scholarly journals The Mediating Effect of Central Sensitization on the Relation between Pain Intensity and Psychological Factors: A Cross-Sectional Study with Mediation Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Hayato Shigetoh ◽  
Yoichi Tanaka ◽  
Masayuki Koga ◽  
Michihiro Osumi ◽  
Shu Morioka
Keyword(s):  
Pain Intensity ◽  
Mediation Analysis ◽  
Indirect Effects ◽  
Central Sensitization ◽  
Psychological Factors ◽  
Cross Sectional Study ◽  
Mediating Effect ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

Background. Central sensitization (CS) and psychological factors are associated with pain intensity; however, the mediating role of CS on the relation between psychological factors and pain intensity remains unclear. Objectives. We performed mediation analysis to investigate how CS mediates relation between psychological factors and pain intensity. Methods. Twenty patients with musculoskeletal pain were included in this cross-sectional study. Central sensitization inventory (CSI), one pain intensity-related outcome measure (Short-Form McGill Pain Questionnaire 2 (SFMPQ2)), and three psychological outcome measures (Hospital Anxiety and Depression Scale (HADS), Pain Catastrophizing Scale-4 (PCS), and Tampa Scale for Kinesiophobia-11 (TSK)) of all participants were assessed. The mediation analysis with a bootstrap sampling procedure was used to assess the indirect effects. The level of significance was set at 5%. Results. Mediation analysis showed that the HADS-anxiety, HADS-depression, and PCS had significant indirect effects on the pain ratings of CSI. Additionally, the direct effect was significant only for PCS. Conclusions. The relationship among anxiety symptoms, depression symptoms, and pain intensity was completely mediated by CS. Furthermore, the relationship between catastrophic thinking and pain intensity was partially mediated by CS. Our findings suggest that CS mediates relation between psychological factors and pain intensity, and CS-focused intervention may be important.

Are Illness Perceptions Associated with Pain and Disability in Complex Regional Pain Syndrome? A Cross-Sectional Study

Pain Medicine ◽  
2020 ◽  
Author(s):  
Dana R Antunovich ◽  
Juliette C Horne ◽  
Natalie L Tuck ◽  
Debbie J Bean
Keyword(s):  
Pain Intensity ◽  
Complex Regional Pain Syndrome ◽  
Psychological Factors ◽  
Illness Perceptions ◽  
Pain Syndrome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pain Disability ◽  
Regulation Model

Abstract Objective Complex regional pain syndrome (CRPS) is a complex and often poorly understood condition, and people with CRPS will have diverse beliefs about their symptoms. According to the self-regulation model, these beliefs (termed “illness perceptions”) influence health behaviors and outcomes. Previous studies have found that psychological factors influence CRPS outcomes, but few studies have investigated CRPS patients’ illness perceptions specifically. The present study examined whether illness perceptions were related to pain intensity and other relevant outcomes in people with CRPS. Methods In this cross-sectional study, 53 patients with CRPS (type 1 and type 2) completed questionnaires assessing illness perceptions, pain, disability, and psychological factors. Multiple regression analyses were used to determine whether illness perceptions were associated with pain intensity, disability, depression, and kinesiophobia, after controlling for possible covariates (including clinical and demographic factors, pain catastrophizing, and negative affect). Results Negative illness perceptions were associated with greater pain, disability, and kinesiophobia, but not depression. Specifically, attributing more symptoms to CRPS (more negative illness identity perceptions) was associated with greater pain intensity, and reporting a poorer understanding of CRPS (lower illness coherence scores) was associated with greater disability and kinesiophobia. Conclusions Patients with CRPS with more negative illness perceptions (particularly perceptions indicating a poor understanding of their condition) also experience greater pain, disability, and kinesiophobia. Future research could investigate whether altering CRPS patients’ illness perceptions influences clinical outcomes.

scholarly journals Self-Efficacy Mediates The Relationship Between Social Support And Psychological Resilience In Patients With Lung Cancer: A Cross-Sectional Study

