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Psychosocial and pain

Francesco Di Mattia, Robyn Fary, Kevin J Murray, Erin Howie, Anne Smith, Susan Morris
OBJECTIVE: To investigate a cohort of children with symptomatic joint hypermobility. METHODS: Case notes for 318 children with joint hypermobility attending a rheumatology clinic were reviewed for clinical presentation, medical history, psychosocial factors and physical examination findings. Seven key variables were extracted and used as indicator variables in a latent class analysis to estimate the presence and number of subgroups of children with symptomatic joint hypermobility...
August 17, 2018: Archives of Disease in Childhood
Chelsea Hagmann, Arlene Cramer, Allison Kestenbaum, Carlota Durazo, Anna Downey, Michelle Russell, Jaydee Geluz, Joseph D Ma, Eric J Roeland
OBJECTIVE: To review effective approaches for non-pain symptom management for cancer patients focusing on treatment of nausea and vomiting, constipation, diarrhea, anorexia/cachexia, fatigue, and dyspnea. DATA SOURCES: Peer-reviewed articles, clinical practice guidelines, professional organization position statements. CONCLUSION: Oncology nurses are key advocates for optimal symptom management. Maximizing palliation of symptoms improves quality of life and prolongs survival...
August 14, 2018: Seminars in Oncology Nursing
Charlotte Walters, Simon West, Tanya A Nippita
BACKGROUND: Pelvic girdle pain (PGP) in pregnancy is a common condition that can cause significant physical disability and has an important psychosocial impact on pregnant women and their families. It is often under-reported and poorly managed by obstetric caregivers, and this can result in poorer outcomes, reduced quality of life and chronic pain. OBJECTIVE: The objective of this article is to discuss the practical assessment and management of PGP in pregnancy...
July 2018: Australian journal of general practice
Miel Ap Vugts, Margot Cw Joosen, Agali Mert, Aglaia Me Zedlitz, Hubertus Jm Vrijhoef
BACKGROUND: Current evidence for the effectiveness of specialist multidisciplinary programs for burdensome chronic pain and functional somatic syndromes drives the effort to improve approaches, strategies, and delivery modes. It remains unknown to what extent and in what respect serious gaming during the regular outpatient rehabilitation can contribute to health outcomes. OBJECTIVE: The objectives of our study were to determine the effect of additional serious gaming on (1) physical and emotional functioning in general; (2) particular outcome domains; and (3) patient global impressions of change, general health, and functioning and to determine (4) the dependency of serious gaming effects on adherence...
August 15, 2018: Journal of Medical Internet Research
K Oechsle
Improvement in the quality of life of patients with life-threatening illnesses or incurable progressive diseases, including patients with cancer and also several internal medical diseases, represents the major aim of palliative care. Basic principles are to also address the needs of the family caregiver and a comprehensive understanding of physical symptoms and psychosocial as well as spiritual aspects. Treatment planning for physical symptoms, e.g., pain, dyspnea and nausea, in patients in need of palliative care has to include the subjective symptom distress of the patient, factors that can be treated causally and the treatment limitations resulting from the underlying life-threatening or incurable disease...
August 14, 2018: Der Internist
Hsin-Ju Hsiao, Shih-Hsiang Chen, Tang-Her Jaing, Chao-Ping Yang, Tsung-Yen Chang, Ming-Ying Li, Cheng-Hsun Chiu, Jing-Long Huang
BACKGROUND: Children with cancer undergo many invasive medical procedures that are often painful and highly distressing, including bone marrow aspiration (BMA) and lumbar puncture (LP). Psychosocial interventions have been demonstrated to reduce children's distress resulting from invasive medical procedures. The aim of the study is to assess the efficacy of psychosocial interventions to reduce distress in children with cancer undergoing BMA and LP in a pediatric cancer center in Taiwan...
July 21, 2018: Pediatrics and Neonatology
Bart N Green, Claire D Johnson, Scott Haldeman, Edward J Kane, Michael B Clay, Erin A Griffith, Juan M Castellote, Matthew Smuck, Shanmuganathan Rajasekaran, Eric L Hurwitz, Margareta Nordin, Kristi Randhawa, Hainan Yu
PURPOSE: The purpose of this study was to develop recommendations for prevention interventions for spinal disorders that could be delivered globally, but especially in underserved areas and in low- and middle-income countries. METHODS: We extracted risk factors, associations, and comorbidities of common spinal disorders (e.g., back and neck pain, spinal trauma, infection, developmental disorders) from a scoping review of meta-analyses and systematic reviews of clinical trials, cohort studies, case control studies, and cross-sectional studies...
