scholarly journals Psychological Assessment of Control and Coping with Neuropathic Pain in the Lumbar Spine

2021 ◽  
Vol 25 (3) ◽  
Author(s):  
Agata Kryszak ◽  
Zbigniew Czernicki ◽  
Damian Wiśniewski
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Lumbar Spine ◽  
Coping Strategy ◽  
Pain Control ◽  
Lumbar Region ◽  
Pain Coping ◽  
Random Events ◽  
And Coping ◽  
Pain Coping Strategy

Background: Pain in the lumbar spine is an increasingly common problem, not only neurological or orthopaedic, but also psychological. In epidemiological studies on the prevalence of neuropathic pain, conducted in countries such as the United Kingdom, the United States France, and Brazil, it has been shown that the prevalence of chronic pain with neuropathic properties is estimated at 7-10%. Chronic neuropathic pain is more common in women (8% versus 5.7% in men) and in patients > 50 years of age (8.9% versus 5.6% in women < 49 years old). It most frequently concerns the lumbar region and lower limbs. However, in Germany, it has been revealed that 40% of all patients experience at least some features of neuropathic pain such as burning, numbness and/or tingling, especially those with chronic pain in the lumbar spine and radiculopathy. Chronic pain not only hinders a patient's daily life activities, but over time, it has negative impact on the patient's psyche: it reduces his/her well-being, causing anxiety, fear, helplessness, regret and even hostility. It should be emphasized that each of these reactions is an individual feature. Objectives: The aim of the study is to assess pain control as well as the strategies of coping with neuropathic pain in the lumbar spine. Material and methods: The study comprised 50 people with neuropathic pain in the lumbar region, including 41 women and 19 men. The average age of the respondents was 56 years, the average duration of the symptoms was 8 years. The following questionnaires were used to assess neuropathic pain: Lanss Pain Scale and DN4, and the Visual Analogue Scale (VAS) to assess pain intensity. For Pain Control Assessment - the Beliefs Questionnaire for Pain Control (BPCQ) and Pain Coping Strategy Questionnaire (CSQ). Results: Among the 3 measured factors of pain control, internal control dominates in young people, external control in middle-aged individuals, and the attitude towards random events in the elderly. There was significant statistical dependence between pain coping strategy and type of pain control. Conclusions: With the duration of pain and the age of the patient, random events play an increasingly important role in pain control. Hence, tests on pain control and coping should be carried out among patients as this would determine the most favourable treatment method.

PAIN MANAGEMENT AND OPTIMISM LEVELS AMONG OFFICE WORKERS WITH CERVICAL SPINE COMPLAINTS

2018 ◽  
Vol 16 (3) ◽  
pp. 267-274
Author(s):  
Dominika Wilczyńska ◽  
Marcin Dornowski ◽  
Anna Zasadna
Keyword(s):  
Cervical Spine ◽  
Attributional Style ◽  
Coping Strategy ◽  
Pain Control ◽  
Human Life ◽  
Office Workers ◽  
Pain Coping ◽  
Perceived Pain ◽  
The Individual ◽  
Pain Coping Strategy

Coping with pain plays a very important role in human life and it may differ depending on the personality characteristics of patients such as their level of optimism. The aim of this study was therefore to determine whether the coping strategies for to cervical spine pain amongof office workers were determined by gender, the locus of pain control orand an optimistic attributional style. 30 office workers (Females = 15, Males = 15) took part in the experiment. The age of the participants was for females (M and for =43; SD=5.,9) and for males (M=44.,9; SD=4.,9. The subjects were asked to fill out 4 questionnaires: (CSQ), (BPCQ), (ASQ), a 10-grade visual analogue scale (VAS) and an original questionnaire. The study revealed that most of the office workers declare the ability to copeing with pain. Women were significantly more focused on emotions as a pain coping strategy than were the males participants. It was also shown that the internal locus of pain control significantly correlates with coping focused on problem solving. Participants characterized by anwith optimistic attributableional style used task oriented strategies more often than did the pessimists. There were no significant differences in the level of perceived pain between optimists and pessimists. It was foundind that there are statistically significant differences in coping with pain coping according to gender. Women were significantly more focused on emotions as a pain coping strategy than were the males participants. A high level of optimism may have a significant impact on the reduction of emotion - oriented strategies such as catastrophising by switching on more beneficial strategies to cope with pain by the individual. There are no significant differences in the level of perceived pain between pessimists and optimists.