2021 ◽  
Author(s):  
Yizhen Yin ◽  
Jie Zhang ◽  
Mengmemg Lv ◽  
Hui Li ◽  
Huiyuan Li ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Social Support ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Mediating Effect ◽  
Chinese Version ◽  
Psychological Resilience ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

Abstract Purpose: The prognosis of patients with lung cancer might be influenced by mental health. Psychological resilience is one of the important indicators to reflect the psychological state. It has been shown that patients with higher social support and self-efficacy have better psychological resilience. The aim of this study was to determine whether or not self-efficacy mediates the relationship between social support and psychological resilience in patients with lung cancer.Methods: A cross-sectional study of 303 lung cancer patients was conducted. Participants completed questionnaires, including the Chinese version of the Perceived Social Support Seale Scale, the Chinese version of Strategies Used by People to Promote Health Scale, and the Chinese version of the Connor-Davidson Resilience Scale. Results: Mediation analysis indicated that self-efficacy had a partially mediating effect between social support and psychological resilience. Direct paths from social support to self-efficacy, self-efficacy to psychological resilience, and social support to psychological resilience were significant (p< 0.001). Moreover, indirect paths from social support to self-efficacy and self-efficacy to psychological resilience were also significant at the 95% level [0.120–0.550]; the mediating effect accounted for 38.16% of the total effect.Conclusions: Self-efficacy plays an important role in the relationships between social support and psychological resilience in cancer patients. Social support not only directly influenced the psychological resilience, but also indirectly influenced psychological resilience through self-efficacy.

scholarly journals Mediating effect of empowerment on the relationship between global function and personal recovery among community-dwelling patients with schizophrenia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kuen Tai Lee ◽  
Shih Kai Lee ◽  
Mei Jou Lu ◽  
Wen Ling Hsieh ◽  
Wen I. Liu
Keyword(s):  
Reliability And Validity ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Sectional Study ◽  
Personal Recovery ◽  
Cross Sectional ◽  
Global Function ◽  
The Relationship

Abstract Background Functional degradation among community-dwelling patients with schizophrenia can negatively influence their recovery. Given the importance of patient empowerment during recovery, this study examined the mediating effect of empowerment on the relationship between global function and personal recovery among community-dwelling patients with schizophrenia. Methods This cross-sectional study recruited community-dwelling patients with schizophrenia from northern and central Taiwan. Questionnaires with verified reliability and validity were provided and collected on site by trained nurses. Global function, empowerment, and personal recovery were measured using the Global Assessment of Functioning (developed by the American Psychiatric Association), Empowerment Scale, and Questionnaire on the Process of Recovery, respectively. The causal steps approach proposed by Baron and Kenny and the Sobel test were utilized to verify the mediation effect. The causal steps approach tested the four following pathways (regression coefficients): global function on empowerment (Path a), global function and empowerment as predictors of personal recovery (Path b), global function on personal recovery (Path c), and global function and empowerment on personal recovery (Path c’). Results A total of 373 participants completed the survey. After controlling for factors associated with recovery, Paths a (β = .24, p < .001), b (β = .68, p < .001), and c (β = .19, p < .001) were found to be significant; however, Path c’ was not significant (β = .03, p = .452). Empowerment was determined to exert “full mediation” over the effects of global function on personal recovery, and the Sobel test indicating significant mediation (Z = 3.61, p < .001). Conclusions Empowerment fully mediates the association between global function and personal recovery. This study suggested that offering empowerment-oriented care services may be more effective than global function improvement in recovery among these patients.

scholarly journals The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

2020 ◽  
Vol 9 (10) ◽  
pp. 3252
Author(s):  
Javier Martinez-Calderon ◽  
Mar Flores-Cortes ◽  
Susana Clavero-Cano ◽  
Jose Miguel Morales-Asencio ◽  
Mark P. Jensen ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Cross Sectional Study ◽  
Chronic Musculoskeletal Pain ◽  
Pain Interference ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pain Acceptance

This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.

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