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Ozgunay SE, Kasapoglu Aksoy M, Deniz KN, Onen S, Onur T, Kilicarslan N, Eminoglu S, Karasu D. Effect of Hypnosis on Pain, Anxiety, and Quality of Life in Female Patients with Fibromyalgia: Prospective, Randomized, Controlled Study. Int J Clin Exp Hypn 2024; 72:51-63. [PMID: 38060828 DOI: 10.1080/00207144.2023.2277853] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 08/28/2023] [Indexed: 02/02/2024]
Abstract
This prospective, randomized, controlled study aimed to investigate the effects of standardized adjuvant hypnosis on pain, depression, anxiety, aerobic exercise practices, quality of life, and disease impact score in female patients with fibromyalgia syndrome (FMS). This study included 47 female patients with FMS who had been under treatment for at least six months. The hypnosis group (n = 24) received a total of three hypnosis sessions and was taught to patients' self-hypnosis. The patients in this group practiced self-hypnosis for six months. During this period, all patients also continued their medical treatment. The Visual Analogue Scale (VAS) was used to determine the intensity of pain. At the end of the six-month follow-up period, it was determined that the patients of FMS with hypnosis therapy had lower pain intensity, FMS symptoms, depression, and anxiety symptoms, and better well-being than those in the control group (p < .05). Standardized hypnosis is an effective method in reducing pain, depression and anxiety symptoms and improving quality of life in patients with FMS.
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Affiliation(s)
- Seyda Efsun Ozgunay
- Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa, Turkey
| | - Meliha Kasapoglu Aksoy
- Bursa Yüksek İhtisas Training and Research Hospital, Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa, Turkey
| | - Kubra Nur Deniz
- Bursa Yüksek İhtisas Training and Research Hospital, Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bursa, Turkey
| | - Sinay Onen
- Bursa Yüksek İhtisas Training and Research Hospital, Department of Psychiatry, University of Health Sciences, Bursa, Turkey
| | - Tugba Onur
- Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa, Turkey
| | - Nermin Kilicarslan
- Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa, Turkey
| | - Sermin Eminoglu
- Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa, Turkey
| | - Derya Karasu
- Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa, Turkey
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Jia Z, Gao Y, Zhao L, Han S. Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults. Sci Rep 2022; 12:21270. [PMID: 36481918 PMCID: PMC9732289 DOI: 10.1038/s41598-022-25825-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 12/05/2022] [Indexed: 12/13/2022] Open
Abstract
Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged and older adults (i.e., older than 45 years) using a nationally representative prospective cohort. In total, 3754 middle-aged and older adults were selected from the China Health and Retirement Longitudinal Study. Correlation analysis and logistic regression analysis were employed to estimate the association between HAP, pain, depression and disability. Finally, three significant mediation pathways through which HAP directly impacts disability were found: (1) pain (B = 0.09, 95% CI 0.01, 0.02), accounting for 15.25% of the total effect; (2) depression (B = 0.07, 95% CI 0.004, 0.02), accounting for 11.86% of the total effect; (3) pain and depression (B = 0.04, 95% CI 0.003, 0.01), accounting for 6.78% of the total effect. The total mediating effect was 33.89%. This study clarified that HAP can indirectly affect disability through the respective and serial mediating roles of pain and depression. These findings potentially have important implications for national strategies concerning the widespread use of clean fuels by citizens.
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Affiliation(s)
- Zhihao Jia
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Yan Gao
- School of Physical Education, Shandong University, Jinan, 250061, China.
| | - Liangyu Zhao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Suyue Han
- School of Physical Education, Shandong University, Jinan, 250061, China
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No Pain, No Gain? The Influence of Gender and Athletic Status on Reporting Pain in Sports. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2020. [DOI: 10.1123/jcsp.2019-0022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Collegiate athletes are frequently exposed to pain/injury, which has the potential to negatively impact their physical and psychological health. This quasi-experimental study investigated the influence of gender and athletic status on deciding whether pain should be reported to the head coach in a vignette. Participants included 236 undergraduates who read four vignettes describing athletes (two men, two women) who were experiencing pain while playing a sport and made recommendations about whether the athlete should report the pain. Regardless of the gender of the athlete in the vignette, women and non-Division I athletes were more confident that the pain should be reported to the coach than men and athletes. Division I athletes’ recommendations for others to report pain did not align with what they reported practicing themselves. These results suggest that athletes and coaches should receive education about the factors that may lead an athlete to choose not to report pain.
