Chronic Pain, Goal Conflict and Goal Frustration

2018 ◽  
Author(s):  
Nathalie Claes ◽  
Winifred Gebhardt
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Real Life ◽  
Goal Conflict ◽  
Future Research ◽  
Improve Quality ◽  
Multiple Goals ◽  
Regulatory Perspective ◽  
Life Context

This chapter argues for extending models of chronic pain within an explicit goal and self-regulatory perspective. A self-regulatory perspective allows one to conceptualize pain as an experience that occurs within the real-life context comprising multiple goals. The chapter presents two fictitious cases, which will be used throughout the chapter to clarify goal concepts. Next, it outlines the possible interrelations between goals, after which it specifically focuses on goal conflict and its role in pain. The chapter then provides a definition and overview of the literature on goal frustration and offers insights into the link between goal conflict and goal frustration. It also presents an overview of interventions that focus on tackling goal conflict and goal frustration to improve quality of life. The chapter then discusses potential implications of the theoretical stance and the empirical findings for existing theories of chronic pain problems. Finally, it formulates suggestions for future research.

scholarly journals New Model for Couple Therapy for Patients with Chronic Pain and their Caregivers: An Attempt to Improve Quality of Life and Reduce Pain

2020 ◽  
Vol 16 (1) ◽  
pp. 53-58
Author(s):  
Shima Rouhi ◽  
Payman Dadkhah ◽  
Manijeh Firoozi ◽  
Masoud Hashemi
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Interpersonal Relationships ◽  
Couple Therapy ◽  
Short Form ◽  
Control Group ◽  
Improve Quality ◽  
Innovative Therapy ◽  
Quasi Experimental

Background: Several psychological interventions have been implemented to manage chronic pain. In this study, in addition to the patients, his/her spouses have participated in the program. Besides, this innovative therapy integrates several practical approaches into one comprehensive protocol. Objective: This study aimed to analyze the effectiveness of couple therapy (patient/caregiver-oriented) on improving the quality of life and reducing pain among patients with chronic pain. Methods: The present study is a quasi-experimental and clinical trial with a control group with pretest and posttest. The authors conducted this study at LABAFINEJAD Hospital in Tehran on 30 patients with chronic pain and their spouses by having a short form of a questionnaire for quality of life and chronic pain score questionnaire to measure the effectiveness of the treatment. Results: The results indicated that this treatment increased two aspects of quality of life remarkably, social function and strength for continuing the performance; that help boosts interpersonal relationships as well. Regarding the results, although the couple-based treatment could improve all aspects of pain, the two primary subscales, physical health and mental health, both enhanced. Besides, the treatment reduced the intensity of pain. Conclusion: Couple-based intervention through increasing social support, improving the quality of sex, decentralizing of pain, and paying attention to the neglected needs of caregivers and patients with chronic pain can improve quality of life and reduce pain in patients.

Behavioral and Psychophysiological Investigations of Irritability

2019 ◽  
pp. 45-70
Author(s):  
Mariah DeSerisy ◽  
Christen M. Deveney
Keyword(s):  
Quality Of Life ◽  
Executive Functioning ◽  
Frustrative Nonreward ◽  
Reward Processing ◽  
Future Research ◽  
Improve Quality ◽  
Emotional Stimuli ◽  
Emotion Identification ◽  
Insight Into

A better understanding of neurocognitive mechanisms underlying irritability has the potential to inform treatments and improve quality of life for the children for whom this symptom is severe and persistent. This chapter examines the existing behavioral and psychophysiological investigations into irritability-related mechanisms in youth. Together, these measures provide insight into the cognitive and socioemotional abilities of youth with irritability. Existing research explores three domains: executive functioning, reward processing, and responses to emotional stimuli. Although deficits have been observed in each domain, the strongest evidence exists for atypical frustrative nonreward responses (i.e., when an expected reward is not received), face emotion identification deficits, and increased attention toward threatening faces. We discuss limitations to the existing literature and propose avenues for future research, including exploring cognitive-emotion interactions, using dimensional measures of irritability, and examining whether deficits are unique to irritability or related to co-occurring symptoms.

scholarly journals The Relationship between Stressors and Pain-Related Clinical Outcomes in Pediatric Chronic Pain Patients

Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 21
Author(s):  
Anjana Jagpal ◽  
Keri Hainsworth ◽  
Ratka Galijot ◽  
Katherine S. Salamon ◽  
Kim Anderson Khan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Functional Disability ◽  
Future Research ◽  
Clinical Interviews ◽  
Pediatric Chronic Pain ◽  
Patient Reported ◽  
Poor Outcomes ◽  
The Relationship

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.

scholarly journals The REQUITE Project: Validating predictive models and biomarkers of radiotherapy toxicity to reduce side-effects and improve quality of life in cancer survivors.

2016 ◽  
Vol 34 (2_suppl) ◽  
pp. 85-85
Author(s):  
Riccardo Valdagni ◽  
Anusha Appanvel ◽  
Akke Botma ◽  
Adam Webb ◽  
David Azria ◽  
...  
Keyword(s):  
Quality Of Life ◽  
European Union ◽  
Side Effects ◽  
Cancer Survivors ◽  
Predictive Models ◽  
Future Research ◽  
Improve Quality ◽  
The European Union ◽  
Centralized Database

