Chronic Pain and Psychiatric Conditions

Complex Psychiatry, Год журнала: 2022, Номер 9(1-4), С. 24 - 43

Опубликована: Сен. 15, 2022

Chronic pain is a common condition with high socioeconomic and public health burden. A wide range of psychiatric conditions are often comorbid chronic conditions, negatively impacting successful treatment either condition. The receiving most attention in the past regard to comorbidity has been major depressive disorder, despite fact that many other also demonstrate epidemiological genetic overlap pain. Further understanding potential mechanisms involved could lead new strategies both for each type disorder isolation scenarios comorbidity.

Язык: Английский

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Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program

The Canadian Journal of Psychiatry, Год журнала: 2023, Номер 68(9), С. 651 - 662

Опубликована: Май 2, 2023

Objective Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges military and paramilitary populations historically been attributed to insufficient recruit screening; however, cadet when starting the Cadet Training Program (CTP) was unknown. Our objective estimate RCMP CTP test sociodemographic differences. Method Cadets completed a survey assessing ( n = 772, 72.0% male) clinical interview 736, 74.4% clinician supervised trainee using Mini-International Neuropsychiatric Interview assess current past health. Results The percentage of participants screening (15.0%) higher than diagnostic general population (10.1%); interviews, were less likely screen any disorder (6.3%) population. Participants also self-report (3.9%) interviews (12.5%) (33.1%). Females score males (all ps<.01; Cohen's ds .23 .32) several symptom measures. Conclusions results are first describe CTP. data evidenced lower anxiety, depressive, trauma-related contrasting notions that rigorous would reduce high among serving RCMP. Instead, protecting may require ongoing efforts mitigate operational organizational stressors.

Язык: Английский

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Differences in anxiety, depression and pain experience among adults with chronic low back pain as a function of nicotine product use

Journal of Behavioral Medicine, Год журнала: 2025, Номер unknown

Опубликована: Янв. 9, 2025

Язык: Английский

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Evaluating the efficacy of transcranial direct current stimulation (tDCS) in managing neuropathic pain-induced emotional consequences: Insights from animal models

Neurophysiologie Clinique, Год журнала: 2025, Номер 55(2), С. 103055 - 103055

Опубликована: Янв. 29, 2025

Neuropathic pain is a global health concern due to its severity and detrimental impact on patients' quality of life. It primarily characterized by sensory alterations, most commonly hyperalgesia allodynia. As the disease progresses, patients with neuropathic develop co-occurring emotional disorders, such as anxiety depression, which further complicate therapeutic management. While pharmacotherapy remains first-line treatment, limitations in efficacy prevalence side effects often leave insufficient relief. Transcranial direct current stimulation (tDCS), non-invasive brain technique, has recently emerged promising alternative for chronic This review provides an overview preclinical studies examining tDCS rodent models pain. specifically highlights potential modulate emotional-affective component pain, focus identifying optimal cortical targets enhance translational application managing pain-related disorders.

Язык: Английский

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Posttraumatic stress, alcohol use, and alcohol use reasons in firefighters: The role of sleep disturbance

Comprehensive Psychiatry, Год журнала: 2018, Номер 87, С. 64 - 71

Опубликована: Сен. 7, 2018

Язык: Английский

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Prospective risk and protective factors for psychopathology and wellbeing in civilian emergency services personnel: a systematic review

Journal of Affective Disorders, Год журнала: 2020, Номер 281, С. 517 - 532

Опубликована: Дек. 15, 2020

Язык: Английский

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Associations between Trauma Exposure and Physical Conditions among Public Safety Personnel: Associations entre l’exposition à un traumatisme et les problèmes physiques chez le personnel de la santé publique

