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Psychosocial and pain

Tonya M Palermo, William T Zempsky, Carlton D Dampier, Chitra Lalloo, Amos S Hundert, Lexa K Murphy, Nitya Bakshi, Jennifer N Stinson
Many adolescents with sickle cell disease (SCD) experience recurrent and chronic pain, which has a negative impact on their health-related quality of life (HRQL). Cognitive-behavioral therapy (CBT) interventions can lead to improvement in pain and HRQL, yet due to barriers to care, most youth with SCD will not receive these interventions. To address this need for innovative programs targeting youth with SCD pain, we developed iCanCope, a tailored smartphone and web-based program that delivers a pain self-management intervention to youth with SCD...
October 11, 2018: Contemporary Clinical Trials
Jon J Ford, Sarah L Slater, Matthew C Richards, Luke D Surkitt, Alexander Y P Chan, Nicholas F Taylor, Andrew J Hahne
OBJECTIVES: To determine whether individualised manual therapy plus guideline-based advice results in superior outcomes to advice alone in participants with clinical features potentially indicative of lumbar zygapophyseal joint pain. DESIGN: Multi centre parallel group randomised controlled trial. SETTING: 14 physiotherapy clinics in Melbourne, Australia. PARTICIPANTS: Sixty-four participants with clinical features potentially indicative of lumbar zygapophyseal joint pain...
August 3, 2018: Physiotherapy
Caroline F Pukall, Robyn Jackowich, Kayla Mooney, Susan M Chamberlain
INTRODUCTION: Persistent genital arousal disorder (PGAD) is a highly distressing and poorly understood condition characterized by unwanted sensations of genital arousal in the absence of subjective sexual desire. Research has shown that some individuals with PGAD also report orgasm, urinary, and pain symptoms, with 1 recent study specifically comparing a "painful persistent genital arousal symptom" group to a "non-painful persistent genital arousal symptom" group on various indicators given the highly frequent report of comorbid genitopelvic pain in their sample...
October 6, 2018: Sexual Medicine Reviews
Reni M A van Erp, Ivan P J Huijnen, Marluuke L G Jakobs, Jos Kleijnen, Rob J E M Smeets
BACKGROUND AND OBJECTIVE: Recent systematic reviews show promising effects for multidisciplinary biopsychosocial (BPS) interventions in patients with chronic low back pain (CLBP). Nowadays, BPS interventions have also been developed for primary care physiotherapy settings. Our aim was to systematically review the evidence on the effectiveness of primary care BPS interventions in improving functional disability, pain and work status for patients with CLBP. Secondly, we aimed to provide an elaborated overview of BPS intervention designs, physiotherapist-training programs and process-related factors (practical implementation)...
October 5, 2018: Pain Practice: the Official Journal of World Institute of Pain
Yamato Tsuboi, Shunsuke Murata, Fumihiro Naruse, Rei Ono
BACKGROUND: Presenteeism (work productivity loss at work) and low back pain (LBP) are prevalent among eldercare workers. Presenteeism is a serious emerging problem in an occupational setting. While many studies report the impact of pain-related fear on absenteeism, its impact on presenteeism remains unclear. METHODS: We conducted a cross-sectional study to investigate the association between pain-related fear and presenteeism among 505 eldercare workers with LBP...
October 5, 2018: European Journal of Pain: EJP
Sarah Nelson, Caitlin Conroy, Deirdre Logan
BACKGROUND: Burns are a common and traumatic source of childhood injury in the United States. The treatment and recovery from burn injuries can be significantly painful and may lead to chronic or persistent pain for years following the initial incident. Further, burn injuries in youth have been found to increase the potential for significant psychosocial (e.g., anxiety, depression, PTSD) and physical (e.g., decreased mobility) impairment. Relatedly, the general experience and processing of pain in youth can also be associated with greater psychosocial (e...
October 5, 2018: European Journal of Pain: EJP
Tea Lallukka, Minna Mänty, Cyrus Cooper, Maria Fleischmann, Anne Kouvonen, Karen E Walker-Bone, Jenny A Head, Jaana I Halonen
OBJECTIVES: To examine the impact of recurrent, as compared with single, reports of back pain on exit from paid employment over decades of follow-up. METHODS: The study sample was from the British Whitehall II Study cohort (n=8665, 69% men, aged 35-55 at baseline), who had provided information about their reports of back pain between 1985 and 1994. Data about exit from paid employment (health-related and non-health related exit, unemployment and other exit) were collected between 1995 and 2013...
