scholarly journals Insomnia and HRQoL of Indonesians with Chronic Pain: The Role of Catastrophizing

2021 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
Fariza Nur Shabrina ◽  
Sali Rahadi Asih
Keyword(s):  
Chronic Pain ◽  
Urban Population ◽  
Pain Catastrophizing ◽  
Mediation Analyses ◽  
Mediating Role ◽  
Anxiety Trait ◽  
High Prevalence ◽  
Related Quality ◽  
Health Related

Insomnia and chronic pain share the same catastrophizing cognitive tendency. The high prevalence of insomnia and chronic pain was found in the urban population. Seeing the interaction between both in influencing individuals is imperative. Most studies in insomnia and pain are conducted in the Western population, with little to no research conducted in Indonesian urban population. As a part longitudinal chronic pain study, this research explored (a) the mediating role of pain catastrophizing in linking insomnia with health-related quality of life (HRQoL) and (b) the moderating role of anxiety trait in influencing the mediation within Indonesian adults with chronic pain. The data were gathered through self-administered online questionnaires, and the moderated-mediation analyses were conducted at the beginning phase of the longitudinal study. The results from 415 participants validated that pain catastrophizing partially mediated the relationship between insomnia and HRQoL. Furthermore, no significant moderating effect of anxiety trait was found. People with insomnia showed rumination, worry, and dysfunctional beliefs regarding their sleep, which generalized into catastrophic thoughts regarding their pain experience. This pain catastrophizing in turn influenced the HRQoL. Interventions that simultaneously target both catastrophic thoughts in insomnia and pain would prove to be beneficial in mitigating pain among Indonesian adults.

scholarly journals The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

2021 ◽  
Author(s):  
Antonio Varela
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Low Back Pain ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Low Back ◽  
Mediating Role ◽  
The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

scholarly journals Cognitive Functioning and Its Relationship with Self-Stigma in Men with HIV Who Have Sex with Men: The Mediating Role of Health-Related Quality of Life

2021 ◽  
Vol Volume 14 ◽  
pp. 2103-2114
Author(s):  
Nicolás Ruiz-Robledillo ◽  
Violeta Clement-Carbonell ◽  
Rosario Ferrer-Cascales ◽  
Irene Portilla-Tamarit ◽  
Cristian Alcocer-Bruno ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Functioning ◽  
Health Related Quality ◽  
Mediating Role ◽  
Related Quality ◽  
Health Related ◽  
Sex With Men

scholarly journals Adult Attachment and Approaches to Activity Engagement in Chronic Pain

2014 ◽  
Vol 19 (6) ◽  
pp. 317-327 ◽  
Author(s):  
Nicole E Andrews ◽  
Pamela J Meredith ◽  
Jenny Strong ◽  
Genevieve F Donohue
Keyword(s):  
Chronic Pain ◽  
Psychological Functioning ◽  
Pain Catastrophizing ◽  
Activity Patterns ◽  
Activity Engagement ◽  
Mediation Analyses ◽  
Mediating Role ◽  
Activity Avoidance ◽  
Pain Cognitions ◽  
Preoccupied Attachment

BACKGROUND: The way in which individuals with chronic pain habitually approach activity engagement has been shown to impact daily functioning, with both avoidance of one’s daily activities and overactivity (activity engagement that significantly exacerbates pain) associated with more pain, higher levels of physical disability and poorer psychological functioning.OBJECTIVE: To provide insight into the development of maladaptive habitual approaches to activity engagement in chronic pain by applying an attachment theory framework.METHODS: A sample of 164 adults with chronic pain completed selfreport measures of attachment, approach to activity and pain cognitions. Mediation analyses were undertaken to examine the direct association between attachment variables and maladaptive approaches to activity, and to test for the mediating role of pain cognitions (catastrophizing and thought suppression).RESULTS: Results demonstrated that higher levels of secure attachment were associated with lower levels of activity avoidance, which was fully mediated by lower levels of pain catastrophizing; higher levels of preoccupied or fearful attachment were directly associated with higher levels overactivity; higher levels of preoccupied attachment were associated with higher levels of activity avoidance, which was partially mediated by higher levels of pain catastrophizing; and higher levels of fearful attachment were indirectly associated with higher levels of activity avoidance through higher levels of catastrophizing.CONCLUSIONS: These results provide preliminary support for the suggestion that insecure attachment may be a source of vulnerability to the development of disabling activity patterns in chronic pain.

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