Fatigue Mediates the Relationship Between Pain Interference and Distress in Patients with Persistent Orofacial Pain

Boggero, Ian A.; Kniffin, Tracey C.; Leeuw, Reny de; Carlson, Charles R.

doi:10.11607/jop.1204

Cited by 13 publications

(21 citation statements)

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“…The prevalence of chronic pain steadily increases through age 65, after which it appears to level off (Andersson, 1994; Brattberg, Thorslund, & Wikman, 1989; Verhaak, Kerssens, Dekker, Sorbi, & Bensing, 1998). Chronic pain is a significant health concern and is associated with mortality, reductions in quality of life, and increased feeling of fatigue (Boggero, Kniffin, De Leeuw, & Carlson, 2014; Mobily, Herr, Clark, & Wallace, 1994; Thomas & Roy, 1988; Torrance, Elliott, Lee, & Smith, 2010). …”

Section: Introductionmentioning

confidence: 99%

Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients

Boggero

Geiger

Segerstrom

et al. 2015

Experimental Aging Research

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Background/Study Context Chronic pain is associated with increased interference in daily functioning that becomes more pronounced as pain intensity increases. Based on previous research showing that older adults maintain well-being in the face of pain as well as or better than their younger counterparts, the current study examined the interaction of age and pain intensity on interference in a sample of chronic orofacial pain patients. Methods Data were obtained from the records of 508 chronic orofacial pain patients being seen for an initial evaluation from 2008 to 2012. Collected data included age (range: 18–78) and self-reported measures of pain intensity and pain interference. Bivariate correlations and regression models were used to assess for statistical interactions. Results Regression analyses revealed that pain intensity positively predicted pain interference (R2 = .35, B = 10.40, SE = 0.62, t(507) = 16.70, p < .001). A significant interaction supported the primary hypothesis that aging was associated with reduced interference at high levels of pain intensity (ΔR2 = .01, B = −1.31, SE = 0.63, t(505) = −2.90, p = .04). Conclusion At high levels of pain intensity, interference decreased with age, although the age by pain intensity interaction effect was small. This evidence converges with aging theories, including socioemotional selectivity theory, which posits that as people age, they become more motivated to maximize positive emotions and minimize negative ones. The results highlight the importance of studying the mechanisms older adults use to successfully cope with pain.

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Section: Introductionmentioning

confidence: 99%

Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients

Boggero

Geiger

Segerstrom

et al. 2015

Experimental Aging Research

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“…Additionally, the chronic disease severity variable that we used as part of the health composite was based on prescription medications and did not take into account off-label or over-the-counter medication usage. Other measures including sleep, fatigue, and diet have been independently related to pain, cognitive functioning, and disease progression, and their future inclusion will enhance the conceptual framework of how psychological and physiological factors interact to predict health in older adults (Boggero et al, 2013; Koffel et al, 2015; van den Berg-Emons et al, 2007; Watkins et al, 1995; Scarmeas et al, 2009). Future studies should explore whether these variables fully or partially mediate the relationship between task-switching ability and pain on health.…”

Section: Discussionmentioning

confidence: 99%

“…Cross-sectionally, pain is associated with more physical complaints and poorer health (Demmelmaier, Åsenlöf, Lindberg, & Denison, 2010; Kroenke, Johns, Theobald, Wu, & Tu, 2013; Reyes-Gibby et al, 2002). Pain may impact health through a number of pathways including physical activity, sleep, fatigue, and inflammation, among other mediators (e.g., Boggero, Kniffin, de Leeuw, & Carlson, 2013; Koffel et al, 2015; van den Berg-Emons, Schasfoort, de Vos, Bussmann, & Stam, 2007; Watkins, Maier, & Goehler, 1995). Yet, main effects associating higher pain with poorer health outcomes mask the possibility that older adults may be able to cope with daily pain better at some times than others, with consequences for health.…”

Section: Introductionmentioning

confidence: 99%

Task‐switching ability protects against the adverse effects of pain on health: A longitudinal study of older adults