October 4, 2018: Occupational and Environmental Medicine
Scovia Mbalinda, Anna Hjelmstedt, Eva Nissen, Beatrice Mpora Odongkara, Peter Waiswa, Kristin Svensson
OBJECTIVE: To identify barriers and enablers to conducting safe uninterrupted skin-to-skin contact (SSC) in the first hour after birth in a low-resource setting and to evaluate how health care professionals coped with the identified barriers after completion of an intervention package. DESIGN AND SETTING: A qualitative method using focus-group and individual interviews with health professionals at a governmental hospital in Uganda. PARTICIPANTS: 81 health professionals...
September 11, 2018: Midwifery
Eman Alhalal, Marilyn Ford-Gilboe, Carol Wong, Fadia AlBuhairan
BACKGROUND: Most research on the health impacts of intimate partner violence (IPV) and child abuse has been conducted in Western countries and may not be generalizable to women living in different contexts, such as Saudi Arabia. Chronic pain, a disabling health issue associated with experiences of both child abuse and IPV among women, negatively impacts women's well-being, quality of life, and level of functioning. Yet, the psychosocial mechanisms that explain how abuse relates to chronic pain are poorly understood...
October 3, 2018: BMC Women's Health
Rebecca K Sripada, Rani Hoff, Paul N Pfeiffer, Dara Ganoczy, Frederic C Blow, Kipling M Bohnert
Although most veterans in the Department of Veterans Affairs (VA) health system are treated for posttraumatic stress disorder (PTSD) in the outpatient setting, the VA has approximately 40 residential PTSD treatment facilities across the country for those requiring more intensive care. The symptom profiles of these veterans are poorly understood. Thus, the current study was designed to characterize classes of PTSD symptoms in a national sample of veterans undergoing residential treatment. We analyzed latent classes of PTSD symptoms among 2,452 veterans entering VA PTSD residential treatment in fiscal year 2013...
October 4, 2018: Psychological Services
Chrysanthi Batistaki, Philippe Mavrocordatos, Maria-Eleni Smyrnioti, George Lyrakos, Maria-Chrysanthi Kitsou, Georgia Stamatiou, Georgia Kostopanagiotou
BACKGROUND: Chronic pain is well known to be influenced by various social factors; however, the impact of financial issues on pain has not been extensively studied. OBJECTIVE: The aim of this study was to investigate the impact of the economic crisis on pain and quality of life in Greek patients suffering from chronic pain. STUDY DESIGN: The study employed a prospective, open-label design. SETTING: The study setting was the Pain Unit of Attikon University Hospital in Athens, Greece...
September 2018: Pain Physician
Ofir Artzi, Eli Sprecher, Amir Koren, Joseph N Mehrabi, Oren Katz, Yuval Hilerowich
Conventional treatment of cutaneous leishmaniasis often leaves permanent scars with frequent psychosocial sequelae. The aim of this study was to compare the efficacy, safety, associated pain and final cosmetic outcome of fractional carbon dioxide (CO2) laser followed by topical application of sodium stibogluconate vs. sodium stibogluconate injections for the treatment of cutaneous leishmaniasis. A total of 181 lesions (20 patients) were randomly assigned to receive intralesional injections of sodium stibogluconate (control group) or fractional CO2 laser treatment followed by topical application of sodium stibogluconate (study group)...
October 3, 2018: Acta Dermato-venereologica
Laura C Nuzzi, Joseph M Firriolo, Carolyn M Pike, Felecia E Cerrato, Amy D DiVasta, Brian I Labow
PURPOSE: Despite the psychosocial deficits associated with gynecomastia, surgical treatment of adolescent gynecomastia remains controversial. This longitudinal cohort study measures changes in health-related quality of life following surgical treatment of gynecomastia in adolescents. METHODS: The following surveys were administered to adolescents with gynecomastia and male controls, aged 12-21 years: Short-Form 36v2 (SF-36), Rosenberg Self-Esteem Scale (RSES), and Eating-Attitudes Test-26...
