Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping

Abstract Objective To evaluate the effects of ultrasound-guided percutaneous electrolysis alone or as an adjunct to other interventions on pain and pain-related disability for musculoskeletal pain conditions. Databases and Data Treatment Search of MEDLINE database, Allied and Complementary Medicine Database, EMBASE database, Cumulative Index to Nursing & Allied Health Literature database, EBSCO database, PubMed database, Physiotherapy Evidence Database, Cochrane Library database, Scopus database, and Web of Science database. Randomized controlled trials in which at least one group received ultrasound-guided percutaneous electrolysis for treatment of musculoskeletal pain. To be eligible, studies had to include humans and collect outcomes on pain intensity and pain-related disability for musculoskeletal pain syndromes. Data were extracted by two reviewers. The risk of bias was assessed by the Cochrane Guidelines and the quality of evidence was reported using the Grading of Recommendations Assessment, Development and Evaluation approach. Standardized mean differences (SMDs) and random effects were calculated. Results Ten studies were included. The meta-analysis found that ultrasound-guided percutaneous electrolysis reduced the mean pain intensity by –2.06 (95% confidence interval [CI], –2.69 to –1.42) and the pain intensity as assessed with a visual analog scale or a numeric pain rating scale with a large size effect (SMD = –1.15; 95% CI, –1.48 to –0.81) and also improved pain-related disability with a large size effect (SMD = 0.95; 95% CI, 0.73–1.18) as compared with comparison groups. No differences in effect sizes were found among the short-term, midterm, and long-term follow-ups. The risk of bias was generally low, but the heterogeneity of the overall result downgraded the evidence level. Trials included heterogeneous musculoskeletal pain conditions and short-term, midterm, and long-term follow-ups. Conclusion Moderate evidence suggests positive effects of ultrasound-guided percutaneous electrolysis for pain and pain-related disability in musculoskeletal pain conditions relative to a comparison group in the short term, midterm, and long term.

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The Impact of Optimism of Parents of Children with Disabilities on Life Satisfaction: The Mediating Effects of Positive Perception of Parenting Children and Coping Behavior

Korean Journal of Special Education ◽

10.15861/kjse.2014.49.3.121 ◽

2014 ◽

Vol 49 (3) ◽

pp. 121-144 ◽

Cited By ~ 2

Author(s):

Ji Yeon Park

Keyword(s):

Life Satisfaction ◽

Children With Disabilities ◽

Coping Behavior ◽

Mediating Effects ◽

Positive Perception ◽

And Coping ◽

The Impact

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Temporal disconnection between pain relief and trigeminal nerve microstructural changes after Gamma Knife radiosurgery for trigeminal neuralgia

Journal of Neurosurgery ◽

10.3171/2019.4.jns19380 ◽

2020 ◽

Vol 133 (3) ◽

pp. 727-735

Author(s):

Peter Shih-Ping Hung ◽

Sarasa Tohyama ◽

Jia Y. Zhang ◽

Mojgan Hodaie

Keyword(s):

Pain Relief ◽

Trigeminal Neuralgia ◽

Pain Intensity ◽

Gamma Knife ◽

Trigeminal Nerve ◽

Diffusion Tensor ◽

Gamma Knife Radiosurgery ◽

Time Points ◽

Microstructural Effect

OBJECTIVEGamma Knife radiosurgery (GKRS) is a noninvasive surgical treatment option for patients with medically refractive classic trigeminal neuralgia (TN). The long-term microstructural consequences of radiosurgery and their association with pain relief remain unclear. To better understand this topic, the authors used diffusion tensor imaging (DTI) to characterize the effects of GKRS on trigeminal nerve microstructure over multiple posttreatment time points.METHODSNinety-two sets of 3-T anatomical and diffusion-weighted MR images from 55 patients with TN treated by GKRS were divided within 6-, 12-, and 24-month posttreatment time points into responder and nonresponder subgroups (≥ 75% and < 75% reduction in posttreatment pain intensity, respectively). Within each subgroup, posttreatment pain intensity was then assessed against pretreatment levels and followed by DTI metric analyses, contrasting treated and contralateral control nerves to identify specific biomarkers of successful pain relief.RESULTSGKRS resulted in successful pain relief that was accompanied by asynchronous reductions in fractional anisotropy (FA), which maximized 24 months after treatment. While GKRS responders demonstrated significantly reduced FA within the radiosurgery target 12 and 24 months posttreatment (p < 0.05 and p < 0.01, respectively), nonresponders had statistically indistinguishable DTI metrics between nerve types at each time point.CONCLUSIONSUltimately, this study serves as the first step toward an improved understanding of the long-term microstructural effect of radiosurgery on TN. Given that FA reductions remained specific to responders and were absent in nonresponders up to 24 months posttreatment, FA changes have the potential of serving as temporally consistent biomarkers of optimal pain relief following radiosurgical treatment for classic TN.