The Canadian Journal of Psychiatry, Год журнала: 2020, Номер 65(8), С. 548 - 558

Опубликована: Апрель 10, 2020

Background: Trauma exposure is associated with adverse health-related correlates, including physical comorbidities, and highly prevalent among public safety personnel (PSP). The current study (1) examined the association between context of index trauma (part job vs. other) conditions (2) established prevalence according to PSP category (e.g., police, paramedic) type serious accident, assault) in a large Canadian sample PSP. Methods: completed an online survey September 2016 January 2017. Multivariable logistic regressions associations (i.e., part condition categories. Cross-tabulations chi-square analyses whether significantly differed type. Results: There were 5,267 included study. Results from most stringent model demonstrated that, compared who experienced their any other context, it as had reduced odds “other” (adjusted ratio = 0.73, 95% confidence interval, 0.57 0.94, P < 0.05). also revealed significant differences across all categories select types. Conclusion: highlight relevance outside occupational may have implications for positive impact stress inoculation resiliency training programs

Язык: Английский

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Canadian Career Firefighters’ Mental Health Impacts and Priorities

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(23), С. 12666 - 12666

Опубликована: Дек. 1, 2021

Firefighters' perceptions of mental health can inform management. This qualitative study explored Canadian career firefighters' experiences, needs, and research priorities with respect to health. Thirty-nine firefighters (33 men, 6 women) different ranks geographic locales were interviewed using a semi-structured interview guide. The interviews recorded, transcribed, qualitatively analyzed thematic analysis within an interpretive description approach. Firefighters reported that critical incidents chronic job stressors contributed symptoms led burnout, compassion fatigue, physical injury. They concerned family impacts, like lack full openness, reduced financial stability, risk divorce; work interpersonal conflict, support fellow firefighters, task avoidance, absenteeism. A broad array barriers facilitators found in firefighter work, culture, programs, social supports, care, societal factors. Variability access help, the changing fire service, complexity knowing what do achieve evident across themes. identified need for four areas: awareness monitoring, understanding etiology health, better prevention treatment, care. Across domains inquiry, context, "two sides coin", uncertainty overarching

Язык: Английский

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An E–Mental Health Solution to Prevent and Manage Posttraumatic Stress Injuries Among First Responders in Alberta: Protocol for the Implementation and Evaluation of Text Messaging Services (Text4PTSI and Text4Wellbeing)

JMIR Research Protocols, Год журнала: 2022, Номер 11(4), С. e30680 - e30680

Опубликована: Фев. 22, 2022

First responders are confronted with traumatic events in their work that has a substantial toll on psychological health and may contribute to or result posttraumatic stress injuries (PTSIs) for many responders. Persons PTSI usually seek management therapies. Evidence indicates digital delivery of these therapies is an innovative, efficient, effective way improve symptoms as adjunct in-person delivery.This project aims implement provide accessible, convenient, economical SMS text messaging services, known Text4PTSI Text4Wellbeing, first Alberta, Canada; prevent the among responders; overall quality life. We will evaluate impact Text4Wellbeing stress, anxiety, depression relation correspondents' demographic backgrounds.First who subscribe receive daily supportive psychoeducational messages 6 months. The preprogrammed into online software program delivers subscribers. Baseline follow-up data collected through questionnaires using validated scales at enrollment, weeks, 12 24 weeks (end point). In-depth interviews be conducted assess satisfaction text-based intervention.We hypothesize participants enroll this have improved symptoms; increased life; significant reduction associated depression, anxiety symptoms, other concerns. Improvement determined comparison established baseline parameters.This research beneficial practitioners inform policy-making decision-making regarding interventions PTSI. Lessons from study scale-up intervention, cost-effective, zero contact therapeutic option manage PTSI.PRR1-10.2196/30680.

Язык: Английский

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Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(8), С. 4879 - 4879

Опубликована: Апрель 17, 2022

There is growing recognition in research and policy of a mental health crisis among Canada's paramedics; however, despite this, epidemiological surveillance the problem its infancy. Just weeks before emergence COVID-19 pandemic, we surveyed paramedics from single, large, urban paramedic service Ontario, Canada to assess for symptom clusters consistent with post-traumatic stress disorder (PTSD), major depressive disorder, generalized anxiety identify potential risk factors each. In total, received 589 completed surveys (97% completion rate) found that 11% screened positive PTSD, 15% one four active-duty screening any three as recently February 2020. adjusted analyses, screen varied function employment classification, gender, self-reported resilience, previous experience member service's peer support team. Our findings position disorders at high rates-a likely have worsened since onset pandemic. We echo calls researchers policymakers urgent action Canada.

Язык: Английский

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