The psychology of pain-related disability: Implications for intervention

Work and pain ◽  
2019 ◽  
pp. 105-142
Author(s):  
Michael J. L. Sullivan ◽  
Stephania Donayre Pimentel ◽  
Catherine Paré
Keyword(s):  
Work Disability ◽  
Pain Catastrophizing ◽  
Future Research ◽  
Post Traumatic Stress ◽  
Perceived Injustice ◽  
Psychological Variables ◽  
Fear Avoidance Beliefs ◽  
Targeted Interventions ◽  
Occupational Reintegration ◽  
Psychological Risk

Research over the past two decades a pointed to a number of pain-related psychological variables and mental health conditions that impede recovery following musculoskeletal injury. This chapter briefly reviews evidence suggesting that pain-related psychological variables such as recovery expectancies, self-efficacy, pain catastrophizing, perceived injustice, and fear-avoidance beliefs, depression, and post-traumatic stress disorder (PTSD) play a significant role as determinants of work-disability in individuals with musculoskeletal conditions. Although significant advances have been made with respect to the identification of psychological variables that contribute to prolonged work disability, what has lagged is the development of risk-targeted interventions to promote occupational reintegration. Although numerous clinical trials have shown statistically significant changes in pain-related psychological risk factors, the clinical significance of observed changes has been questioned. The development and evaluation of risk targeted interventions aimed at promoting occupational reintegration in work-disabled individuals will need to be a priority for future research in this area.

scholarly journals A Systematic Review of the Association Between Perceived Injustice and Pain-Related Outcomes in Individuals with Musculoskeletal Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (7) ◽  
pp. 1449-1463 ◽  
Author(s):  
Junie S Carriere ◽  
Stephania Donayre Pimentel ◽  
Esther Yakobov ◽  
Robert R Edwards
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Well Being ◽  
Current Evidence ◽  
Future Research ◽  
Post Traumatic Stress ◽  
Perceived Injustice

Abstract Objective A growing body of literature shows that justice-related appraisals are significant determinants of pain-related outcomes and prolonged trajectories of recovery. We conducted a systematic review of the literature assessing the relationship between perceived injustice and pain-related outcomes in individuals with musculoskeletal pain. Design and Participants A search of published studies in English in PubMed, PsychInfo, Embase, and Cochrane Database of Systematic Reviews from database inception through May 2019 was performed. Search terms included “perceived injustice,” “injustice appraisals,” “perceptions of injustice,” and “pain” or “injury.” Results Thirty-one studies met inclusion criteria. Data for a total of 5,969 patients with musculoskeletal pain were extracted. Twenty-three studies (71.9%) reported on individuals with persistent pain lasting over three months, and 17 studies (53.1%) reported on individuals with injury-related musculoskeletal pain. Significant associations were found between perceived injustice and pain intensity, disability and physical function, symptoms of depression and anxiety, post-traumatic stress disorder, quality of life and well-being, and quality of life and social functioning. Conclusions This systematic review summarizes the current evidence for the association between perceived injustice and pain-related outcomes. There is strong evidence that perceived injustice is associated with pain intensity, disability-related variables, and mental health outcomes. Implications and directions for future research are discussed.

scholarly journals Impact of World Trade Center-Related Health Research: An Application of the NIEHS Translational Framework

2021 ◽  
Vol 18 (5) ◽  
pp. 2659
Author(s):  
Jaime Madrigano ◽  
Thomas W. Concannon ◽  
Sean Mann ◽  
Sameer M. Siddiqi ◽  
Ramya Chari ◽  
...  
Keyword(s):  
World Trade ◽  
Grey Literature ◽  
World Trade Center ◽  
Diagnostic Procedures ◽  
Health Conditions ◽  
Future Research ◽  
Physical And Mental Health ◽  
Post Traumatic Stress ◽  
Related Research ◽  
Trade Center

The World Trade Center Health Program (WTCHP) has a research mission to identify physical and mental health conditions that may be related to the 9/11 terrorist attacks as well as effective diagnostic procedures and treatments for WTC-related health conditions. The ability of the WTCHP to serve its members and realize positive impacts on all of its stakeholders depends on effective translation of research findings. As part of an ongoing assessment of the translational impact of World Trade Center (WTC)-related research, we applied the National Institute of Environmental Health Sciences (NIEHS) translational framework to two case studies: WTC-related research on post-traumatic stress disorder (PTSD) and cancer. We conducted a review of 9/11 health-related research in the peer-reviewed literature through October 2017, grey literature, and WTCHP program documentation. We mapped peer-reviewed studies in the literature to the NIEHS framework and used WTCHP program documentation and grey literature to find evidence of translation of research into clinical practice and policy. Using the NIEHS framework, we identified numerous translational milestones and bridges, as well as areas of opportunity, within each case study. This application demonstrates the utility of the NIEHS framework for documenting progress toward public health impact and for setting future research goals.

scholarly journals Treatment of adult post-traumatic stress disorder using a future-oriented writing therapy approach

