Chronic pain and comorbid posttraumatic stress disorder: Potential mechanisms, conceptualizations, and interventions

Current Opinion in Psychology, Год журнала: 2025, Номер 62, С. 101990 - 101990

Опубликована: Янв. 5, 2025

Язык: Английский

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Examining the Effects of Process-Based Therapy: A Multiple Baseline Study

Journal of Contextual Behavioral Science, Год журнала: 2025, Номер unknown, С. 100875 - 100875

Опубликована: Янв. 1, 2025

Язык: Английский

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Key aspects concerning the role of emotion in the chronic pain experience.

Current Opinion in Psychology, Год журнала: 2025, Номер 62, С. 102000 - 102000

Опубликована: Янв. 31, 2025

Pain and emotions are inherently connected, this review presents contemporary findings on the pain-emotion connection. We address in what ways pain related as well how link may be understood targeted treatment. Both negative essential (and ancient) biological motivational systems which share protective regulatory functions. There is a marked co-occurrence between chronic mental health conditions. One way to understand connection, stressed by recent theoretical models, that cognitive behavioral mechanisms serve downregulate these unpleasant inner states. Treatments targeting shared show promising results, but more research needed generalization, implementation dissemination.

Язык: Английский

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The precarious use of group data to understand individual processes in pain science

Pain, Год журнала: 2025, Номер unknown

Опубликована: Март 19, 2025

Язык: Английский

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The Shortened Version of the Profile of Mood States: A Reliable and Valid Measure of Emotional Functioning for Chronic Pain Patients

Rheumato, Год журнала: 2025, Номер 5(2), С. 4 - 4

Опубликована: Апрель 16, 2025

Background: Although the Profile of Mood States has been proposed by Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) to measure emotional functioning chronic pain patients, it not yet validated these patients. Objective: To confirm factor structure internal consistency Shortened Version (37 items) patients with pain. Methods: A confirmatory analysis (CFA) was conducted test theoretical six factors that result a Total Disturbance episode: Tension–Anxiety (six items), Depression–Dejection (eight Anger–Hostility (seven Vigor–Activity Fatigue–Inertia (five Confusion–Bewilderment items). Participants: total 588 from Spanish primary care health community centers completed questionnaire. Results: The presented adequate reliability coefficients, McDonald’s Omega (ω) between 0.77 0.91, appropriate average discrimination indexes (D), ranging 0.35 0.67. yielded excellent results, ω = 0.95, D 0.61. original confirmed, ECVI 4.361 (saturated 2.395; independent 21.855); RMSEA 0.070, 90% CI [0.067, 0.072]; GFI 0.974; AGFI 0.971; CFI 0.853; NFI 0.812; NNFI 0.843. Conclusions: proven be valid reliable

Язык: Английский

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Trajectories of change in pediatric functional abdominal pain disorders during Internet cognitive behavior therapy: A single case experimental study.

Journal of Pain, Год журнала: 2025, Номер unknown, С. 105407 - 105407

Опубликована: Апрель 1, 2025

Язык: Английский

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Long-term pain and health economic outcomes in adults receiving multidisciplinary CBT for chronic pain: the role of psychological inflexibility

Frontiers in Pain Research, Год журнала: 2025, Номер 6

Опубликована: Апрель 28, 2025

Little is known about whether the recommended, non-pharmacological treatments for chronic pain yield reductions in healthcare utilization, social costs and increased productivity actual practice. The primary aim of this study (n = 232) was to conduct secondary analyses health economic outcomes using data from national registries combined with clinical outcome a large center Sweden conducting multidisciplinary treatment based on cognitive behavioral approach. Specifically, pain-related at post-treatment one, two three years after discharge were examined. In an exploratory fashion, we also investigated sociodemographic characteristics, variables, psychological inflexibility predicted these long-term outcomes. We examined as potential mediator Small moderate sized improvements pain, interference, depression observed mostly maintained both 1- 3-year follow-up. A very similar pattern outcomes, 1-year follow-up gains being Baseline but not Changes during mediated total number care visits. present findings add small body literature indicating that related difficulties following multidisciplinary, pain-focused, CBT programs persist least treatment, are accompanied by modest over same interval. Psychological seems be predominately associated management, it appears relevant

Язык: Английский

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Approaching persistent pain and emotion dysregulation

Der Schmerz, Год журнала: 2025, Номер unknown

Опубликована: Май 19, 2025

Abstract Background Persistent pain, one of the most common reasons for suffering and health care seeking, often co-occurs with emotional problems such as depression anxiety. Within Center Health Medical Psychology at Örebro University, Sweden, we have developed a new treatment aimed addressing co-occurring persistent pain problems: hybrid emotion-focused exposure treatment. The overarching idea behind is that patients who struggle comorbid need to develop skills in dealing emotions well pain. With better tolerating soothing difficult emotions, will be more able approach previously avoided stimuli situations, movements, activities social interaction. Objectives This review aims delineate development It begins by outlining theoretical background, then proceeds describe techniques, discuss evidence conclude an illustrative case example. Results Thus far, has been tested single-case study randomized controlled trial promising outcomes. Overall, seems good effect on patients’ depressive symptoms interference. currently being implemented, implementation process evaluated, primary specialist across Sweden. Conclusions well-suited people high burden difficulties. There reason implement clinical practice continue evaluating effects different contexts.

Язык: Английский

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Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(11), С. 3629 - 3629

Опубликована: Май 22, 2025

Background/Objectives: Pediatric chronic pain requires individualized care. The Pain Screening Tool (PPST) allows for stratification of psychosocial and physical risk factors may guide targeted interventions. However, its integration into multimodal physiotherapy programs remains unexplored. This exploratory feasibility case series study evaluated a PPST-guided, risk-stratified intervention in children aged 8–17 years with pain. Methods: Participants were classified as low, medium, or high risk. Interventions tailored accordingly. Outcomes assessed pre- post-intervention included intensity, interference, psychological distress, quality life. Results: Ten participants (mean age = 13.5 years; 60% girls) included. Six high, three one low based on the PPST. After an 8-week physiotherapist program, interference significantly decreased (MD −7.5; p 0.040; d 1.69), did intensity at rest −3.1; 0.002; 2.60) during movement −3.0; 0.004; 2.55), exceeding MCID 1.92. In high-risk group, reductions observed anxiety (p 0.006; 2.36), pain-related worries 0.001; 3.79), fear 0.015; 1.62), 3.37). Eighty percent reported feeling “a great deal better” PGIC including all participants. Conclusions: These results supports integrating PPST management, providing structured effective framework addressing pediatric

Язык: Английский

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Chronic tinnitus: An interplay between somatic and psychological factors

HNO, Год журнала: 2023, Номер 71(11), С. 719 - 730

Опубликована: Сен. 13, 2023

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