A population-based examination of suicidality in comorbid generalized anxiety disorder and chronic pain

Sommer, Jordana L.; Blaney, Caitlin; El‐Gabalawy, Renée

doi:10.1016/j.jad.2019.07.016

Cited by 14 publications

(21 citation statements)

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“…Recent studies (Malhi et al, 2019;Sommer et al, 2019) have investigated SI, but only a few studies have used fMRI. In this regard, Oppenheimer et al (2019) conducted a very important study on adolescent SI, considering the impact of social exclusion as a facilitating factor for suicide.…”

Section: Suicidal Ideation and Social Exclusionmentioning

confidence: 99%

Suicidal Ideation in Adolescence: A Perspective View on the Role of the Ventromedial Prefrontal Cortex

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Longobardi

2020

Front. Psychol.

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Suicide in adolescence is a worldwide issue, and it continues to present a serious problem in terms of its prevention. Among the various aspects of suicide, a very interesting area of research is represented by suicidal ideation. Recently, neuroimagingbased methods have made it possible to study the cognitive processes involved in several social situations and clinical conditions. This theoretical perspective article with an interdisciplinary approach integrates evidence from developmental psychology and social neuroscience with the aim of investigating the role of the brain area responsible for regulating negative emotions during the cognitive processes of suicidal ideation: the ventromedial prefrontal cortex. By highlighting the role of brain areas in the few studies published so far, it is possible to develop perspectives of considerable impact. Studying and understanding the role of brain areas involved in suicidal thoughts in adolescents could facilitate the creation of new perspectives on prevention programs and interventions.

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Section: Suicidal Ideation and Social Exclusionmentioning

confidence: 99%

Suicidal Ideation in Adolescence: A Perspective View on the Role of the Ventromedial Prefrontal Cortex

Morese

Longobardi

2020

Front. Psychol.

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“…Two recent studies by our group examined the negative health correlates associated with comorbid GAD and chronic pain. 13,27 We found that GAD in the context of chronic pain was associated with increased pain severity and disability compared to the pain condition alone 13 and that comorbidity was associated with increased suicidality compared to GAD only. 27 Research indicates that both individuals with GAD and chronic pain have elevated rates of substance misuse, which has been hypothesized as a maladaptive coping strategy.…”

mentioning

confidence: 76%

“…13,27 We found that GAD in the context of chronic pain was associated with increased pain severity and disability compared to the pain condition alone 13 and that comorbidity was associated with increased suicidality compared to GAD only. 27 Research indicates that both individuals with GAD and chronic pain have elevated rates of substance misuse, which has been hypothesized as a maladaptive coping strategy. 9,10,28 Opioids are a common treatment approach for chronic pain; 29 however, research suggests that individuals with chronic pain may turn to nonmedical opioids (i.e., opioids without a prescription or misuse of prescription opioids 4 ) and other substances such as illicit drugs (e.g., cocaine, heroin) and alcohol.…”

mentioning

confidence: 76%

“…This finding supports our previous work that identified comorbid GAD þ migraine, compared to chronic pain only, was associated with the worst profile of pain severity and disability, 13 and, compared to GAD only, greater suicide ideation and plans. 27 It is possible that the presentation of GAD, which can include muscle tension, irritability, and worried thoughts, 26 is similar to the presentation of migraines. It has been suggested that migraines can be an indicator of the presence of GAD.…”

Section: Discussionmentioning

confidence: 99%

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An Examination of Comorbid Generalized Anxiety Disorder and Chronic Pain on Substance Misuse in a Canadian Population-Based Survey

et al. 2020

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Objectives: Chronic pain and generalized anxiety disorder (GAD) are co-occurring, and both conditions are independently associated with substance misuse. However, limited research has examined the impact of comorbid GAD and chronic pain on substance misuse. The aim of this article was to examine the associations between comorbid GAD and chronic pain conditions compared to GAD only with nonmedical opioid use, drug abuse/dependence, and alcohol abuse/dependence in a Canadian, population-based sample. Methods: Data came from the 2012 Canadian Community Health Survey–Mental Health ( N = 25,113). Multiple logistic regressions assessed the associations between comorbid GAD and chronic pain conditions (migraine, back pain, and arthritis) on substance misuse. Results: Comorbid GAD + back pain and GAD + migraine were associated with increased odds of nonmedical opioid use compared to GAD only. However, the relationship was no longer significant after controlling for additional chronic pain conditions. No significant relationship was found between GAD + chronic pain conditions with drug or alcohol abuse/dependence. Conclusions: Comorbid GAD + back pain and GAD + migraine have a unique association with nonmedical opioid use in Canadians compared to GAD only, and chronic pain multimorbidity may be driving this relationship. Results emphasize the need for screening for substance misuse and prescription access in the context of GAD and comorbid chronic pain.

