Pain Acceptance Partially Mediates the Relationship Between Perceived Injustice and Pain Outcomes Over 3 Months

2020 ◽  
Vol 36 (11) ◽  
pp. 868-873
Author(s):  
Dominic W. Ysidron ◽  
Peter Maxwell Slepian ◽  
Brett Ankawi ◽  
Lina K. Himawan ◽  
Christopher R. France
Pain ◽  
2013 ◽  
Vol 154 (9) ◽  
pp. 1691-1698 ◽  
Author(s):  
Whitney Scott ◽  
Zina Trost ◽  
Elena Bernier ◽  
Michael J.L. Sullivan

2013 ◽  
Vol 14 (4) ◽  
pp. S94 ◽  
Author(s):  
W. Scott ◽  
Z. Trost ◽  
E. Bernier ◽  
R. Garland ◽  
M. Sullivan

2020 ◽  
pp. jrheum.200595
Author(s):  
Titilola Falasinnu ◽  
Cristina Drenkard ◽  
Gaobin Bao ◽  
Sean Mackey ◽  
S. Sam Lim

Objective To define biopsychosocial mechanisms of pain that go above and beyond disease activity and organ damage in systemic lupus erythematosus (SLE). Methods We conducted a cross-sectional analysis of patient-reported data in a population-based registry of 766 people with SLE. Predictors of pain intensity and interference were examined using hierarchical linear regression. We built two main hierarchical regression models: pain intensity regressed on disease activity and organ damage; and pain interference regressed on disease activity and organ damage. For each model, we sought to establish the relationship between pain outcomes and the primary exposures using sequential steps comprising the inclusion of each construct in six stages: demographic, socioeconomic, physical, psychological, behavioral and social factors. We also conducted sensivity analyses eliminating all overt aspects of pain in the disease activity measure and reestimated the models. Results Disease activity and organ damage explained 32-33% of the variance in pain intensity and interference. Sociodemographic factors accounted for an additional 4-9% of variance in pain outcomes, while psychosocial/behavioral factors accounted for the final 4% of variance. In the sensitivity analyses, we found that disease activity and organ damage explained 25% of the variance in pain outcomes. Conclusion Disease activity only explained 33% of the variance of pain outcomes. However, there was an attenuation in these associations after accounting for psychosocial/behavioral factors, highlighting their roles in modifying the relationship between disease activity and pain. These findings suggest that multilevel interventions may be needed to tackle the negative impact of pain in SLE.


2020 ◽  
Vol 10 (2) ◽  
pp. 169-185 ◽  
Author(s):  
William Davies

The rise of populist political rhetoric and mobilisation, together with a conflict-riven digital public sphere, has generated growing interest in anger as a central emotion in politics. Anger has long been recognised as a powerful driver of political action and resistance, by feminist scholars among others, while political philosophers have reflected on the relationship of anger to ethical judgement since Aristotle. This article seeks to differentiate between two different ideal types of anger, in order to illuminate the status of anger in contemporary populist politics and rhetoric. First, there is anger that arises in an automatic, pre-conscious fashion, as a somatic, reactive and performative way, to an extent that potentially spirals into violence. Second, there is anger that builds up over time in response to perceived injustice, potentially generating melancholia and ressentiment. Borrowing Kahneman’s dualism, the article refers to these as ‘fast’ and ‘slow’ anger, and deploys the distinction to understand how the two interact. In the hands of the demagogue or troll, ‘fast anger’ can be deployed to focus all energies on the present, so as to briefly annihilate the past and the ‘slow anger’ that has been deposited there. And yet only by combining the conscious reflection of memory with the embodied response of action can anger ever be meaningfully sated in politics.


2019 ◽  
Vol 8 (9) ◽  
pp. 1373 ◽  
Author(s):  
Probst ◽  
Jank ◽  
Dreyer ◽  
Seel ◽  
Wagner ◽  
...  

Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = -0.19 (SE = 0.08); T = -2.44; p = 0.017) . Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant.


2017 ◽  
Vol 21 (7) ◽  
pp. 1234-1242 ◽  
Author(s):  
J.S. Carriere ◽  
P. Thibault ◽  
H. Adams ◽  
M. Milioto ◽  
B. Ditto ◽  
...  

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