Evaluating psychosocial contributions to chronic pain outcomes

Meints, Samantha M.; Edwards, Richard E.

doi:10.1016/j.pnpbp.2018.01.017

Cited by 341 publications

(253 citation statements)

References 395 publications

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“…The presence of hyperalgesia, allodynia, and generalized pain in patients with CMP has been associated with the presence of CS [24]. Finally, patients with CS have been found to have high levels of kinesiophobia [34,35] catastrophism [34,[36][37][38], fear-avoidance behaviours [38][39][40][41][42], and disability [2,3].…”

Section: Introductionmentioning

confidence: 99%

Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial

Galán-Martín

Montero-Cuadrado²,

Lluch-Girbés

et al. 2020

JCM

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Chronic musculoskeletal pain affects more than 20% of the population, leading to high health care overload and huge spending. The prevalence is increasing and negatively affects both physical and mental health, being one of the leading causes of disability. The most common location is the spine. Most treatments used in the Public Health Services are passive (pharmacological and invasive) and do not comply with current clinical guidelines, which recommend treating pain in primary care (PC) with education and exercise as the first-line treatments. A randomized multicentre clinical trial has been carried out in 12 PC centres. The experimental group (EG) conducted a program of pain neuroscience education (6 sessions, 10 h) and group physical exercise with playful, dual-tasking, and socialization-promoting components (18 sessions in 6 weeks, 18 h), and the control group performed the usual physiotherapy care performed in PC. The experimental treatment improved quality of life (d = 1.8 in physical component summary), catastrophism (d = 1.7), kinesiophobia (d = 1.8), central sensitization (d = 1.4), disability (d = 1.4), pain intensity (d = 3.3), and pressure pain thresholds (d = 2). Differences between the groups (p < 0.001) were clinically relevant in favour of the EG. Improvements post-intervention (week 11) were maintained at six months. The experimental treatment generates high levels of satisfaction.

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Section: Introductionmentioning

confidence: 99%

Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial

Galán-Martín

Montero-Cuadrado²,

Lluch-Girbés

et al. 2020

JCM

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“…1,[3][4][5][6][7] Chronic pain is a multidimensional subjective experience influenced by biological, psychological, and social factors. [8][9][10][11][12][13][14][15] Pain-coping responses are among the psychological factors that have been shown to play an important role in adjustment to chronic pain. 6,8,9,16,17 Coping can be defined as the thoughts and behaviors a person has and engages in to manage pain and its impact.…”

Section: Introductionmentioning

confidence: 99%

<p>Pain Diagnosis, Pain Coping, and Function in Individuals with Chronic Musculoskeletal Pain</p>

Ferreira-Valente¹,

Garcia²,

Pais-Ribeiro³

et al. 2020

JPR

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Purpose: Research supports a role for coping responses in adjustment to chronic pain. However, it is likely that some coping responses play a larger role in adjustment to pain for some individuals than others. The identification of the factors that moderate the association between coping responses and pain-related outcomes has important clinical implications. This study sought to determine if musculoskeletal pain diagnosis moderates the associations between eight pain-coping responses and both pain and function. Patients and Methods: A non-probabilistic sample of 323 persons with different chronic musculoskeletal pain conditions completed measures of pain intensity, physical function, psychological function, and pain-coping responses. Results: With only one exception, the frequency of use of pain-coping responses was not associated with pain diagnosis. Statistically significant moderation effects of pain diagnosis on the association between coping and pain outcomes were found for two coping responses: 1) support seeking when predicting pain intensity, and 2) resting when predicting both physical and psychological function. Conclusion: The findings indicate that coping responses tend to play a similar role in patients' pain and function across different musculoskeletal pain conditions, with some important exceptions. If the findings are found to replicate in other samples, they would have important implications for determining when psychosocial pain treatments might (and when they might not) need to be adapted for specific diagnostic groups.

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“…Although numerous psychosocial and clinical risk factors are suggested to contribute to these differences , there is limited understanding of how positive resilience factors influence racial/ethnic disparities in pain and functioning. Resilience is broadly defined as a dynamic process promoting adaptation to adversity or severe stress , and there is an emerging literature supporting the protective nature that resilience has on chronic pain.…”

Section: Introductionmentioning

confidence: 99%

Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

Bartley

Hossain

Gravlee

et al. 2019

ACR Open Rheumatology

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ObjectiveRacial/ethnic disparities in pain are well‐recognized, with non‐Hispanic blacks (NHBs) experiencing greater pain severity and pain‐related disability than non‐Hispanic whites (NHWs). Although numerous risk factors are posited as contributors to these disparities, there is limited research addressing how resilience differentially influences pain and functioning across race/ethnicity. Therefore, this study examined associations between measures of psychosocial resilience, clinical pain, and functional performance among adults with knee osteoarthritis (OA), and assessed the moderating role of race/ethnicity on these relationships.MethodsIn a secondary analysis of the Understanding Pain and Limitations in Osteoarthritic Disease (UPLOAD‐2) study, 201 individuals with knee OA (NHB = 105, NHW = 96) completed measures of resilience (ie, trait resilience, optimism, positive well‐being, social support, positive affect) and clinical pain, as well as a performance‐based measure assessing lower‐extremity function and movement‐evoked pain.ResultsBivariate analyses showed that higher levels of psychosocial resilience were associated with lower clinical pain and disability and more optimal physical functioning. NHBs reported greater pain and disability, poorer lower‐extremity function, and higher movement‐evoked pain compared with NHWs; however, measures of psychosocial resilience were similar across race/ethnicity. In moderation analyses, higher optimism and positive well‐being were protective against movement‐evoked pain in NHBs, whereas higher levels of positive affect were associated with greater movement‐evoked pain in NHWs.ConclusionOur findings underscore the importance of psychosocial resilience on OA‐related pain and function and highlight the influence of race/ethnicity on the resilience‐pain relationship. Treatments aimed at targeting resilience may help mitigate racial/ethnic disparities in pain.

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Evaluating psychosocial contributions to chronic pain outcomes

Cited by 341 publications

References 395 publications

Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial

Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial

<p>Pain Diagnosis, Pain Coping, and Function in Individuals with Chronic Musculoskeletal Pain</p>

Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement‐Evoked Pain in Knee Osteoarthritis

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