2009 ◽  
Vol 2 (4) ◽  
pp. 243-255 ◽  
Author(s):  
Reginald D. V. Nixon ◽  
Leonard W. Kling
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Expressive Writing ◽  
Stress Disorder ◽  
Post Treatment ◽  
Future Research ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Ptsd Severity

AbstractThe aim of this pilot study was to test whether a future-oriented expressive writing intervention is able to reduce post-traumatic stress disorder (PTSD) severity and associated symptoms such as depression and unhelpful trauma-related beliefs. In an uncontrolled pre-/ post-design participants attended 8 weeks of manualized therapy. Assessment was undertaken pre- and post-treatment, and participants also completed a 3-month follow-up assessment. Of the 17 participants who began therapy, 13 were treatment completers. Results indicated a significant decrease in PTSD severity, depression and unhelpful trauma-related cognitions from pre- to post-treatment and at 3-month follow-up. Clinically meaningful change was more modest; however, three participants reported PTSD remission at 3-month follow-up. It is concluded that expressive writing with a focus on achieving future goals and personal change may have some utility in reducing post-traumatic stress but future research will need to investigate this with greater methodological rigour before firm conclusions can be made.

scholarly journals Review of Trimester-Specific Gestational Weight Gain and Childhood Adiposity

2014 ◽  
Vol 34 (1) ◽  
pp. 48-53
Author(s):  
K Thapa
Keyword(s):  
Weight Gain ◽  
Childhood Obesity ◽  
Gestational Weight Gain ◽  
Future Research ◽  
Institute Of Medicine ◽  
Short Term ◽  
Global Epidemic ◽  
Targeted Interventions ◽  
Gestational Weight ◽  
Childhood Adiposity

Childhood obesity is a global epidemic and a major public health challenge. There has been increasing evidence that intrauterine exposures, such as alcohol, smoking, and maternal nutritional status, may affect both the long and short term health consequences of the mother and offspring. Childhood adiposity may be affected by the mother’s pre-pregnancy weight and her weight gain during pregnancy. Consequently, interventions may need to start before conception of the child to prevent childhood obesity. In 2009, the Institute of Medicine updated its gestational weight gain recommendations by incorporating rates of gestational weight gain in the second and third trimesters based on the mother’s pre-pregnancy Body Mass Index. There is extensive research on the association between total gestational weight gain and short-term offspring adiposity. However, this review focuses on the association between trimester-specific gestational weight gain and childhood adiposity for singleton pregnancies with respect to the Institute of Medicine’s newly defined weight gain recommendations as very few studies have examined the association between the gestational weight gain during each trimester and childhood adiposity. Identifying the trimester that is most associated with childhood adiposity may help in the development of targeted interventions, guide physician’s nutritional and weight-gain recommendations for child-bearing mothers, and direct future research. DOI: http://dx.doi.org/10.3126/jnps.v34i1.8429   J Nepal Paediatr Soc 2014;34(1):48-53

Postural Stability in Osteoarthritis of the Knee and Hip: Analysis of Association With Pain Catastrophizing and Fear-Avoidance Beliefs

PM&R ◽  
2016 ◽  
Vol 8 (7) ◽  
pp. 618-628 ◽  
Author(s):  
Ángel Sánchez-Herán ◽  
Diego Agudo-Carmona ◽  
Raúl Ferrer-Peña ◽  
Ibai López-de-Uralde-Villanueva ◽  
Alfonso Gil-Martínez ◽  
...  
Keyword(s):  
Postural Stability ◽  
Pain Catastrophizing ◽  
Osteoarthritis Of The Knee ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs

scholarly journals Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

10.2196/20158 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e20158
Author(s):  
Dylan Gilbey ◽  
Helen Morgan ◽  
Ashleigh Lin ◽  
Yael Perry
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Digital Health ◽  
Health Interventions ◽  
Health Concern ◽  
Sufficient Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Bisexual Men ◽  
Targeted Interventions

Background Young people (aged 12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex, or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers. Digital health interventions have been identified as a potential way to reduce these health disparities. Objective This review aims to summarize the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their effectiveness, acceptability, and feasibility. Methods A systematic literature search was conducted using internet databases and gray literature sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. Results The search identified 38 studies of 24 unique interventions seeking to address mental, physical, or sexual health–related concerns in LGBTIQ+ young people. Substantially more evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and acceptability of these interventions overall; however, the quality of evidence is often lacking. Conclusions There is sufficient evidence to suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+ young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and physical health concerns, as well as more targeted interventions for same gender–attracted women, trans and gender-diverse people, and people with intersex variations. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=128164

scholarly journals Using a Biopsychosocial Approach to Examine Differences in Post-Traumatic Stress Symptoms Among Arab and Jewish Israeli Mothers Following A Child’s Traumatic Medical Event

