Role of Ethnicity on Pain Perception, Fatigue, and Quality of Life in a Pediatric Chronic Pain Population

Youth with chronic pain and youth who have experienced stressors are at risk for poor outcomes; however, little is known about the intersection of pain and stressors. This study aims to understand the prevalence of stressors among youth with chronic pain and the relationship between stressors and pain-related outcomes. Seven hundred and seventy youth with chronic pain aged 8–18 (Mage = 14.15 years, 70% female) reported pain characteristics, stressors, anxiety, disability, and quality of life. Most participants (82%) endorsed at least one stressor. A greater number of stressors was significantly related to greater anxiety and disability, and lower levels of quality of life. School stressors were significantly associated with functional disability; family, school, and peer stressors were significantly associated with anxiety and quality of life. Stressors are common in youth with chronic pain, and the presence of stressors is related to greater functional impairment. The results of this preliminary study using semi-structured clinical interviews suggest the importance of developing a validated measure that encompasses a wide variety of stressors for youth with pain. Future research on patient-reported stressors, relative intensity, and impact are needed.

Download Full-text

Pediatric Chronic Pain and Health-Related Quality of Life

Journal of Pediatric Nursing ◽

10.1016/j.pedn.2008.07.003 ◽

2009 ◽

Vol 24 (2) ◽

pp. 141-150 ◽

Cited By ~ 41

Author(s):

Jeffrey Ira Gold ◽

Alexis Kant Yetwin ◽

Nicole Eva Mahrer ◽

Melissa Catherine Carson ◽

Anya T. Griffin ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Health Related Quality ◽

Pediatric Chronic Pain ◽

Related Quality ◽

Health Related

Download Full-text

Selected Landmark Studies in the Role of the Mesolimbic System

Journal of Cardiology Research Review & Reports ◽

10.47363/jcrrr/2021(2)144 ◽

2021 ◽

pp. 1-7

Author(s):

Prakul Suresh ◽

◽

Karan Patel ◽

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Pain Relief ◽

Molecular Mechanisms ◽

Mesolimbic System ◽

Present Understanding ◽

Highly Cited

The mesolimbic system has been demonstrated to have a major role in the perception of pain, but the mechanisms by which this occurs are poorly understood. In this paper, we review selected landmark studies that have contributed to our present understanding of the role of the mesolimbic system. The included studies outline the molecular mechanisms of the mesolimbic system's role in analgesia, pain relief, and feelings of decreased motivation and depression as a result of chronic pain. Because chronic pain is among the most highly-cited reasons for decreased quality of life, advancing our understanding of the function and mechanism of the mesolimbic system may be critical to improving the quality of life for millions of people around the globe.

Download Full-text

Pain Intensity Is Not Always Associated with Poorer Health Status: Exploring the Moderating Role of Spouse Personality

Pain Research and Management ◽

10.1155/2018/7927656 ◽

2018 ◽

Vol 2018 ◽

pp. 1-9 ◽

Cited By ~ 4

Author(s):

Carlos Suso-Ribera ◽

Michael J. L. Sullivan ◽

Santiago Suso-Vergara

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Health Status ◽

Pain Intensity ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Relationship

Background. Past decades have seen a surge of studies investigating the role of spouses in chronic illness. The present study explored an interpersonal model of health-related quality of life in chronic pain settings. Spouse personality was tested as a moderator of pain intensity-to-health associations in patients with chronic pain. Methods. This is a cross-sectional study. Participants were 185 noncancer chronic pain patients and their spouses. Patients were mostly females (58.4%). Mean age was approximately 56 years for patients and spouses. Patients completed a measure of pain intensity, health-related quality of life, and personality. Spouses also reported on their personality characteristics. Spouse personality was used as the moderator in the relationship between patients’ pain intensity and health status. Patient personality was used as a covariate in the moderation analyses. Results. Spouse neuroticism moderated the relationship between pain intensity and physical health status, while spouse introversion moderated the pain-to-mental health association. Conclusions. Results support the idea that the relationship between a chronic stressor, namely, chronic pain, and health-related quality of life may be complex and contextually determined by spousal characteristics. Clinical implications are discussed in the context of couples.

Download Full-text

Managing female pelvic floor disorders: a medical device review and appraisal

Interface Focus ◽

10.1098/rsfs.2019.0014 ◽

2019 ◽

Vol 9 (4) ◽

pp. 20190014 ◽

Cited By ~ 3

Author(s):

Shelby A. Powers ◽

Lindsey K. Burleson ◽

Johanna L. Hannan

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Disorders ◽

Pelvic Organ ◽

Tissue Level ◽

Female Pelvic Floor

Pelvic floor disorders (PFDs) will affect most women during their lifetime. Sequelae such as pelvic organ prolapse, stress urinary incontinence, chronic pain and dyspareunia significantly impact overall quality of life. Interventions to manage or eliminate symptoms from PFDs aim to restore support of the pelvic floor. Pessaries have been used to mechanically counteract PFDs for thousands of years, but do not offer a cure. By contrast, surgically implanted grafts or mesh offer patients a more permanent resolution but have been in wide use within the pelvis for less than 30 years. In this perspective review, we provide an overview of the main theories underpinning PFD pathogenesis and the animal models used to investigate it. We highlight the clinical outcomes of mesh and grafts before exploring studies performed to elucidate tissue level effects and bioengineering considerations. Considering recent turmoil surrounding transvaginal mesh, the role of pessaries, an impermanent method, is examined as a means to address patients with PFDs.

Download Full-text