LOWER URINARY TRACT SYNDROME IN ELDERLY AND SENILE PEOPLE WITH COMBINED PATHOLOGY OF THE PROSTATE AND LUMBAR SPINE

2021 ◽  
pp. 921-926
Author(s):  
В. В. Третьяков ◽  
В. С. Мякотных
Keyword(s):  
Chronic Pain ◽  
Urinary Tract ◽  
Lumbar Spine ◽  
Clinical Picture ◽  
Lower Urinary Tract ◽  
Lumbar Region ◽  
Urination Disorders ◽  
Pain Syndromes ◽  
Chronic Pain Syndromes ◽  
Lower Urinary

Для определения места и роли дегенеративных изменений поясничного отдела позвоночника в патогенезе синдрома нижних мочевых путей и успешности проведения лечебных мер наблюдали 106 мужчин пожилого и старческого возраста, страдающих доброкачественной гиперплазией предстательной железы и патологией позвоночника. Длительные хронические боли в пояснице испытывали 48 (45,3 %) пациентов, у 93,8 % из них отмечали никтурию, у 75 % - затруднения при мочеиспускании, у 60,4 % - ложные позывы на мочеиспускание, что мотивировало обращение к урологу. Выявленные с помощью опросника IPSS различия, соответственно 21,78±4,33 и 16,33±4,61 балла, указывали на негативное значение хронического болевого синдрома в формировании общей клинической картины урологической патологии. У лиц старческого возраста болевой синдром и симптомы раздражения мочевых путей были менее выраженными, чем у лиц пожилого возраста, а обструктивные симптомы, наоборот, более отчетливыми. Хронические болевые синдромы в поясничной области значительно чаще ( р <0,001)регистрировали у 67 пациентов с удовлетворительными и неудовлетворительными результатами лечения по поводу расстройств мочеиспускания, чем у 39 с наилучшей эффективностью. Таким образом, патология поясничного отдела позвоночника и связанные с ней хронические болевые синдромы вносят существенный вклад в патогенез и клиническую картину синдрома нижних мочевых путей и в результативность лечения расстройств мочеиспускания. Выявленные особенности следует учитывать в процессе диагностики и лечения комбинированной патологии. In order to determine the place and role of degenerative changes in the lumbar spine in the pathogenesis of lower urinary tract syndrome and the success of treatment measures, 106 elderly and senile male patients suffering from benign prostatic hyperplasia and spinal pathology were observed. Long-term chronic lower back pain was experienced by 48 (45,3 %) patients, 93,8 % of them had night urination, 75 % had difficulty urinating, and 60,4 % had false urge to urinate, which motivated them to contact a urologist.The differences identified using the IPSS questionnaire, respectively 21,78±4,33 and 16,33±4,61 points, indicated a negative value of chronic pain syndrome in the formation of the overall clinical picture of urological pathology. Among the senile patients, pain and urinary tract irritation symptoms were less pronounced than among the elderly patients, and obstructive symptoms, on the contrary, were more pronounced. Chronic pain syndromes in the lumbar region were significantly more frequent ( p <0,001) among 67 patients with satisfactory and unsatisfactory results of treatment for urination disorders than among 39 with the best efficiency. Thus, the pathology of the lumbar spine and associated chronic pain syndromes make a significant contribution to the pathogenesis and clinical picture of the lower urinary tract syndrome and to the effectiveness of treatment of urination disorders. The identified features should be taken into account in the process of diagnosis and treatment of combined pathology.

scholarly journals The Role of Spirituality in Pain, Function, and Coping in Individuals with Chronic Pain

Pain Medicine ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 448-457 ◽  
Author(s):  
Alexandra Ferreira-Valente ◽  
Cátia Damião ◽  
José Pais-Ribeiro ◽  
Mark P Jensen
Keyword(s):  
Chronic Pain ◽  
Pain Coping ◽  
Task Persistence ◽  
Psychological Function ◽  
Pain Experience ◽  
Coping Responses ◽  
Positive Perspective ◽  
And Function ◽  
And Coping

Abstract Objective Chronic pain is a multidimensional experience associated with psychosocial (e.g., pain-related beliefs and pain coping responses) and spiritual factors. Spirituality is a universal aspect of the human experience that has been hypothesized to impact pain experience via its effects on pain, physical/psychological function, resilience and pain-related beliefs, and pain coping responses. However, research evaluating the associations between measures of spirituality and measures of pain and function in individuals with chronic pain is limited. This study seeks to address this limitation. Methods Participants were 62 Portuguese adults with chronic musculoskeletal pain. Participants completed measures of spirituality, pain intensity, physical and psychological function, and pain coping responses. Results Spirituality as hope and a positive perspective toward life was positively and moderately associated with better psychological function and coping responses of ignoring pain sensations and coping self-statements. Spirituality as a search for meaning and sense of purpose was positively and moderately associated with the coping response of task persistence. Conclusions These findings suggest the possibility that spirituality may be a useful resource for facilitating psychological adjustment, potentially promoting the use of some adaptive pain coping responses.