2020 ◽  
Author(s):  
Sewar Hussien ◽  
Yaara Sadeh ◽  
Rachel Dekel ◽  
Efrat Shadmi ◽  
Amichai Brezner ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Negative Impact ◽  
Psychosocial Assessment ◽  
Post Traumatic Stress ◽  
Biopsychosocial Approach ◽  
Targeted Interventions ◽  
Stress Symptoms ◽  
Medical Event ◽  
Increased Risk ◽  
Post Traumatic

Abstract Background: Parents of children following a traumatic medical event (TME) are known to be at high risk for developing severe post-traumatic stress symptoms (PTSS). Findings on the negative impact of TMEs on parents’ PTSS have been described in different cultures and societies worldwide. However, in some cases, a specific ethnic group may also be a minority within a given region or a country, contributing to increased risk for parental PTSS following a child’s TME.Objectives: The current study aimed to examine differences in PTSS between Israeli-Arab and Israeli-Jewish mothers, following a child’s TME. More specifically, we aimed to examine the risk and protective factors affecting mother’s PTSS from a biopsychosocial approach.Methods: Data were collected from medical files of children following TMEs, hospitalized in a pediatric rehabilitation department, during the period 2008–2018. The sample included 47 Israeli-Arab mothers and 47 Israeli-Jewish mothers. Mothers completed the psychosocial assessment tool (PAT), the post-traumatic diagnostic scale (PDS).Results: Arab mothers self-reported significantly higher levels of PTSS than their Jewish counterparts. Further, Arab mothers perceived having more social support than Jewish mothers did. Finally, our prediction model indicated that both Arab ethnicity and pre-trauma family problems predicted higher levels of PTSS among mothers of children following TMEs.Conclusions: Focusing on ethnic and cultural effects following a child’s TME may help improve our understanding of the mental health needs of mothers from different minority ethnic groups and aid in developing appropriate health services and targeted interventions for this population.

scholarly journals Humor in Psychiatry: Lessons From Neuroscience, Psychopathology, and Treatment Research

2021 ◽  
Vol 12 ◽  
Author(s):  
Philipp Berger ◽  
Florian Bitsch ◽  
Irina Falkenberg
Keyword(s):  
Interpersonal Relationships ◽  
Close Association ◽  
Well Being ◽  
Future Research ◽  
Targeted Interventions ◽  
Positive Effects ◽  
Neuropsychiatric Diseases ◽  
Systematic Training ◽  
Treatment Research

Humor is a ubiquitous human characteristic that is socially motivated at its core and has a broad range of significant positive effects on emotional well-being and interpersonal relationships. Simultaneously, however, impairments in humor abilities have often been described in close association with the occurrence and course of neuropsychiatric disorders, such as schizophrenia, social anxiety, or depression. In the past decade, research in the neuroimaging and psychiatric domain has substantially progressed to (i) characterize impaired humor as an element of psychopathology, and (ii) shed light on the neurobiological mechanisms underlying the role of humor in neuropsychiatric diseases. However, (iii) targeted interventions using concepts of positive psychology have revealed first evidence that a systematic training and/or a potential reactivation of humor-related skills can improve rehabilitative outcome in neuropsychiatric patient groups. Here, we sought to integrate evidence from neuroscience, as well as from psychopathology and treatment research to shed more light on the role of humor in psychiatry. Based on these considerations, we provide directions for future research and application in mental health services, focusing on the question of how our scientific understanding of humor can provide the basis for psychological interventions that foster positive attitudes and well-being.

Prevalence and Mediating Factors of Post-Traumatic Stress in Professional Fire-Fighters

2005 ◽  
Vol 49 (13) ◽  
pp. 1261-1265
Author(s):  
Allison Watters ◽  
Kevin Hamilton ◽  
J. Patrick Neary ◽  
Gregory Anderson
Keyword(s):  
Traumatic Stress ◽  
Contextual Factors ◽  
Future Research ◽  
Post Traumatic Stress ◽  
Workplace Health ◽  
Fire Fighters ◽  
Daily Work ◽  
Work Related ◽  
Routine Work ◽  
Post Traumatic

Previous studies on Post-Traumatic Stress (PTS) in fire-fighters have typically examined group responses to unusual and traumatic events. In this study, symptoms of PTS were observed in a group of urban Canadian firefighters during routine operations in the context of typical daily work. Participants completed a PTS questionnaire as well as a workplace health questionnaire which assessed environmental and contextual factors in addition to personal health. Elevated levels of PTS were observed in 18.1% of the 105 fire-fighters studied. Those who reported elevated symptoms also reported more concern for financial issues, more worries and more concern about needing physical exercise and support services. These results indicate that emergency response professionals such as fire-fighters can develop elevated levels of PTS in the context of routine work. The findings also suggest that the development of PTS involves a complex relationship between characteristics of stressors, work related variables and other contextual factors specific to the individuals affected. Complex models are needed to account for these types of interactions, particularly in chronically stressful occupational settings. Strategies for mitigating symptoms of PTS are discussed and suggestions for future research are offered

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