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Langfristige Wirkungen eines nicht abgeschlossenen Studiums auf individuelle Arbeitsmarktergebnisse und die allgemeine Lebenszufriedenheit (Long-Term Impacts of Studying without Graduating on Individual Labor Market Outcomes and Overall Life Satisfaction)

SSRN Electronic Journal ◽

10.2139/ssrn.3539408 ◽

2020 ◽

Author(s):

Julia Heigle ◽

Friedhelm Pfeiffer

Keyword(s):

Life Satisfaction ◽

Labor Market ◽

Labor Market Outcomes ◽

Market Outcomes ◽

Overall Life Satisfaction

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Limited predictive value of illness perceptions for short-term poor recovery in musculoskeletal pain. A multi-center longitudinal study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04366-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

E. J. de Raaij ◽

H. Wittink ◽

J. F. Maissan ◽

P. Westers ◽

R. W. J. G. Ostelo

Keyword(s):

Prognostic Factors ◽

Pain Intensity ◽

Musculoskeletal Pain ◽

Physical Functioning ◽

Predictive Value ◽

Illness Perceptions ◽

Illness Perception ◽

Added Value ◽

Poor Recovery ◽

Significant Difference

Abstract Background Musculoskeletal pain (MSP) is recognized worldwide as a major cause of increased years lived with disability. In addition to known generic prognostic factors, illness perceptions (IPs) may have predictive value for poor recovery in MSP. We were interested in the added predictive value of baseline IPs, over and above the known generic prognostic factors, on clinical recovery from MSP. Also, it is hypothesized there may be overlap between IPs and domains covered by the Four-Dimensional Symptom Questionnaire (4DSQ), measuring distress, depression, anxiety and somatization. The aim of this study is twofold; 1) to assess the added predictive value of IPs for poor recovery and 2) to assess differences in predictive value for poor recovery between the Brief Illness Perception Questionnaire - Dutch Language Version (Brief IPQ-DLV) and the 4DSQ. Methods An eligible sample of 251 patients with musculoskeletal pain attending outpatient physical therapy were included in a multi-center longitudinal cohort study. Pain intensity, physical functioning and Global Perceived Effect were the primary outcomes. Hierarchical logistic regression models were used to assess the added value of baseline IPs for predicting poor recovery. To investigate the performance of the models, the levels of calibration (Hosmer-Lemeshov test) and discrimination (Area under the Curve (AUC)) were assessed. Results Baseline ‘Treatment Control’ added little predictive value for poor recovery in pain intensity [Odds Ratio (OR) 0.80 (Confidence Interval (CI) 0.66–0.97), increase in AUC 2%] and global perceived effect [OR 0.78 (CI 0.65–0.93), increase in AUC 3%]. Baseline ‘Timeline’ added little predictive value for poor recovery in physical functioning [OR 1.16 (CI 1.03–1.30), increase in AUC 2%]. There was a non-significant difference between AUCs in predictive value for poor recovery between the Brief IPQ-DLV and the 4DSQ. Conclusions Based on the findings of this explorative study, assessing baseline IPs, over and above the known generic prognostic factors, does not result in a substantial improvement in the prediction of poor recovery. Also, no recommendations can be given for preferring either the 4DSQ or the Brief IPQ-DLV to assess psychological factors.

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The interplay of gender, social context, and long-term unemployment effects on subjective health trajectories

BMC Public Health ◽

10.1186/s12889-021-10324-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Laura Altweck ◽

Stefanie Hahm ◽

Holger Muehlan ◽

Tobias Gfesser ◽

Christine Ulke ◽

...