August 11, 2018: European Spine Journal
Eduardo Vazquez-Delgado, Marta Viaplana-Gutierrez, Charles Carlson, Rui Figueiredo, Eduard Valmaseda-Castellon
OBJECTIVES: The aim of this study was to explore how pain and psychological distress influence the sleep quality of patients with painful post-traumatic trigeminal neuropathy (PPTN). STUDY DESIGN: Thirty-two patients with a diagnosis of PPTN according to the International Classification for Headache Disorders of the International Headache Society were enrolled. All patients completed a number of questionnaires that examined sleep quality, psychological distress, and quality of life...
June 12, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Jasmin Lampe, Bernhard Borgetto, David A Groneberg, Eileen M Wanke
Background and aims Pain is a highly complex bio-psychosocial phenomenon that may present a (potential) health risk and either occurs as a warning sign or a symptom of injury. It cannot be ruled out that these rising or changing requirements in dance of all styles, are reflected in health-related outcomes such as pain. The aim of this narrative review article is to outline an overview of prevalence and localization, concepts of performance pain and injury pain, pain perception and pain management in dance. At that consequences of pain and influencing factors focusing on different dance styles or forms of professionalism are discussed...
August 11, 2018: Scandinavian Journal of Pain
Bettina Böttcher, Elke R Gizewski, Christian Siedentopf, Ruth Steiger, Michael Verius, David Riedl, Anja Ischebeck, Julia Schmid, Ludwig Wildt, Sigrid Elsenbruch
BACKGROUND: Chronic pelvic pain, in particular dysmenorrhea, is a significant yet unresolved healthcare problem in gynecology. As interoceptive sensitivity and underlying neural mechanisms remain incompletely understood, this functional magnetic resonance imaging (fMRI) study assessed behavioral and neural responses to visceral stimuli in primary dysmenorrhea (PMD). METHODS: Women with PMD (N=19) without psychological comorbidity and healthy women (N=20) were compared with respect to visceral sensory and pain thresholds, and to neural responses to individually-calibrated mildly-painful and painful rectal distensions implemented during scanning...
August 11, 2018: European Journal of Pain: EJP
Laura C Pinheiro, Devon K Check, Donald Rosenstein, Katherine E Reeder-Hayes, Stacie Dusetzina
BACKGROUND: Compared to non-Hispanic Whites, Hispanic women are more likely to report pain, depression, and other mental health concerns. However, little is known about Hispanic women's use of supportive medications, and whether use differs depending on nativity (US- vs. foreign-born). This study's objectives were to examine patterns of supportive medication use and investigate potential differences by ethnicity/nativity among women with breast cancer. METHODS: We used the Surveillance, Epidemiology, and End Results data linked with Medicare claims to identify women diagnosed with incident breast cancer between July 1, 2007, and December 31, 2011...
August 10, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Christoph Dybowski, Bernd Löwe, Christian Brünahl
OBJECTIVE: Chronic pelvic pain syndrome (CPPS) can affect both men and women and often causes substantial impairment to quality of life. Although cross-sectional studies have suggested that psychosocial aspects may constitute important factors in the etiology and maintenance of CPPS, longitudinal studies are rare. Therefore, the present study examines psychosocial factors as prospective predictors of pain intensity, urinary symptoms and impediments to quality of life in men and women with CPPS...
September 2018: Journal of Psychosomatic Research
Dana Rose Garfin, Rebecca R Thompson, E Alison Holman
OBJECTIVE: To systematically review the relationship between acute posttraumatic stress symptoms (<1 month) and subsequent physical and mental health outcomes other than posttraumatic stress disorder (PTSD). METHODS: A systematic search of electronic databases (PubMed, PsycINFO, CINAHL, and Web of Science) was conducted to identify longitudinal studies examining the link between acute posttraumatic stress and physical and mental health. Inclusion criteria required assessment of acute posttraumatic stress (<1 month post-event) and at least one follow-up assessment of a physical or mental health outcome (not PTSD)...
September 2018: Journal of Psychosomatic Research
Francis Creed, Barbara Tomenson, Carolyn Chew-Graham, Gary Macfarlane, John McBeth
OBJECTIVE: To assess whether two or more functional somatic symptom complexes (SSCs) showed stronger association with psychosocial correlates than single or no SSC after adjustment for depression/anxiety and general medical disorders. METHODS: In a population-based sample we identified, by standardised questionnaire, participants with chronic widespread pain, chronic fatigue and irritable bowel syndrome, excluding those with a medical cause for pain/fatigue. We compared psychosocial variables in three groups: multiple (>1), single or no FSS, adjusting for depression/anxiety and general medical disorders using ordinal logistic regression...