85 Background: To present the REQUITE project (Validating Predictive Models and Biomarkers of Radiotherapy (RT) toxicity to reduce side-effects and improve quality-of-life in cancer survivors) and first results on the enrollment and acute toxicity (tox) of prostate cancer (Pca) patients (pts). Methods: The European Union funded REQUITE project involves centers in Europe and the USA. The main objectives of the project are to: carry out a multicentre, cohort study collecting blood samples, standardized epidemiology and treatment data, longitudinal side-effect and quality of life data (before and after treatment, years 1 and 2); produce a centralized database and biobank of DNA for 5,300 patients; validate clinical/dosimetric predictors of RT tox and incorporate biomarker data. The project focuses on cancers of the breast, lung and prostate. For PCa the primary endpoint is rectal bleeding at 2 years. Results: A centralized database was established for data collection, including storage of complete dosimetric information in DICOM RT format. Enrollment started in April 2014 and will end in August 2018. In the first 16 months 909 PCa pts were enrolled: 10% low risk, 33% intermediate and 57% high risk. 63% pts received exclusive RT (neoadjuvant hormone therapy in 62%) and 37% post-prostatectomy; 97% external beam RT (prescription doses: 60-85Gy, 2Gy equivalent, alpha/beta=3Gy), while 3% received brachytherapy. Data on acute tox at RT end (measured by CTCAE 4.03) are available for 496 pts. 79 G2-G3 GI tox were reported, with proctitis and diarrhea having the higher prevalence (45 and 30 events respectively). 74 pts exhibited G2-G3 GU tox, with 34 pts reporting multiple symptoms and frequency and urgency having the higher prevalence (43 and 30 events respectively, 25 pts both). Conclusions: REQUITE is proving the feasibility of a prospective standardized collection of epidemiological/clinical/dosimetric/toxicity data coupled to centralized storing of biological material. Meanwhile a large database is being created, which will be of value also for future research in the field of radioinduced side effects. REQUITE is funded by a European Union FP7 grant (601826).

scholarly journals A Real-Life Context on Adult Survivors’ Perceived Quality of Life, Spirituality, and Resiliency

2020 ◽  
Vol 3 (1) ◽  
pp. 21-34
Author(s):  
Rogen Ferdinand E. Alcantara
Keyword(s):  
Quality Of Life ◽  
Real Life ◽  
Adult Survivors ◽  
Well Being ◽  
The Real ◽  
Perceived Quality Of Life ◽  
Life Context ◽  
Spiritual Struggles

This study aims to determine the real-life context on quality of life, spirituality, and resiliency among natural disaster adult survivors in Negros Oriental and Bohol.  The case study method was utilized to investigate the real-life experiences of seven (7) adult survivors, ages 20 and older, who joined in the Silliman University Continuing Calamity Response Program.  The narratives revealed a commonality of opinions on their quality of life. General sentiment on the available resources may be present but was inadequate. However, despite their ominous view on the quality of life, the majority of the participants chose to move on. Moreover, most participants indicate experiencing spiritual struggles, but these struggles sustained them. Momentarily, the love and support from their family and the community have allowed them to strive and make life adjustments. With this, balanced and holistic recovery programs should be implemented to obtain optimal well-being, spiritual empowerment, and positive resiliency.

scholarly journals Does mindfulness intervention improve quality of life in adults with non-malignant chronic pain

2021 ◽  
Author(s):  
◽  
Nikolay Kondratyev
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Literature Review ◽  
Well Being ◽  
Relevant Information ◽  
Primary Care Providers ◽  
Future Research ◽  
Care Providers ◽  
The Impact

Chronic pain is a significant problem that negatively affects quality of life resulting in distress, disability, and inappropriate prescription of analgesics. Primary care providers need evidence for non-pharmaceutical tools, such as mindfulness-based intervention, to manage the complexities of chronic pain. The purpose of this integrative literature review is to investigate the impact mindfulness may have on the quality of life of subjects with chronic pain. A background of relevant information is presented regarding chronic pain, quality of life, and mindfulness. Thereafter, a comprehensive search revealed 14 studies in this integrative literature review. Key findings include that there is low to moderate quality evidence that mindfulness improves QOL, especially in the domains of mental well-being. Overall, mindfulness can be an effective tool for individuals that are currently on pharmacological monotherapy. The study concludes with recommendations for future research and practice.

Accepted Legal Applications of Actuarial Testing and Delinquency Interventions: Examples of Savings in Real-Life Situations

2009 ◽  
Vol 104 (1) ◽  
pp. 339-362 ◽  
Author(s):  
Robert John Zagar ◽  
Boris Bartikowski ◽  
Agata Karolina Zagar ◽  
Kenneth G. Busch ◽  
Randall Stark
Keyword(s):  
Quality Of Life ◽  
Empirical Studies ◽  
Real Life ◽  
Well Being ◽  
Improve Quality ◽  
Costs And Benefits ◽  
Loss Of Life ◽  
Specific Proposal ◽  
Current Article

Violent crime, especially by youth, is an increasing and costly problem. Zagar and colleagues have described five empirical studies in which youths' and adults' risks were identified and used to predict commission of homicide. The samples were more representative of the most violent modern urban delinquents than samples in previous research from smaller cities. From Zagar and colleagues' results, it is clear that the use of actuarial personality and probation–parole tests to identify at-risk individuals and target treatments to their needs would allow organizations to reduce loss of life and improve quality of life and economic and social well-being. The current article first provides a brief review of the situations in which the courts already accept the use of actuarial personality and probation-parole tests. Following that are several representations of the costs and benefits of broader application of testing and treatment in schools, universities, and workplaces. Finally, a specific proposal for generalized screening is proposed in a city of 3 million, with estimates of lives saved and costs reduced.

Self-Compassion and Quality of Life in Adults Who Stutter

2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd
Keyword(s):  
Quality Of Life ◽  
Social Connectedness ◽  
The Self ◽  
Future Research ◽  
Self Compassion ◽  
Adults Who Stutter ◽  
And Gender ◽  
Relationship Of ◽  
The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

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