Patient-reported outcome measures for the assessment of stress in neurological patients: An integrative review

Sairanen, Ilkka; Virtanen, Heli; Hämäläinen, Päivi; Suhonen, Riitta

doi:10.1016/j.ijnsa.2023.100172

Cited by 1 publication

(2 citation statements)

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“…Finally, neurological symptoms can themselves be a source of stress, leading to high levels of distress [117]. Stress is commonly associated with the presence of pain, especially in people suffering from neurological diseases, although the management of chronic pain in this patient population is still a neglected issue [115][116][117]. In particular, rehabilitation goals mainly focus on the recovery of motor and cognitive functions, while the presence of pain is often underestimated and/or attributed to depression.…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, the appropriate use of OMT, VR, or NIBS and/or other physical and psychological However, these two aspects are less commonly investigated in the neurological population. It is known that psychological trauma and stressful life experiences can be considered key etiological factors of functional neurological disorders [115]. Stressful experiences can contribute to the risk of autoimmune diseases such as multiple sclerosis and myasthenia gravis through the immune system.…”

Section: Discussionmentioning

confidence: 99%

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Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain

Bonanno,

Papa,

Cerasa

et al. 2024

Medicina

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Chronic stress and chronic pain share neuro-anatomical, endocrinological, and biological features. However, stress prepares the body for challenging situations or mitigates tissue damage, while pain is an unpleasant sensation due to nociceptive receptor stimulation. When pain is chronic, it might lead to an allostatic overload in the body and brain due to the chronic dysregulation of the physiological systems that are normally involved in adapting to environmental challenges. Managing stress and chronic pain (CP) in neurorehabilitation presents a significant challenge for healthcare professionals and researchers, as there is no definitive and effective solution for these issues. Patients suffering from neurological disorders often complain of CP, which significantly reduces their quality of life. The aim of this narrative review is to examine the correlation between stress and pain and their potential negative impact on the rehabilitation process. Moreover, we described the most relevant interventions used to manage stress and pain in the neurological population. In conclusion, this review sheds light on the connection between chronic stress and chronic pain and their impact on the neurorehabilitation pathway. Our results emphasize the need for tailored rehabilitation protocols to effectively manage pain, improve treatment adherence, and ensure comprehensive patient care.

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