scholarly journals Stress and Sensitization in Chronic Pain

2018 ◽  
Author(s):  
Dieuwke S. Veldhuijzen ◽  
Henriët van Middendorp ◽  
Andrea W. M. Evers
Keyword(s):  
Chronic Pain ◽  
Acute Pain ◽  
Body Parts ◽  
Pain Experience ◽  
Stress Regulation ◽  
Multilevel Perspective ◽  
Underlying Mechanisms ◽  
The Impact ◽  
Motivational Account

Stress and sensitization are central concepts in chronic pain. Both can be a consequence and a contributor to the pain experience. This chapter describes the psychobiology of stress and sensitization within a multilevel perspective, indicating the impact of various forms of stress and sensitization on multiple psychoneurobiological processes (i.e., autonomic, endocrine, immune, and central processes) related to chronic pain. As a result of disordered stress regulation, sensitization may occur as a mechanism that explains how acute pain problems can become chronic and how acute pain problems can extend or generalize to other body parts or modalities. The evidence for stress and sensitization as consequences of or as contributors to chronic pain is reviewed, and possible underlying mechanisms are discussed. Next, strategies to reduce stress and sensitization and foster desensitization processes are described. The chapter concludes by introducing a motivational account of chronic pain informed by the stress and sensitization literature.

The impact of chronic pain in children and adolescents: Development and initial validation of a child and parent version of the Pain Experience Questionnaire

Pain ◽  
2008 ◽  
Vol 135 (3) ◽  
pp. 251-261 ◽  
Author(s):  
Christiane Hermann ◽  
Johanna Hohmeister ◽  
Katrin Zohsel ◽  
Marie-Luise Tuttas ◽  
Herta Flor
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Pain Experience ◽  
Initial Validation ◽  
The Impact ◽  
Experience Questionnaire ◽  
Parent Version

Forming the narrative of chronic pain: Visual expressions of psychosocial experience

2020 ◽  
Vol 7 (1) ◽  
pp. 251-273
Author(s):  
Niamh McConaghy
Keyword(s):  
Chronic Pain ◽  
Visual Imagery ◽  
Personal Narrative ◽  
Structured Interview ◽  
Related Factors ◽  
Pain Experience ◽  
Pain Communication ◽  
The Arts ◽  
The Impact ◽  
Daily Pain

This article focuses upon the impact of using participant-created visual imagery and poetry to encourage a more comprehensive dialogue of the psychosocial and mental health elements of the experience of chronic pain. It explores six participants’ semi-structured interview dialogues, following two workshops and two weeks of journaling at home using the arts-based methods. Findings of this study suggest that these methods can enhance the awareness of pain-related factors and strengthen the understanding of the connection between influencing and affecting pain factors in daily life. Therapeutically, this process has encouraged positive pain behaviours, such as hope, purpose and appreciation of self, and created a more personal narrative of the reality of daily pain experience. It strengthens the argument for using combinations of arts-based outcomes to create more informative, personal and accessible methods of pain communication.

scholarly journals Pain Prevalence in Nine- to 13-Year-Old School Children

2006 ◽  
Vol 11 (4) ◽  
pp. 234-240 ◽  
Author(s):  
Adam van Dijk ◽  
Patricia A McGrath ◽  
William Pickett ◽  
Elizabeth G VanDenKerkhof
Keyword(s):  
Chronic Pain ◽  
Acute Pain ◽  
School Children ◽  
Short Form ◽  
Recurrent Pain ◽  
Pain Experience ◽  
Growing Pains ◽  
Pain Prevalence ◽  
Childhood Pain ◽  
Pain Experiences

