Effects of a Brief Coping Skills Training Intervention on Nociceptive Flexion Reflex Threshold in Patients Having Osteoarthritic Knee Pain: A Preliminary Laboratory Study of Sex Differences

Emery, Charles F.; Keefe, Francis J.; Affleck, Glenn; Waters, Sandra J.; Fondow, Meghan D. M.; McKee, Daphne C.; Hackshaw, Kevin V.; Caldwell, David S.; Stainbrook, David

doi:10.1016/j.jpainsymman.2005.07.008

Cited by 39 publications

(9 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may be associated with the higher reported pain intensity scores for women than for men, but may also be due to the greater impact on function, as assessed by the WOMAC, in women than in men (mean ± SD WOMAC score 51.6 ± 17.2 versus 44.4 ± 18.1; P < 0.0001). Several other studies have already demonstrated differences in the coping strategies developed by men and women in the face of persistent pain (25–29). Women are more likely than men to use emotion‐focused coping strategies when dealing with OA pain (25), and this is particularly true for pain catastrophizing (27).…”

Section: Discussionmentioning

confidence: 99%

Active or passive pain coping strategies in hip and knee osteoarthritis? results of a national survey of 4,719 patients in a primary care setting

Perrot

Poiraudeau

Kabir

et al. 2008

Arthritis & Rheumatism

View full text Add to dashboard Cite

Objective. To study pain coping strategies in patients with hip and knee osteoarthritis (OA), and to assess the psychometric qualities of the French version of the Pain Coping Inventory (PCI). Methods. We conducted a national, cross-sectional survey in a primary care setting in France. A total of 1,811 general practitioners included 5,324 patients with hip and knee OA who completed several questionnaires, including the PCI, which assesses ability to cope with pain. Results. The records of 4,719 (86.4%) patients were analyzed (knee 2,781; hip 1,553; hip and knee 385). Supporting the structure of the original questionnaire, we found that the 33 PCI questionnaire items could be grouped into 3 domains defining active coping strategies and 3 defining passive coping strategies. Acceptable convergent validity was found for the PCI (Cronbach's alpha coefficient for each domain >0.68). Coping strategy scores were significantly higher in patients with both knee and hip involvement (mean ؎ SD 2.3 ؎ 0.4) than for patients with OA at 1 site (mean ؎ SD 2.1 ؎ 0.4), and in women compared with men (P < 0.001). The use of passive pain coping strategies increased with OA duration, and was greater in older and overweight patients, in patients with no current physical activity or major impairment, in retired and nonworking patients, and in patients who were not married, and to a lesser extent in patients with higher pain intensity. Compared with previous data, patients with OA demonstrated lower active and higher passive strategies than patients with rheumatoid arthritis and other chronic painful conditions. Conclusion. The PCI has good structural validity and is highly suitable for analyzing active and passive pain coping strategies in OA. In OA, active and passive coping strategies differ significantly as a function of age, body mass index, OA involvement, professional and marital status, sport activities, and OA duration, with pain intensity having a weaker effect.

show abstract

Section: Discussionmentioning

confidence: 99%

Active or passive pain coping strategies in hip and knee osteoarthritis? results of a national survey of 4,719 patients in a primary care setting

Perrot

Poiraudeau

Kabir

et al. 2008

Arthritis & Rheumatism

View full text Add to dashboard Cite

show abstract

“…For example, mental imagery involves distraction from pain and positive emotions, both of which activate cortical and brainstem structures at the origin of descending pain inhibition (Bantick et al, 2002;Tracey et al, 2002;Valet et al, 2004) and reduce human spinal nociception (Willer et al, 1979;Rhudy et al, 2005;Ruscheweyh et al, 2011). Similarly, relaxation techniques reduce human spinal nociception (Emery et al, 2006). In addition, a parallel reduction of RIII size and pain perception is usually considered a strong indication of the activation of descending pain modulatory systems (Willer et al, 1979;Rhudy et al, 2005;Sandrini et al, 2005;Ruscheweyh et al, 2011).…”

