An Exploratory Study of Body Awareness in Persons With Heart Failure Treated Medically or With Transplantation

Baas, Linda S.; Beery, Theresa A.; Allen, Gordon A.; Wizer, Michael; Wagoner, Lynne E.

doi:10.1097/00005082-200401000-00007

Cited by 41 publications

(52 citation statements)

References 29 publications

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“…Much of the earlier literature considers a patient’s attentional focus on body symptoms as an expression of anxiety, depression, or somatization [1]. For example, the terms body awareness and somatic awareness have been used in studies of anxiety and panic disorders to describe a cognitive attitude characterized by an exaggerated focus on physical symptoms, magnification (“somatosensory amplification”), rumination, and catastrophic outcome beliefs [2].…”

Section: Introductionmentioning

confidence: 99%

The Multidimensional Assessment of Interoceptive Awareness (MAIA)

et al. 2012

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This paper describes the development of a multidimensional self-report measure of interoceptive body awareness. The systematic mixed-methods process involved reviewing the current literature, specifying a multidimensional conceptual framework, evaluating prior instruments, developing items, and analyzing focus group responses to scale items by instructors and patients of body awareness-enhancing therapies. Following refinement by cognitive testing, items were field-tested in students and instructors of mind-body approaches. Final item selection was achieved by submitting the field test data to an iterative process using multiple validation methods, including exploratory cluster and confirmatory factor analyses, comparison between known groups, and correlations with established measures of related constructs. The resulting 32-item multidimensional instrument assesses eight concepts. The psychometric properties of these final scales suggest that the Multidimensional Assessment of Interoceptive Awareness (MAIA) may serve as a starting point for research and further collaborative refinement.

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Section: Introductionmentioning

confidence: 99%

The Multidimensional Assessment of Interoceptive Awareness (MAIA)

et al. 2012

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“…The emotions were described as either negatively toned or positively toned. Study has demonstrated that BA may be used to monitor physical cues associated with stress and provide a start for stress reduction interventions (Baas et al, 2004). The finding in our study of a shift from the body to the outside world was initiated by either the participants themselves or by a world presenting meaningful and enjoyable activities.…”

Section: Discussionmentioning

confidence: 99%

“…Psychological factors, notably distress, depressive mood, and somatization, have been implicated in the transition to chronic low back pain (Pincus, Burton, Vogel, & Field, 2002). Investigations have also exposed the advantages regarding the ability to notice subtle body sensations and that it may be useful in the management of chronic diseases, such as congestive heart failure (Baas, Berry, Allen, Wizer, & Wagoner, 2004), chronic renal failure (Christensen, Wiebe, Edwards, Micheles, & Lawton, 1996), and chronic low back pain (Mehling, Hamel, Acree, Byl, & Hecht, 2005). Improved BA may change the attitude to one’s own body, enhance the ability to listen to bodily symptoms, and increase sense of control in daily life.…”

mentioning

confidence: 99%

Body awareness in persons diagnosed with rheumatoid arthritis

Lööf

Johansson

Henriksson

et al. 2014

International Journal of Qualitative Studies on Health and Well

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Living with rheumatoid arthritis (RA) poses physiological and psychological demands on a person. RA is a autoimmune disease that can cause pain, disability, and suffering. The ability to notice bodily inner sensations and stimuli (body awareness, BA) is described in the literature in ways that could have either a positive or a negative impact on a person’s health. The concept of BA is complex and a thorough understanding is needed about what BA means from the patient’s perspective. This study was therefore conducted to acquire greater insight into this phenomenon. The study is grounded in a phenomenological life-world perspective. Eighteen narrative interviews were conducted in patients (age range 23–78 years) with RA. The interviews were analyzed using the Empirical Phenomenological Psychological method. General characteristics were found running through all 18 interviews, indicating that the disease resulted in a higher degree of negatively toned BA. BA was either a reactive process of searching or controlling after disease-related symptoms or a reactive process triggered by emotions. BA was an active process of taking an inventory of abilities. All participants had the ability to shift focus from BA to the outside world. Four typologies were identified: “A reactive process on symptoms,” “A reactive process on emotional triggers,” “An active process of taking an inventory of abilities,” and “A shifting from BA to the outside world.” In conclusion, because BA can be both positively and negatively toned, health care professionals must have a good understanding of when BA is positive and when it is negative in relation to the patient. RA had caused a higher degree of negatively toned BA. Thus, the ability to shift attention from BA to activity in the outside world could sometimes be beneficial for the patient’s general health.

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“…Higher scores indicate a higher degree of body awareness. The value of Cronbach's alpha has been reported in previous studies to be between 0.80 and 0.88 [19,36]. The Swedish validated version of the BAQ scale was used.…”

Section: Instrumentmentioning

confidence: 99%

Pain and fatigue in adult patients with rheumatoid arthritis: Association with body awareness, demographic, disease-related, emotional and psychosocial factors

Lööf¹,

Johansson²,

Henriksson³

et al. 2013

OJN

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Background: Patients and clinicians report pain and fatigue as key outcome measures in rheumatoid arthritis. Fatigue and pain are a major concern to patients. Aim: The objective of this study was to examine fatigue and pain in adult patients with rheumatoid arthritis (RA) and to investigate the association between pain and fatigue with body awareness, demographic, disease-related, emotional and psychosocial factors. Method: Data were collected from a sample of patients with RA (n = 120) recruited from a Rheumatology clinic in a large university hospital in Stockholm, Sweden. Eligible for inclusion were patients between 20 -80 years of age and with a confirmed diagnosis of RA. Fatigue was measured using the Multidimensional Assessment of Fatigue (MAF) scale, while the Visual Analogue Scale (VAS) was used to assess components of pain. A multiple stepwise regression analysis was performed to evaluate factors related to fatigue and pain. In the first step a univariate analysis of variance (ANOVA) was used for all relevant independent factors. In the next step backwards stepwise regression was applied. Result: Fatigue was significantly associated with the Disease Activity Score 28-joints (DAS 28) (p = 0.049), the Body Awareness Questionnaire (BAQ) (p = 0.006), the Positive Affect (PA) scale (p = 0.008) and no smoking (p = 0.021). Pain was significantly associated with the EuroQol EQ-5D (p = 0.008) and the DAS 28 (p = 0.001). The adjusted R-square was 28.6% for fatigue and 50.0% for pain. Conclusion: This study clearly demonstrates that fatigue and pain in patients with RA appear to be associated with disease-related factors. Furthermore, fatigue was related to body awareness and emotional factors, and pain was related to health related quality of life.

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An Exploratory Study of Body Awareness in Persons With Heart Failure Treated Medically or With Transplantation

Cited by 41 publications

References 29 publications

The Multidimensional Assessment of Interoceptive Awareness (MAIA)

The Multidimensional Assessment of Interoceptive Awareness (MAIA)

Body awareness in persons diagnosed with rheumatoid arthritis

Pain and fatigue in adult patients with rheumatoid arthritis: Association with body awareness, demographic, disease-related, emotional and psychosocial factors

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