BACKGROUND: Despite significant progress in the epidemiology of chronic pain in adults, major gaps remain in our understanding of the epidemiology of chronic pain in children. In particular, the incidence, prevalence and sensory characteristics of many types of pain in Canadian children are unknown.OBJECTIVES: A study to obtain the lifetime and point prevalence of common acute pains, recurrent pain syndromes and chronic pains was conducted in a cohort of 495 school children, nine to 13 years of age, in eastern Ontario.METHODS: Children reported their pain experiences and described the intensity, affect and duration of the pains experienced over the previous month by completing the Pain Experience Interview –Short Form.RESULTS: The majority of children (96%) experienced some acute pain over the previous month, with headache (78%) being most frequently reported. Lifetime prevalence for certain acute pains differed significantly by sex (P<0.05). Fifty-seven per cent of children reported experiencing at least one recurrent pain, while 6% were identified as having had or currently having chronic pain.DISCUSSION: The prevalence of acute pain in this Canadian cohort is consistent with international estimates of acute pain experiences (ie, headache) and recurrent pain problems (ie, recurring headache, abdominal pain and growing pains). However, 6% of children reported chronic pain. The self-completed Pain Experience Interview – Short Form provides a feasible administration technique for obtaining population estimates of childhood pain, and for conducting longitudinal studies to identify risk and prognostic factors for chronic pain.

Asymmetrical Attribution of Performance in China

Asian Survey ◽  
2020 ◽  
Vol 60 (5) ◽  
pp. 978-1003
Author(s):  
Jacqueline Chen Chen ◽  
Jun Xiang
Keyword(s):  
Economic Development ◽  
Local Governments ◽  
Central Government ◽  
Cultural Theory ◽  
Political Trust ◽  
Mediation Model ◽  
Multilevel Mediation ◽  
Dual Pathway ◽  
Underlying Mechanisms ◽  
The Impact

Existing studies of the impact of economic development on political trust in China have two major gaps: they fail to explain how economic development contributes to the hierarchical trust pattern, and they do not pay enough attention to the underlying mechanisms. In light of cultural theory and political control theory, we propose adapting performance theory into a theory of “asymmetrical attribution of performance” to better illuminate the case of China. This adapted theory leads to dual pathway theses: expectation fulfillment and local blaming. Using a multilevel mediation model, we show that expectation fulfillment mainly upholds trust in the central government, whereas local blaming undermines trust in local governments. We also uncover a rural–urban distinction in the dual pathway, revealing that both theses are more salient among rural Chinese.

scholarly journals The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study

Physiotherapy ◽  
2019 ◽  
Vol 105 (3) ◽  
pp. 346-353
Author(s):  
Laura M. Mackey ◽  
Catherine Blake ◽  
Maire-Brid Casey ◽  
Camillus K. Power ◽  
Ray Victory ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Health Literacy ◽  
Health Outcomes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

scholarly journals Evaluating the Relationship Between Initial Injury, Referral to A Pain Clinic, and Medical Retirement from the Army: A Retrospective Analysis

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 502-505
Author(s):  
Justin J Stewart ◽  
Diane Flynn ◽  
Alana D Steffen ◽  
Dale Langford ◽  
Honor McQuinn ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Analysis ◽  
Extended Period ◽  
Pain Clinic ◽  
Outcome Variable ◽  
Future Research ◽  
Curvilinear Relationship ◽  
The Impact ◽  
Pain Care ◽  
The Relationship

ABSTRACT Introduction Soldiers are expected to deploy worldwide and must be medically ready in order to accomplish their mission. Soldiers unable to deploy for an extended period of time because of chronic pain or other conditions undergo an evaluation for medical retirement. A retrospective analysis of existing longitudinal data from an Interdisciplinary Pain Management Center (IPMC) was used to evaluate the temporal relationship between the time of initial duty restriction and referral for comprehensive pain care to being evaluated for medical retirement. Methods Patients were adults (&gt;18 years old) and were cared for in an IPMC at least once between May 1, 2014 and February 28, 2018. A total of 1,764 patients were included in the final analysis. Logistic regression was used to evaluate the impact of duration between date of first duty restriction documentation and IPMC referral to the outcome variable of establishment of a permanent 3 (P3) profile. Results The duration between date of first duty restriction and IPMC referral showed a curvilinear relationship to probability of a P3 profile. According to our model, a longer duration before referral is associated with an increased probability of a subsequent P3 profile with the highest probability peaking at 19 months. The probability of P3 declines gradually for those who were referred later. Discussion This is the first time the relationship between time of initial duty restriction, referral to an IPMC, and subsequent P3 or higher profile has been tested. Future research is needed to examine medical conditions listed on the profile to see how they might contribute to the cause of referral to the IPMC. Conclusion A longer duration between initial duty restriction and referral to IPMC was associated with higher odds of subsequent P3 status for up to 19 months. Referral to an IPMC for comprehensive pain care early in the course of chronic pain conditions may reduce the likelihood of P3 profile and eventual medical retirement of soldiers.

