Chronic Lower Back Pain

Wirick, Dawn M.; Teufel-Prida, Lee A.

doi:10.1177/1066480718756845

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Conversely, our study revealed a notable protective effect of hyperlipidemia and waist/lower back conditions (34) against CI. This counterintuitive finding, particularly for hyperlipidemia, which is often considered a risk factor for various health issues (35), suggests a potential area for further investigation.…”

Section: Discussioncontrasting

confidence: 73%

Assessing cognitive impairment in home-dwelling Chinese elders aged 80+: a detailed survey of 13,000 participants focusing on demographic factors, social engagement, and disease prevalence

Bian,

Tian,

Meng

et al. 2024

Front. Psychiatry

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IntroductionCognitive Impairment (CI) in the elderly, encompassing conditions ranging from Mild Cognitive Impairment (MCI) to dementia, represents a growing public health concern globally. This study aims to investigate the prevalence and correlates of CI among individuals aged 80 and above.MethodsThe study conducts 13,027 elderly individual’s door-to-door surveys, followed by the cross-tabulation of analysis data, logistic regression analysis, and health condition assessments to examine various determinants of CI.ResultsThe current study’s key findings demonstrate sub-statical correlations between CI and various factors, including educational attainment, marital status, and gender. Pronounced differences are evident between urban and rural demographics. Furthermore, aspects of social engagement, notably communication proficiency and sensory capabilities, exhibit a strong association with CI. Logistic regression analysis highlights that residing in rural areas (Odds Ratio [OR] = 0.637) and being female (OR = 0.71) are linked to a decreased risk of CI. In contrast, behavioral and health-related variables present a complex picture. Specifically, aggressive behavior (Adjusted OR = 1.881) and symptoms of depression (Adjusted OR = 0.549) contrast with conditions such as asthma (OR= 2.857) and cerebral infarction (OR=1.348), which elevate the risk of CI. Intriguingly, hyperlipidemia (OR= 0.671) appears to confer a protective effect against CI.ConclusionThe study highlights the complexity of factors affecting CI in the elderly, advocating for a comprehensive approach to understanding and managing cognitive health.

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Section: Discussioncontrasting

confidence: 73%

Assessing cognitive impairment in home-dwelling Chinese elders aged 80+: a detailed survey of 13,000 participants focusing on demographic factors, social engagement, and disease prevalence

Bian,

Tian,

Meng

et al. 2024

Front. Psychiatry

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“…42 Indeed, including the partner into therapy has been reported beneficial for different mental and physical disorders, 3 and chronic pain in particular. 45 Most patients with chronic pain live in a couple relationship and couples often rearrange their daily routines and way of life to adapt to the pain. 31 Partners engage in solicitous behavior for a variety of reasons, most prominently to reduce the patient's immediate distress—and also because in the beginning—during the acute pain phase; this very behavior was indeed helpful.…”

Section: Discussionmentioning

confidence: 99%

When shared pain is not half the pain: enhanced central nervous system processing and verbal reports of pain in the presence of a solicitous spouse

Nees

Ditzen

Flor

2021

Pain

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The experience of pain and pain behaviors is not only determined by physiological but also psychosocial factors. In this context, the learning history of the individual and specifically operant reinforcement related to spouse responses might play an important role. We investigated the effect of a solicitous and habitually pain-reinforcing spouse for the processing of pain in patients with chronic pain. Using multichannel electroencephalography, pain behaviors, and self-reports of pain, we examined 20 patients with chronic back pain (10 with solicitous and 10 with nonsolicitous spouses) and 10 matched healthy controls. The participants received a series of painful and nonpainful electrical stimuli applied to the site of pain (back) and a control area (finger) in the presence vs absence of the spouse. The global field power of the electroencephalogram with a focus in the frontal region was enhanced in patients with chronic back pain who had a solicitous spouse compared to those with a nonsolicitous spouse and the healthy controls. This was specific for the painful stimulation at the back and occurred only in the presence but not the absence of the spouse. Pain ratings of intensity and unpleasantness were also higher in the patients with solicitous spouses when the spouse was present during painful stimulation. These data suggest that significant other responses indicative of operant reinforcement may have a direct effect on the cerebral processing of pain and related pain perception.

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“…In other words, establishing baseline family functioning and then reassessing relationship quality as part of a biopsychosocial pain management approach may aid in understanding how these relationships may be impacting healing (or, though not a focus of the present study, how these relationships are impacted by pain; Ojeda et al, 2014). Although admittedly barriers to integration exist (e.g., inadequate insurance provisions; Prom et al, 2021), an interdisciplinary team-based approach to pain management may be ideal, including partnering with integrated behavioral health providers (Gatchel et al, 2014) and especially those with specific training and expertise in family systems and family-centered care as well as pain and biopsychosocial frameworks (e.g., Caño & Leonard, 2006; Signs, 2015; Wirick & Teufel-Prida, 2018).…”

Section: Discussionmentioning

confidence: 99%

Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain.

Woods,

Roberson,

Abdelkhaleq

2023

Families, Systems, & Health

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Introduction: Although family relationship quality has been linked to later chronic pain incidence for aging adults, it is unclear whether the quality of these relationships is linked to the impact of pain. We estimated longitudinal associations between family relationship quality (i.e., family support and family strain) and pain interference for adults who develop novel chronic pain across 10 years of midlife. Method: We conducted a secondary analysis of data from the Midlife in the United States (MIDUS) study. Using path analysis, we tested whether family support and strain reported by participants (54% female, age M = 54.8 years) who denied having chronic pain at the study's second wave (MIDUS 2, 2004(MIDUS 2, -2006 but reported chronic pain 10 years later (MIDUS 3, 2014(MIDUS 3, -2016; N = 406) was associated with the interference of that pain with daily activities after accounting for key covariates, including sociodemographics, depression symptoms, global physical health, and MIDUS 3 reports of family support and strain. Results: The hypothesized model demonstrated good fit to the data based on multiple model fit indices. Greater family strain at baseline, but not family support, was significantly associated with greater pain interference 10 years later. Discussion: Findings build on prior studies to suggest that not only are stressful family relationships likely associated with the odds of developing chronic pain, but they are also linked to the interference of that chronic pain when it develops. We recommend biopsychosocial screening in primary care that captures family relationship quality and can inform best practices for nonpharmacological, family-based pain management. Public Significance StatementThough family relationship quality has been linked to later pain incidence for aging adults, it remains unclear whether family relationships are also linked to the impact of that pain once it develops, compromising our ability to develop effective nonpharmacological pain management interventions. This study leveraged data from an existing project on aging health to find that family strain, but not family support, was significantly associated with greater pain interference 10 years later, among aging adults who developed novel chronic pain during that time. The results imply the importance of biopsychosocial screening in primary care to capture family relationship quality and inform family-based pain self-management interventions to ameliorate aging adult pain.

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Chronic Lower Back Pain

Cited by 4 publications

References 19 publications

Assessing cognitive impairment in home-dwelling Chinese elders aged 80+: a detailed survey of 13,000 participants focusing on demographic factors, social engagement, and disease prevalence

Assessing cognitive impairment in home-dwelling Chinese elders aged 80+: a detailed survey of 13,000 participants focusing on demographic factors, social engagement, and disease prevalence

When shared pain is not half the pain: enhanced central nervous system processing and verbal reports of pain in the presence of a solicitous spouse

Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain.

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