Keyword(s):

Life Satisfaction ◽

Social Context ◽

Negative Impact ◽

Subjective Health ◽

Short Term ◽

Self Rated Health ◽

Health Trajectories ◽

Lower Baseline ◽

Baseline Values

Abstract Background While a strong negative impact of unemployment on health has been established, the present research examined the lesser studied interplay of gender, social context and job loss on health trajectories. Methods Data from the German Socio-Economic Panel was used, which provided a representative sample of 6838 participants. Using latent growth modelling the effects of gender, social context (East vs. West Germans), unemployment (none, short-term or long-term), and their interactions were examined on health (single item measures of self-rated health and life satisfaction respectively). Results Social context in general significantly predicted the trajectories of self-rated health and life satisfaction. Most notably, data analysis revealed that West German women reported significantly lower baseline values of self-rated health following unemployment and did not recover to the levels of their East German counterparts. Only long-term, not short-term unemployment was related to lower baseline values of self-rated health, whereas, in relation to baseline values of life satisfaction, both types of unemployment had a similar negative effect. Conclusions In an economic crisis, individuals who already carry a higher burden, and not only those most directly affected economically, may show the greatest health effects.

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Physical workload and increased frequency of musculoskeletal pain: a cohort study of employed men and women with baseline occasional pain

Occupational and Environmental Medicine ◽

10.1136/oemed-2020-107094 ◽

2021 ◽

pp. oemed-2020-107094

Author(s):

Kathryn Badarin ◽

Tomas Hemmingsson ◽

Lena Hillert ◽

Katarina Kjellberg

Keyword(s):

Survey Data ◽

Musculoskeletal Pain ◽

Leisure Time Physical Activity ◽

Physical Workload ◽

Job Exposure Matrix ◽

Men And Women ◽

Strenuous Work ◽

High Level

ObjectivesMusculoskeletal pain (MSP) is prevalent among the workforce. This study investigates the long-term association between physical workload (PWL) and increased frequency of MSP among male and female employees with pre-existing occasional MSP.MethodsThis study uses the Stockholm Public Health cohort survey data from the baseline 2006. The sample includes 5715 employees with baseline occasional MSP (no more than a few days per month). Eight PWL exposures and overall PWL were estimated using a job-exposure matrix (JEM). The JEM was assigned to occupational titles from a national register in 2006. Follow-up survey data on frequent MSP (a few or more times a week) were collected from 2010. Logistic regressions produced sex-specific ORs with 95% CIs and were adjusted for education, health conditions, psychological distress, smoking, BMI, leisure-time physical activity and decision authority.ResultsAssociations were observed between several aspects of heavy PWL and frequent MSP for men (eg, OR 1.57, 95% CI 1.13 to 2.20, among those in the highest exposure quartile compared with those in the lowest quartile for heavy lifting) and women (eg, OR 1.76, 95% CI 1.35 to 2.29, among those in the highest exposure quartile compared with those in the the lowest quartile for physically strenuous work). Small changes were observed in the OR after adjustment, but most of the ORs for PWL exposures among the men were no longer statistically significantly increased.ConclusionA high level of exposure to heavy PWL was associated with increased frequency of MSP 4 years later for men and women with baseline occasional pain.

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Repartnering and trajectories of life satisfaction after separation and divorce in middle and later life

Journal of Social and Personal Relationships ◽

10.1177/02654075211009594 ◽

2021 ◽

pp. 026540752110095

Author(s):

Sandra Gloor ◽

Stefanie Gonin-Spahni ◽

Hansjörg Znoj ◽

Pasqualina Perrig-Chiello

Keyword(s):

Life Satisfaction ◽

Recovery Period ◽

Marital Dissolution ◽

Later Life ◽

Adjustment Process ◽

Negative Consequences ◽

Aged People ◽

Initial Recovery ◽

Trait Resilience

Separation and divorce are life events that might alter life satisfaction on the long term. Previous literature suggests a recovery of life satisfaction after marital dissolution for most individuals, simultaneously emphasizing considerable heterogeneity in the extent and timing of such adaptation. A new partnership seems to be a promising factor for a positive post-separation adjustment process. At the same time, the question arises whether people with beneficial characteristics, such as higher trait resilience, may have a double advantage by recovering faster and being more likely to find a new partner. However, little research has concurrently investigated the consequences of repartnering and favorable personal attributes on life satisfaction of middle- and older-aged people, especially not beyond the initial recovery period. Our data stem from a three-wave longitudinal questionnaire study including 199 participants after a separation, all single at the beginning of the study. Latent growth modeling was applied to investigate trajectories of life satisfaction, examining the role of a new intimate partnership, while controlling for trait resilience. Trait resilience represented a strong general predictor for inter-individual differences in the initial level of life satisfaction. However, an increase in life satisfaction over time was only observed in the group of participants who engaged in a new partnership. This increase occurred independently of preexisting differences in beneficial characteristics, such as high levels of trait resilience or life satisfaction. Thus, repartnering is associated with improvement of life satisfaction beyond the first adaptation phase after separation and is therefore important to prevent long-term negative consequences.

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