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Dantas THM, Dantas DS, Correia GN, Viana ESR, Pereira ARR, Magalhães AG. Disability and functioning of women with low-risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Int J Gynaecol Obstet 2019; 148:53-58. [PMID: 31571213 DOI: 10.1002/ijgo.12985] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 07/22/2019] [Accepted: 09/27/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To evaluate the disability and functioning of women with low-risk pregnancy in the second and third gestational trimesters. METHODS A longitudinal observational study was conducted from June 5, 2015, to April 30, 2016, in Family Health Units in the city of Santa Cruz, Rio Grande do Norte, Brazil, involving women who were in the second trimester of pregnancy where the pregnancy had been classified as low-risk. A form was designed specifically for the study to collect sociodemographic, urogynecological, and obstetric data. Functioning and disability were assessed using WHODAS 2.0, and descriptive and inferential statistical analyses were performed. RESULTS Higher levels of disability were observed in cognition in the second trimester (P=0.021), while mobility and life activities domains had higher scores (higher score meaning the woman was more adversely affected) in the third trimester (P=0.007 and P=0.029). Urinary incontinence in the second trimester affected functioning in participation (P=0.023). Pain affected life activities (P=0.023) in the second trimester and participation in the third trimester (P=0.044); and general functioning (P=0.050 and P=0.025), mobility (P=0.002 and P=0.001), and self-care (P=0.0446 and P=0.023) in the second and third trimesters, respectively. CONCLUSION The findings showed that, even in a low-risk pregnancy, functioning can be affected in different domains. The identification of impairments to functioning could enable improvement in care. Longitudinal studies involving the first trimester and postpartum are necessary to gain insight into women's disability and functioning during the pregnancy-puerperal period.
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Affiliation(s)
- Thaissa H M Dantas
- Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Diego S Dantas
- Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Grasiéla N Correia
- Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
| | - Elizabel S R Viana
- Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Alianny R R Pereira
- Department of Physical Therapy, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Adriana G Magalhães
- Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, Brazil
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Bernier Carney K, Starkweather A, Lucas R, Ersig AL, Guite JW, Young E. Deconstructing Pain Disability through Concept Analysis. Pain Manag Nurs 2019; 20:482-488. [PMID: 31279743 DOI: 10.1016/j.pmn.2019.06.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 05/02/2019] [Accepted: 06/01/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Pain disability is a complex and challenging problem that impacts the daily lives of individuals living with persistent pain. Although this concept is measured throughout pain populations, conceptual clarity is needed to identify the defining characteristics and further understand what comprises this experience for clinical translation. DESIGN We completed a concept analysis to identify major attributes and provide a broad framework of pain disability for improved recognition throughout the discipline of nursing. DATA SOURCES Literature searches in PubMed, CINAHL, PsychINFO, and Scopus identified 39 relevant cross-disciplinary articles published between January 1990 and November 2017. REVIEW/ANALYSIS METHODS We implemented Avant and Walker's method of concept analysis to establish the attributes, antecedents, and consequences of pain disability. RESULTS Two major attributes of pain disability are discussed, including (1) physical and/or psychological responses leading to a functional loss; and (2) the degree of ability to fulfill role expectations. The antecedent to the development of pain disability is a painful trigger. Three leading consequences are identified as suffering, pain reactivity, and secondary loss. CONCLUSIONS Pain disability is a fluid concept that is characterized by the subjective experiences of the individual. A new conceptualization of pain disability is offered as the inability to maintain role expectations due to the result of a painful trigger and subsequent physical and/or psychosocial dysfunction.