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“…Além da elevada tensão muscular, o quadro clínico do TAG está associado à reduzida flexibilidade da função autonômica (Thayer, Freidman & Borkovec, 1996) e a diversas comorbidades médicas: doença arterial coronariana (Liu, Tian, Liu, Nigatu, & Wang, 2019), enxaqueca (Sommer, Blaney & El-Gabalawy, 2019), síndrome do intestino irritável (Kaplan, Franzen, Nickell, Ransom & Lebovitz, 2014), entra outras, trazendo prejuízos na qualidade de vida e aumento de custos para os serviços de saúde (Bereza, Machado & Einarson, 2009e Newman 2000.…”

Section: Tag: Critérios E Características Diagnósticas Geraisunclassified

A inter-relação entre preocupações e sintomas depressivos em adultos com ansiedade generalizada: uma análise cross-lagged

Martins¹

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Agradeço aos meus pais, Carlos e Bárbara, a partir dos quais a união de duas minúsculas células iniciou a trajetória deste ser que vos escreve. Além da vida, no sentido biológico do termo, agradeço pelo amor, suporte e carinho incondicionais, pela educação e senso crítico que me propiciaram, além do desenvolvimento de minhas principais referências e valores.Aos meus irmãos, Thiago, grande companheiro e irmão em sentido macro, e Ricardo "Rico", por ser um exemplo de vida para todos nós. À Mari, querida cunhada de tantos anos.Minha família, nuclear e estendida, compõe a base de quem fui e sou. Tive e tenho felicidade de serem muitos a quem posso chamar de familiares, pessoas com quem diversas coisas boas vivi e aprendi ao longo da vida. Para não deixar ninguém de fora, direciono minha fala a todos e todas: muito obrigado por tudo!A Marlucinha e Neide, um reconhecimento especial pela dedicação e afeto maternais para mim e meus irmãos.Aos amigos de todas as épocas, agradeço pela companhia transformadora ao longo dos anos. À USP, e todo seu macrocosmo, por ter sido uma casa por onde vivi algumas das principais fases, e aprendizados, de minha vida. E por ter me acolhido de volta como estudante nesta segunda passagem. Infelizmente meu contato com as pessoas da cidade universitária foi muito mais restrito desta vez, mas, ainda assim, foi ótimo. Em meus tempos de Instituto de Psicologia e, posteriormente, de Instituto de Psiquiatria (como voluntario), busquei tentar retribuir com dedicação e afinco, principalmente na parte assistencial clínica, o investimento que me foi oferecido durante a graduação e, nos últimos dois anos, mestrado.Ao SUS, por ser um pilar fundamental para a saúde deste país. Apesar dos problemas, arrisco dizer ser grandemente subvalorizado pela nossa população.Sinto orgulho em ter podido contribuir um pouco, via IP e IPq, com o SUS.Ao Dr Márcio Bernik, por ser uma referência semanal de conhecimento e por ter feito uma apresentação em um Interligas de Psiquiatria no segundo semestre de 2013 que foi "pontapé inicial" para que eu procurasse o AMBAN.Aos colegas, professores e amigos de AMBAN e IPq (desde a especialização), com quem tenho ótimas lembranças, construí laços afetivos fortes e muito aprendi e cresci pessoal e profissionalmente. Por serem muitos nomes, escolhi destacar, neste texto, aqueles que participaram mais ativamente do "Projeto FlexPsi", que ramificou neste trabalho de mestrado: Ana Paula,

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A population-based examination of suicidality in comorbid generalized anxiety disorder and chronic pain

Cited by 14 publications

References 58 publications

Suicidal Ideation in Adolescence: A Perspective View on the Role of the Ventromedial Prefrontal Cortex

Suicidal Ideation in Adolescence: A Perspective View on the Role of the Ventromedial Prefrontal Cortex

An Examination of Comorbid Generalized Anxiety Disorder and Chronic Pain on Substance Misuse in a Canadian Population-Based Survey

A inter-relação entre preocupações e sintomas depressivos em adultos com ansiedade generalizada: uma análise cross-lagged

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