–70 with fibromyalgia were recruited from the Norwegian Fibromyalgia Association (NFA). They filled out a questionnaire containing the Fibromyalgia Impact Questionnaire (FIQ), measurement of function and symptoms, and Chronic Pain Acceptance Questionnaire (CPAQ), measurement of pain acceptance, in addition to sociodemographic and clinical variables such as degree of fibromyalgia, depression and pain duration (T1 measures). One year after, 87 of the participants filled out the FIQ and clinical measures once again (T2 measures). Unadjusted and adjusted linear regression analyses were performed both for cross-sectional measures at T1 and for longitudinal measures from T1 to T2, with FIQ score as the outcome variable and CPAQ score at T1 as one of the main independent variables.ResultsHigher CPAQ score was significantly associated with a lower FIQ score at T1, also when adjusting for age, education, work, depression and Fibromyalgianess Score (p<0.01). Lower FIQ score indicate less impact of fibromyalgia on functioning. In addition, two adjusted linear regression models found higher pain acceptance (CPAQ score) at T1 to be associated with lower negative impact of fibromyalgia on function and symptoms (FIQ score) at T2 (p<0.01).ConclusionsHigher pain acceptance is associated with better functional level and less symptoms in fibromyalgia, both cross-sectionally and when measurements are separated in time. Further research should include experimental studies with acceptance-based interventions for this patient group.

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Association between Work-Related Trauma Exposure and Posttraumatic Stress Symptoms among Child Welfare Workers in Japan: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073541 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3541

Author(s):

Mayumi Kataoka ◽

Daisuke Nishi

Keyword(s):

Multivariate Analysis ◽

Child Welfare ◽

Traumatic Event ◽

Traumatic Events ◽

Child Welfare Workers ◽

Cumulative Number ◽

Ptsd Symptoms ◽

Post Traumatic Stress ◽

Work Related ◽

Welfare Workers

Child welfare workers often experience work-related traumatic events and may be at risk of post-traumatic stress disorder (PTSD), which can hinder early interventions for child abuse. This study examined the association between each single work-related traumatic event experienced by child welfare workers and the cumulative number of traumatic event types with PTSD symptoms. A checklist of traumatic events was used to investigate work-related traumatic events. The PTSD checklist for DSM-5 (PCL-5) was used to screen for PTSD symptoms. Two multivariate analyses were performed. A total of 140 workers were included in the analyses. In the first multivariate analysis, the event, “Witnessed a parent violently beating, hitting, kicking, or otherwise injuring a child or the other parent during work” (β = 11.96; 95% CI, 2.11–21.80; p < 0.05) and resilience (β = −0.60; 95% CI, −0.84 to −0.36; p < 0.01) were significantly associated with PTSD symptoms, as was resilience in the second multivariate analysis (β = −0.60; 95%CI, −0.84 to −0.36; p < 0.01). The association between the cumulative number of event types and PTSD symptoms was not significant, but it was stronger when the cumulative number was four or more. The findings suggest the importance of reducing child welfare worker exposure to traumatic events.

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Acute child and mother psychophysiological responses and subsequent PTSD symptoms following a child's traumatic event

Journal of Traumatic Stress ◽

10.1002/jts.20286 ◽

2007 ◽

Vol 20 (5) ◽

pp. 677-687 ◽

Cited By ~ 19

Author(s):

Sarah A. Ostrowski ◽

Norman C. Christopher ◽

Manfred H.M. van Dulmen ◽

Douglas L. Delahanty

Keyword(s):

Traumatic Event ◽

Ptsd Symptoms ◽

Psychophysiological Responses

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Process-outcome associations in an interdisciplinary treatment for chronic pain and comorbid mental disorders based on Acceptance and Commitment Therapy

Pain Medicine ◽

10.1093/pm/pnab102 ◽

2021 ◽

Author(s):

Ludwig Ohse ◽

Ronald Burian ◽

Eric Hahn ◽

Hannah Burian ◽

Thi Minh Tam Ta ◽

...

Keyword(s):

Chronic Pain ◽

Mental Disorders ◽

Clinical Outcomes ◽

Acceptance And Commitment Therapy ◽

Psychological Flexibility ◽

Post Treatment ◽

Interdisciplinary Treatment ◽

Pain Acceptance ◽

Acceptance And Commitment ◽

Comorbid Mental Disorders

Abstract Objective Numerous studies support the effectiveness of Acceptance and Commitment Therapy (ACT) for chronic pain, yet little research has been conducted about its underlying mechanisms of change, especially regarding patients with comorbid mental disorders. The present investigation addressed this issue by examining associations of processes targeted by ACT (pain acceptance, mindfulness, psychological flexibility) and clinical outcomes (pain intensity, somatic symptoms, physical health, mental health, depression, general anxiety). Subjects Participants were 109 patients who attended an ACT-based interdisciplinary treatment program for chronic pain and comorbid mental disorders in a routine care psychiatric day hospital. Methods Pre- to post-treatment differences in processes and outcomes were examined with Wilcoxon signed-rank tests and effect size r. Associations between changes in processes and changes in outcomes were analyzed with correlation and multiple regression analyses. Results Pre- to post-treatment effect sizes were mostly moderate to large (r between |0.21| and |0.62|). Associations between changes in processes and changes in outcomes were moderate to large for both, bivariate correlations (r between |0.30| and |0.54|) and shared variances accounting for all three processes combined (R2 between 0.21 and 0.29). Conclusion The present investigation suggests that changes in pain acceptance, mindfulness and psychological flexibility are meaningfully associated with changes in clinical outcomes. It provides evidence on particular process-outcome associations that had not been investigated in this way before. The focus on comorbid mental disorders informs clinicians about a population of chronic pain patients that often has a severe course of illness and has seldom been studied.

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The exposure to traumatic events and symptoms of posttraumatic stress disorder among Korean journalists

Journalism ◽

10.1177/1464884917707596 ◽

2017 ◽

Vol 19 (9-10) ◽

pp. 1308-1325 ◽

Cited By ~ 4

Author(s):

Mina Lee ◽

Eun Hye Ha ◽

Jung Kun Pae

Keyword(s):

Social Support ◽

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Coping Strategy ◽

Stress Disorder ◽

Traumatic Event ◽

Traumatic Events ◽

Ptsd Symptoms ◽

Negative Beliefs ◽

Traumatic Event Exposure

This study investigated posttraumatic stress disorder (PTSD) symptoms on Korean journalists and the contributing variables. Predicting variables included the exposure to traumatic events, coping strategy, social support, optimism, negative beliefs, and the journalists’ occupational perspectives. A total of 367 Korean journalists participated in the survey. The findings revealed that, first, Korean journalists had suffered severely from PTSD symptoms according to the prevalence rate. Second, the extent of traumatic event exposure, the length of career, the use of dysfunctional coping strategy, a lack of social support, and negative beliefs were identified as significantly related variables. Finally, occupational perspectives showed meaningful associations with development of the symptoms. This study provided an empirical analysis of Korean journalists’ experiences of traumatic events and psychological stress for the first time.

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