scholarly journals Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ifat Klein ◽  
Leonid Kalichman ◽  
Noy Chen ◽  
Sergio Susmallian
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Chronic Pain ◽  
Self Efficacy ◽  
Breast Cancer Surgery ◽  
Activity Levels ◽  
Axillary Web Syndrome ◽  
Function Range ◽  
A Prospective Study ◽  
The Impact

AbstractAfter breast cancer (BC) surgery, women may experience a physical decline. The effect of physical activity (PA) on the course of recovery after BC surgery has not yet been thoroughly examined. To analyze the impact of physical activity performed by women undergoing breast cancer surgery on measures of function, range of motion, and self-efficacy. A prospective study was carried out in 157 patients who underwent surgery for BC between October 2018 and April 2019, divided into four groups according to the intensity of PA with 6 months follow-up. 50 sedentary patients and 107 active patients were enrolled; the mean age was 52.6. Women who performed physical activity, moderate to vigorous, demonstrated lower function disabilities (QuickDASH 2.22) compared with inactivity or light physical activity (QuickDASH 7.0, p < 0.001), with better shoulder flexion (159.0° vs. 150.7°, p = 0.007) and abduction (159.5° vs. 152.2°, p = 0.008). Higher PA levels, displayed in higher self-efficacy reports (9.5 vs. 8.8, p = 0.002), and return to prior job status (0.005). The PA level does not influence pain at one, three and 6 months postoperatively (p = 0.278, p = 0.304 and p = 0.304 respectively). High PA levels increase the risk of axillary web syndrome (p = 0.041), although, it reduces the incidence of chronic pain (p = 0.007). Women who practice physical activity recover better from BC surgery than sedentary women. The higher the intensity and frequency of training, the better the results. Vigorous activity cause axillary web syndrome, despite, it has a beneficial effect on lowering the rate of chronic pain.

scholarly journals The impact of Sosnowsky’s Hogweed on feeding guilds of birds

2021 ◽  
Author(s):  
Emilia Grzędzicka ◽  
Jiří Reif
Keyword(s):  
Negative Impact ◽  
Bird Community ◽  
Plant Invasions ◽  
Bird Communities ◽  
Feeding Guilds ◽  
Guild Structure ◽  
Feeding Guild ◽  
Potential Impact ◽  
Underlying Mechanisms ◽  
The Impact

AbstractPlant invasions alter bird community composition worldwide, but the underlying mechanisms still require exploration. The investigation of feeding guild structure of bird communities can be informative in respect to the potential impact of invasion features on the availability of food for birds. For this purpose, we focused on determining the influence of the invasive Sosnowsky’s Hogweed Heracleum sosnowskyi on the abundance of birds from various feeding guilds. In spring and summer 2019, birds were counted three times on 52 pairs of sites (control + Heracleum) in southern Poland, at various stages of Sosnowsky’s Hogweed development (i.e. sprouting, full growth and flowering, all corresponding to respective bird counts). We have shown that the presence of invader negatively affected the abundance of birds from all feeding guilds. However, a closer examination of the invaded sites uncovered that responses of particular guilds differed in respect to development stages expressed by a set of characteristics of the invader. Ground and herb insectivores were more common on plots with a higher number of the invader, while the abundance of bush and tree insectivores was negatively correlated with hogweeds’ height. Granivores were not affected by the invader’s features, while the abundance of omnivores was negatively related to the number of flowering hogweeds. Besides showing the general negative impact of the invader on different feeding guilds, our research has shown that certain aspects of Sosnowsky’s Hogweed invasion may support or depress occurrence of different birds on invaded plots. Knowledge of these aspects may facilitate our capacity for coping with challenges the invasive plants put in front of bird conservationists.

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