Section: Interpretation Of Learned Riii Reductionmentioning

confidence: 99%

Control over spinal nociception as quantified by the nociceptive flexor reflex (RIII reflex) can be achieved under feedback of the RIII reflex

Ruscheweyh

Weinges

Schiffer

et al. 2014

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…It is interesting to note that meditation/mindfulness stress management programs, unlike CBT ones, do not address coping skills in their protocol. However, different clinical trials showed long-term efficacy of coping skill training for better emotional control [85], quality of life [86,87], and resiliency enhancement [88]. …”

Section: Discussionmentioning

confidence: 99%

Experiential Virtual Scenarios With Real-Time Monitoring (Interreality) for the Management of Psychological Stress: A Block Randomized Controlled Trial

Gaggioli¹,

Pallavicini²,

Morganti³

et al. 2014

J Med Internet Res

119

View full text Add to dashboard Cite

BackgroundThe recent convergence between technology and medicine is offering innovative methods and tools for behavioral health care. Among these, an emerging approach is the use of virtual reality (VR) within exposure-based protocols for anxiety disorders, and in particular posttraumatic stress disorder. However, no systematically tested VR protocols are available for the management of psychological stress.ObjectiveOur goal was to evaluate the efficacy of a new technological paradigm, Interreality, for the management and prevention of psychological stress. The main feature of Interreality is a twofold link between the virtual and the real world achieved through experiential virtual scenarios (fully controlled by the therapist, used to learn coping skills and improve self-efficacy) with real-time monitoring and support (identifying critical situations and assessing clinical change) using advanced technologies (virtual worlds, wearable biosensors, and smartphones).MethodsThe study was designed as a block randomized controlled trial involving 121 participants recruited from two different worker populations—teachers and nurses—that are highly exposed to psychological stress. Participants were a sample of teachers recruited in Milan (Block 1: n=61) and a sample of nurses recruited in Messina, Italy (Block 2: n=60). Participants within each block were randomly assigned to the (1) Experimental Group (EG): n=40; B1=20, B2=20, which received a 5-week treatment based on the Interreality paradigm; (2) Control Group (CG): n=42; B1=22, B2=20, which received a 5-week traditional stress management training based on cognitive behavioral therapy (CBT); and (3) the Wait-List group (WL): n=39, B1=19, B2=20, which was reassessed and compared with the two other groups 5 weeks after the initial evaluation.ResultsAlthough both treatments were able to significantly reduce perceived stress better than WL, only EG participants reported a significant reduction (EG=12% vs CG=0.5%) in chronic “trait” anxiety. A similar pattern was found for coping skills: both treatments were able to significantly increase most coping skills, but only EG participants reported a significant increase (EG=14% vs CG=0.3%) in the Emotional Support skill.ConclusionsOur findings provide initial evidence that the Interreality protocol yields better outcomes than the traditionally accepted gold standard for psychological stress treatment: CBT. Consequently, these findings constitute a sound foundation and rationale for the importance of continuing future research in technology-enhanced protocols for psychological stress management.Trial RegistrationClinicalTrials.gov: NCT01683617; http://clinicaltrials.gov/show/NCT01683617 (Archived by WebCite at http://www.webcitation.org/6QnziHv3h).

show abstract

Effects of a Brief Coping Skills Training Intervention on Nociceptive Flexion Reflex Threshold in Patients Having Osteoarthritic Knee Pain: A Preliminary Laboratory Study of Sex Differences

Cited by 39 publications

References 34 publications

Active or passive pain coping strategies in hip and knee osteoarthritis? results of a national survey of 4,719 patients in a primary care setting

Active or passive pain coping strategies in hip and knee osteoarthritis? results of a national survey of 4,719 patients in a primary care setting

Control over spinal nociception as quantified by the nociceptive flexor reflex (RIII reflex) can be achieved under feedback of the RIII reflex

Experiential Virtual Scenarios With Real-Time Monitoring (Interreality) for the Management of Psychological Stress: A Block Randomized Controlled Trial

Contact Info

Product

Resources

About