Boggero

Eisenlohr‐Moul

Segerstrom

2015

British J Health Psychol

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Objective Aging is often accompanied by increases in pain, which may threaten physical health. Successfully managing increased pain requires the ability to switch attention away from the pain and toward adaptive health cognitions and behaviors. However, no study to date has tested how pain interacts with task-switching ability to predict future health in older adults. Additionally, no study has tested whether objective (i.e., task-switching performance) or subjective measures of cognitive ability have a stronger impact on future health. Design/Methods The current study tested these interactions in community-dwelling older adults. Participants included 150 older adults who provided pain, task-switching ability, subjective cognitive functioning, and health data every 6 months for up to 5 years. Results Multilevel modeling was used to analyze the data, yielding gamma (γ) analogous to unstandardized beta weights in regression. A significant interaction between task-switching and pain indicated that when task-switching ability was lower than usual, higher than usual pain predicted poorer health at the following wave (γ = 0.30, SE = .12, t(663) = 2.45, p = .009; 95% CI: .07 – .65). When task-switching ability was higher than usual, there was no effect of pain on health (γ = −0.13, t(663) = −.85, p = .39; 95% CI: −.44 – .17). No significant interaction was found for subjective cognitive functioning. Conclusions Objective task-switching ability, but not subjective cognitive functioning, may have health-protective effects when older adults experience increases in pain.

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“…Previous research has validated the scale in orofacial pain populations. 7,28 Only the total fatigue score was used in the current study (Cronbach α = .90).…”

Section: Methodsmentioning

confidence: 99%

“…Extant research indicates that orofacial pain disorders are cross-sectionally related to depression, 6 fatigue, 7 and psychological distress, 8 but these relationships are not the same across disorders. Kino and colleagues 9,10 found that myofascial pain patients reported higher depression scores than disc displacement patients.…”

mentioning

confidence: 99%

Satisfaction with Life in Orofacial Pain Disorders: Associations and Theoretical Implications

Boggero¹,

Rojas-Ramirez²,

Leeuw³

et al. 2016

J Oral Facial Pain Headache

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Aims To test if patients with masticatory myofascial pain, local myalgia, centrally mediated myalgia, disc displacement, capsulitis/synovitis, or continuous neuropathic pain differed in self-reported satisfaction with life. The study also tested if satisfaction with life was similarly predicted by measures of physical, emotional, and social functioning across disorders. Methods Satisfaction with life, fatigue, affective distress, social support, and pain data were extracted from the medical records of 343 patients seeking treatment for chronic orofacial pain. Patients were grouped by primary diagnosis assigned following their initial appointment. Satisfaction with life was compared between disorders, with and without pain intensity entered as a covariate. Disorder-specific linear regression models using physical, emotional, and social predictors of satisfaction with life were computed. Results Patients with centrally mediated myalgia reported significantly lower satisfaction with life than did patients with any of the other five disorders. Inclusion of pain intensity as a covariate weakened but did not eliminate the effect. Satisfaction with life was predicted by measures of physical, emotional, and social functioning, but these associations were not consistent across disorders. Conclusions Results suggest that reduced satisfaction with life in patients with centrally mediated myalgia is not due only to pain intensity. There may be other factors that predispose people to both reduced satisfaction with life and centrally mediated myalgia. Furthermore, the results suggest that satisfaction with life is differentially influenced by physical, emotional, and social functioning in different orofacial pain disorders.

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Fatigue Mediates the Relationship Between Pain Interference and Distress in Patients with Persistent Orofacial Pain

Abstract: These results suggest that interventions targeted specifically at fatigue symptoms may be helpful for reducing interference and improving quality of life in patients with persistent orofacial pain.

Cited by 13 publications

References 0 publications

Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients

Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients

Task‐switching ability protects against the adverse effects of pain on health: A longitudinal study of older adults

Satisfaction with Life in Orofacial Pain Disorders: Associations and Theoretical Implications

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