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Affiliation(s)
| | - Angela Starkweather
- School of Nursing, University of Connecticut, Storrs, Connecticut, USA; Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, Connecticut, USA
| | - Ruth Lucas
- School of Nursing, University of Connecticut, Storrs, Connecticut, USA; Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, Connecticut, USA
| | - Anne L Ersig
- University of Wisconsin Madison School of Nursing, Madison, Wisconsin, USA
| | - Jessica W Guite
- Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, Connecticut, USA
| | - Erin Young
- School of Nursing, University of Connecticut, Storrs, Connecticut, USA; Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, Connecticut, USA
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Saariaho AS, Saariaho TH, Mattila AK, Ohtonen P, Joukamaa MI, Karukivi M. Alexithymia and depression in the recovery of chronic pain patients: a follow-up study. Nord J Psychiatry 2017; 71:262-269. [PMID: 28413937 DOI: 10.1080/08039488.2016.1275782] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
BACKGROUND Childhood adversities and emotional dysregulation are connected with chronic pain, alexithymia, and depression. Longitudinal studies exploring the impact of their co-occurrence on the pain situation are rare. AIMS The influence of alexithymia, depression, baseline pain situation, and treatment options on the course of chronic pain in a clinical sample was studied. METHODS The baseline data was collected from chronic pain patients (n = 154) before their first pain clinic visit, and the follow-up data after 1 year by self-report questionnaires. Study variables consisted of pain intensity, pain disability, alexithymia (TAS-20), depression (BDI-II), and treatment interventions. Statistical analyses were performed to find out differences between baseline and follow-up, as well as between alexithymic and non-alexithymic patients, and to estimate the effect of the treatment provided. RESULTS At follow-up, the majority of the patients had pain intensity and disability severe enough to disrupt with their daily living. None of treatment interventions was related to better outcome. Alexithymic patients reported more pain disability and depression at both baseline and at follow-up. The effect of alexithymia on pain disability was mediated by depression. The use of opioids was connected to alexithymia and depressiveness. Alexithymia and depression made a substantial contribution to poorer outcome. CONCLUSIONS Severe pain intensity and disability with depression and alexithymia predicted difficulties in achieving improvement. Depression and alexithymia probably impair compliance with treatment and adherence to interventions. Their co-occurrence with a more severe pain situation and with the use of opioids indicates psychological problems underlying the pain experience.
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Affiliation(s)
| | - Tom H Saariaho
- b Pain Clinic , Oulu University Hospital , Oulu , Finland
| | - Aino K Mattila
- c Department of Psychiatry , Tampere University Hospital , Tampere , Finland
| | - Pasi Ohtonen
- d Department of Anesthesiology and Surgery , Oulu University Hospital , Oulu , Finland
| | - Matti I Joukamaa
- e School of Health Sciences, Tampere University , Tampere , Finland
| | - Max Karukivi
- f Department of Psychiatry , University of Turku and Turku University Hospital, Turku Unit of Adolescent Psychiatry, Satakunta Hospital District , Pori , Finland
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Wongpakaran T, Wongpakaran N, Tanchakvaranont S, Bookkamana P, Pinyopornpanish M, Wannarit K, Satthapisit S, Nakawiro D, Hiranyatheb T, Thongpibul K. Depression and pain: testing of serial multiple mediators. Neuropsychiatr Dis Treat 2016; 12:1849-60. [PMID: 27524903 PMCID: PMC4966501 DOI: 10.2147/ndt.s110383] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
PURPOSE Despite the fact that pain is related to depression, few studies have been conducted to investigate the variables that mediate between the two conditions. In this study, the authors explored the following mediators: cognitive function, self-sacrificing interpersonal problems, and perception of stress, and the effects they had on pain symptoms among patients with depressive disorders. PARTICIPANTS AND METHODS An analysis was performed on the data of 346 participants with unipolar depressive disorders. The 17-item Hamilton Depression Rating Scale, Mini-Mental State Examination, the pain subscale of the health-related quality of life (SF-36), the self-sacrificing subscale of the Inventory of Interpersonal Problems, and the Perceived Stress Scale were used. Parallel multiple mediator and serial multiple mediator models were used. An alternative model regarding the effect of self-sacrificing on pain was also proposed. RESULTS Perceived stress, self-sacrificing interpersonal style, and cognitive function were found to significantly mediate the relationship between depression and pain, while controlling for demographic variables. The total effect of depression on pain was significant. This model, with an additional three mediators, accounted for 15% of the explained variance in pain compared to 9% without mediators. For the alternative model, after controlling for the mediators, a nonsignificant total direct effect level of self-sacrificing was found, suggesting that the effect of self-sacrificing on pain was based only on an indirect effect and that perceived stress was found to be the strongest mediator. CONCLUSION Serial mediation may help us to see how depression and pain are linked and what the fundamental mediators are in the chain. No significant, indirect effect of self-sacrificing on pain was observed, if perceived stress was not part of the depression and/or cognitive function mediational chain. The results shown here have implications for future research, both in terms of testing the model and in clinical application.