Pain and its control

2011 ◽  
Author(s):  
Henry McQuay
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Pain Control ◽  
Close Link ◽  
Pain Scales ◽  
Subjective Pain

♦ The origin, transmission, and reception of chronic pain is not easy to understand♦ The perception of pain is altered by mood and itself alters mood. There is, therefore, a close link between chronic pain and depression♦ Although pain is subjective, pain scales and diaries can be used to provide reproducible measures of pain♦ The choice of method of pain control is not simply a ladder. New stronger agents need to be added in, not substituted for weaker ones♦ Neuropathic pain will require unconventional analgesics in combination.

scholarly journals Chronic Neuropathic Pain in Spinal Cord Injury: The Patient's Perspective

2004 ◽  
Vol 9 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Penelope Henwood ◽  
Jacqueline A Ellis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neuropathic Pain ◽  
Coping Strategies ◽  
Pain Coping ◽  
Chronic Neuropathic Pain ◽  
Cord Injury ◽  
Patient’S Perception ◽  
And Coping ◽  
The Impact

BACKGROUND:Chronic neuropathic pain (CNP) in spinal cord injury (SCI) is recognized as severely compromising, in both adjustment after injury and quality of life. Studies indicate that chronic pain in SCI is associated with great emotional distress over and above that of the injury itself. Currently, little is known about the SCI patient's perception of the impact of living with chronic neuropathic pain.OBJECTIVES:The purpose of this study was to explore the experience of CNP in SCI patients in relation with physical, emotional, psychosocial, environmental, informational, practical and spiritual domains, and to identify effective and ineffective pain coping strategies.METHODS:Three focus groups were conducted that included 24 SCI individuals living in the community. Participants were selected to maximize variation in terms of type of SCI, Frankel classification, years since onset of SCI, age and sex. The sessions were audiotaped and tapes were transcribed. A qualitative analysis of data involved a constant comparison approach, in which categories and themes were identified.RESULTS:Many complex themes emerged including: nature of pain; coping as process and product; medication failure; and the impact of CNP on physical, cognitive, emotional, interpersonal, social and life activities.CONCLUSIONS:Medication failure was identified as a common outcome, while strategies including use of warm water, swimming, increased activity and distraction provided temporary pain relief. Learning to live with the pain appeared to be related to acceptance of pain, which in turn seemed to facilitate adjustment. Further research is warranted to determine the process by which SCI patients learn to live with CNP and coping strategies that facilitate adjustment to CNP in SCI patients.

scholarly journals Relationship Between Pressure Pain Threshold and Coping Strategies in Patients with Fibromyalgia

1998 ◽  
Vol 3 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Ji-Young Song ◽  
Samuel Noh ◽  
Manfred Harth ◽  
Harold Merskey
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Pressure Pain Threshold ◽  
Pain Coping ◽  
Pain Thresholds ◽  
Pressure Pain ◽  
Behavioural Activity ◽  
Pressure Pain Thresholds ◽  
Pressure Algometer ◽  
And Coping

OBJECTIVE: To explore the hypothesis that the intensity of pain, pain thresholds and coping mechanisms differ between patients with fibromyalgia and those with rheumatoid arthritis (RA) in order to determine whether pain coping strategies contribute to the understanding of how patients adjust to fibromyalgia.METHODS: Thirty-eight fibromyalgia patients were compared with 15 RA patients regarding severity of pain, pain history, pressure pain thresholds (measured with a pressure algometer) and pain coping strategies (measured with the Coping Strategies Questionnaire [CSQ]).RESULTS: Fibromyalgia patients scored significantly higher than RA patients on severity of pain and had lower pain thresholds at three pairs of nontender sites than the RA group. Fibromyalgia patients were significantly different from RA patients with respect to catastrophizing and increasing behavioural activity, but this differentiation was not maintained with respect to the three main factors of the CSQ. Overall, both the fibromyalgia and RA groups resembled previous chronic pain populations. Depression and anxiety had strong negative correlations with the combined coping scores on the seven subscales (P<0.001).CONCLUSIONS: Patients with fibromyalgia may use some distinctive coping strategies and tend to manage their pain in many of the same ways as other patients with chronic pain.

The Effects of Early Neuropathic Pain Control With Gabapentin on Long-Term Chronic Pain and Itch in Burn Patients

2019 ◽  
Vol 40 (4) ◽  
pp. 457-463 ◽  
Author(s):  
Cameron J Kneib ◽  
Stephen H Sibbett ◽  
Gretchen J Carrougher ◽  
Lara A Muffley ◽  
Nicole S Gibran ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Pain Control ◽  
Burn Patients
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