September 2018: Journal of Psychosomatic Research
Emily C Gathright, Carly M Goldstein, Eric B Loucks, Andrew M Busch, Loren Stabile, Wen-Chih Wu
PURPOSE: Most cardiac rehabilitation (CR) completers improve in multiple functional and psychosocial domains. However, not all demonstrate uniform improvement in functional indicators such as exercise capacity. This study examined baseline predictors and correlates of change in exercise capacity from CR intake to completion. METHODS: CR participants (n = 488) completed assessment of metabolic equivalents (METs) via treadmill stress test, depressive symptoms, quality of life, and social support at intake and discharge...
August 6, 2018: Heart & Lung: the Journal of Critical Care
Hui-Ju Young, Tapan S Mehta, Cassandra Herman, Fuchenchu Wang, James H Rimmer
OBJECTIVE: To investigate the effects of two 12-week exercise training interventions, movement-to-music (M2M) and adapted yoga (AY), on physical and psychosocial outcomes in people with multiple sclerosis (MS). DESIGN: Three-arm randomized controlled proof-of-concept trial. SETTING: A community-based fitness facility. PARTICIPANTS: Participants (N=81) with MS (Patient Determined Disease Steps [PDDS] self-reported disease status scores: 0-6) between ages of 18 and 65 years were randomized to: M2M (n=27), AY (n=26), or waitlist control (n=28)...
August 6, 2018: Archives of Physical Medicine and Rehabilitation
Jane O'Brien, Kyra Hamilton, Andrew Williams, James Fell, Jonathan Mulford, Michael Cheney, Sam Wu, Marie-Louise Bird
BACKGROUND: Osteoarthritis often results in prolonged periods of reduced physical activity and is associated with adverse health outcomes, including increased risk of cardiovascular and metabolic diseases. Exercise interventions for patients on the waiting list for arthroplasty can reduce the risk of long-term adverse outcomes by increasing activity levels. However, uptake and ongoing positive rates of physical activity in this population are low and the impact of pre-operative behaviour counselling on exercise is not known...
August 7, 2018: Trials
Hibah Osman, Sudip Shrestha, Sarah Temin, Zipporah V Ali, Rumalie A Corvera, Henry D Ddungu, Liliana De Lima, Maria Del Pilar Estevez-Diz, Frank D Ferris, Nahla Gafer, Harmala K Gupta, Susan Horton, Graciela Jacob, Ruinuo Jia, Frank L Lu, Daniela Mosoiu, Christina Puchalski, Carole Seigel, Olaitan Soyannwo, James F Cleary
Purpose The purpose of this new resource-stratified guideline is to provide expert guidance to clinicians and policymakers on implementing palliative care of patients with cancer and their caregivers in resource-constrained settings and is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update of 2016. Methods ASCO convened a multidisciplinary, multinational panel of experts in medical oncology, family medicine, radiation oncology, hematology/oncology, palliative and/or hospice care, pain and/or symptom management, patient advocacy, public health, and health economics...
July 2018: Journal of Global Oncology
V A E Baadjou, J A M C F Verbunt, M D F van Eijsden-Besseling, R A de Bie, O Girard, J W R Twisk, R J E M Smeets
Background: Musculoskeletal complaints in music students are common. Little is known about effectiveness of interventions. Aims: To assess whether a biopsychosocial prevention course is better at reducing disability due to musculoskeletal disorders compared with physical activity promotion. Methods: This was a multicentre randomized controlled trial with intention-to-treat analysis. Participants were first- and second-year students from five conservatories, randomized to experimental or control groups...
July 31, 2018: Occupational Medicine
Paolo Usai-Satta, Massimo Bellini, Mariantonia Lai, Francesco Oppia, Francesco Cabras
BACKGROUND: Irritable bowel syndrome (IBS) is the most frequently diagnosed functional gastrointestinal disorder. It is characterised by abdominal pain, bloating and changes in bowel habits that can have a serious impact on the patient's quality of life. Treatment strategies are based on the nature and severity of the symptoms, the degree of functional impairment of the bowel habits, and the presence of psychosocial disorders. The purpose of this review is to update our current knowledge of therapeutic approach of this disorder...
August 7, 2018: Current Clinical Pharmacology
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