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Affiliation(s)
- Tinakon Wongpakaran
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Kingdom of Thailand
| | - Nahathai Wongpakaran
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Kingdom of Thailand
| | | | - Putipong Bookkamana
- Department of Statistics, Faculty of Science, Chiang Mai University, Chiang Mai, Kingdom of Thailand
| | - Manee Pinyopornpanish
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Kingdom of Thailand
| | - Kamonporn Wannarit
- Department of Psychiatry, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Kingdom of Thailand
| | - Sirina Satthapisit
- Department of Psychiatry, Khon Kaen Regional Hospital, Khon Kaen, Kingdom of Thailand
| | - Daochompu Nakawiro
- Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Kingdom of Thailand
| | - Thanita Hiranyatheb
- Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Kingdom of Thailand
| | - Kulvadee Thongpibul
- Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Kingdom of Thailand
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Saariaho AS, Saariaho TH, Mattila AK, Karukivi M, Joukamaa MI. Alexithymia and Early Maladaptive Schemas in chronic pain patients. Scand J Psychol 2015; 56:428-37. [DOI: 10.1111/sjop.12226] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Accepted: 03/18/2015] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Aino K. Mattila
- School of Health Sciences; Tampere University; Tampere Yliopisto Finland
- Department of Psychiatry; Tampere University Hospital; Tampere Finland
| | - Max Karukivi
- Unit of Adolescent Psychiatry; Satakunta Hospital District; Pori Finland
| | - Matti I. Joukamaa
- School of Health Sciences; Tampere University; Tampere Yliopisto Finland
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Saariaho AS, Saariaho TH, Mattila AK, Karukivi MR, Joukamaa MI. Alexithymia and depression in a chronic pain patient sample. Gen Hosp Psychiatry 2013; 35:239-45. [PMID: 23333032 DOI: 10.1016/j.genhosppsych.2012.11.011] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2012] [Revised: 11/18/2012] [Accepted: 11/20/2012] [Indexed: 12/17/2022]
Abstract
OBJECTIVE The aim of the present study was to assess the prevalence of alexithymia in a sample of general chronic pain patients, to explore possible differences in depression and pain variables between alexithymic and nonalexithymic chronic pain patients and to analyze if depression is a mediator between alexithymia and pain disability. METHODS Two hundred and seventy-one patients making their first visit to a pain clinic completed the study questionnaire including various pain measures, the Beck Depression Inventory-II (BDI-II) and the 20-item Toronto Alexithymia Scale (TAS-20). The sample was dichotomized to alexithymic and nonalexithymic groups. The means of the study variables were compared between the groups. The correlation analysis of the variables was carried out separately in both groups. Path analysis was done to ascertain the mediation effect of BDI-II between the TAS-20 and pain disability. RESULTS Every fifth chronic pain patient was alexithymic. The BDI-II and pain variable scores were significantly higher in the alexithymic group than in the nonalexithymic group. Pain variables were not associated with alexithymia when BDI-II was controlled for. BDI-II worked as a full mediator between TAS-20 and pain disability. CONCLUSION The alexithymic patient group was more morbid than the nonalexithymic group. The results suggest that depression is the main factor in pain conditions of alexithymic chronic pain patients. The authors recommend screening and treatment of depression in alexithymic chronic pain patients.
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