September 29, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Birgitta Häggman-Henrikson, EwaCarin Ekberg, Dominik A Ettlin, Ambra Michelotti, Justin Durham, Jean-Paul Goulet, Corine M Visscher, Karen G Raphael
The biopsychosocial model is advocated as part of a more comprehensive approach in both medicine and dentistry. However, dentists have not traditionally been taught psychosocial screening as part of their predoctoral education. The aim of this systematic review was to provide an overview of published studies on the implementation of screening for psychological comorbidity in dental and dental hygiene education. The term "psychological comorbidity" refers to the degree of coexisting anxiety, depression, or other mental health problems in a patient presenting with a physical condition...
October 2018: Journal of Dental Education
Markus Wettstein, Wolfgang Eich, Christiane Bieber, Jonas Tesarz
Objective: The detrimental impact of nonspecific chronic low back pain (CLBP) on quality of life is well known. However, patients with CLBP represent a remarkably heterogeneous group, and not all of them report compromised well-being. Methods: In this study, we investigated this heterogeneity by identifying profiles (or clusters) of well-being and their correlates in 239 CLBP patients. To take the multidimensionality of subjective well-being into account, we included multiple well-being indicators (depression, anxiety, affective distress, perceived control over life)...
September 28, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Clécio Vier, Marcelo Anderson Bracht, Marcos Lisboa Neves, Maíra Junkes-Cunha, Adair Roberto Soares Santos
Background: Low back pain (LBP) has more than doubled in the last 20 years, probably influenced by biopsychosocial factors. Noninvasive treatments have been applied in individuals with chronic nonspecific LBP as spinal manipulation and pain education. However, the neurophysiological effects of these treatments are not clear. The aim of this research is to verify the pain control, functional and neurophysiological effects of spinal manipulation, and pain education in individuals with chronic nonspecific LBP...
September 2018: Integrative medicine research
Emily Eyles, David Manley, Kelvyn Jones
Health inequalities continue to grow despite continuous policy intervention. Work, one domain of health inequalities, is often included as a component of social class rather than as a determinant in its own right. Many social class classifications are derived from occupation types, but there are other components within them that mean they may not be useful as proxies for occupation. This paper develops the exposome, a life-course exposure model developed by Wild (2005), into the worksome, allowing for the explicit consideration of both physical and psychosocial exposures and effects derived from work and working conditions...
September 15, 2018: Social Science & Medicine
Jussi Huttunen, Veera Qvintus, Anna Liisa Suominen, Kirsi Sipilä
OBJECTIVES: The aim of this randomized controlled study was to investigate the effect of depressive and non-specific physical symptoms on treatment outcome of temporomandibular disorders (TMD). MATERIAL AND METHODS: Eighty TMD patients were randomly assigned to splint group (n = 39) and control group (n = 41). The patients were classified in terms of depressive and non-specific physical symptoms as normal, moderate or severe using Research Diagnostic Criteria for Temporomandibular Disorders Axis II protocol...
September 28, 2018: Acta Odontologica Scandinavica
Andrea B Goldschmidt, Brandi P Cotton, Scott Mackey, Jennifer Laurent, William C Bryson, Dale S Bond
BACKGROUND: Research suggests that substance use disorders and disordered eating are often comorbid. In light of the ongoing opioid epidemic, the purpose of the current study was to understand the prevalence and health-related correlates of loss of control (LOC) eating in adults seeking methadone maintenance treatment primarily for addiction to heroin and/or painkillers. METHODS: Participants were 447 adults surveyed at presentation for methadone maintenance treatment who responded to survey items on LOC eating...
September 26, 2018: International Journal of Behavioral Medicine
Melanie Beeckman, Sean Hughes, Dimitri Van Ryckeghem, Eline Van Hoecke, Joke Dehoorne, Rik Joos, Liesbet Goubert
Objective: Chronic pain is central to juvenile idiopathic arthritis (JIA) and is predictive of impaired functioning. Whereas most work has focused on identifying psychosocial risk factors for maladaptive outcomes, we explored the idea that child and parental psychological flexibility (PF) represent resilience factors for adaptive functioning of the child. We also explored differences between general vs pain-specific PF in contributing to child outcomes. Methods: Children with JIA (age eight to 18 years) and (one of) their parents were recruited at the Department of Pediatric Rheumatology at the Ghent University Hospital in Belgium...
September 25, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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