An Interactive Model of Pain and Myocardial Ischemia

Hofkamp, Susan E.; Henrikson, Charles A.; Wegener, Stephen T.

doi:10.1097/psy.0b013e318151a4bd

Cited by 8 publications

(5 citation statements)

References 73 publications

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“…Culture, social attitudes, and relationships help shape self-concept and the ways people participate and experience illness and disability. Abundant evidence also suggests the importance of psychosocial factors in the expression of illness [80–82]. Intersections among the 3 spheres—the body, mind, and society—represent the biopsychosocial model, which is widely accepted as the most heuristic approach to understanding illness and disability today [49].…”

Section: The Biopsycho-ecological Modelmentioning

confidence: 99%

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

Stineman

Streim

2010

PM&R

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The current biomedical and psychosocial frameworks that form the conceptual basis of medicine today are insufficient to address the needs of the medically complex and environmentally challenged populations of patients often cared for by physical medicine and rehabilitation specialists. The expanded biopsycho-ecological model of health, illness, injury, and disability operating through mechanisms of Health Environmental Integration (HEI) encourages a more complete understanding of illness, injury, activity limitation, and participation restriction as arising at the interface between the person and the environment. HEI recognizes complex interacting multilevel functional hierarchies beginning at the cellular level and ending at the individual’s experience of the environment. Although the foci of illness and injury are within the body and mind, the physical and social environments contain elements that can cause or exacerbate disease and barriers that interact in ways that lead to injuries and disabilities. Furthermore, these environments hold the elements from which treating agents, facilitators, and social supports must be fashioned. The highly integrative biopsycho-ecological framework provides an expanded basis for understanding the objective causes and subjective meanings of disabilities. Disabilities are reduced through HEI by seeking to maximally integrate the body and mind (the self) with both the surrounding physical environment and other people in society. HEI offers mechanisms for interdisciplinary research, an expanded framework for education and empowerment, and a blueprint for optimizing day-to-day clinical care at both the individual patient and treatment population levels in the ever-changing scientific, political, and policy environments.

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Section: The Biopsycho-ecological Modelmentioning

confidence: 99%

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

Stineman

Streim

2010

PM&R

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“…Chest pain characteristics such as intensity, onset, relieving and aggravating factors may differ from patient to patient [3]. Many researchers across the globe have contributed their knowledge to this phenomenon and have tried to explain the mechanism behind cardiac pain perception [4]. Despite available literature, there is a limited understanding of exact pain pathways and precipitating factors to pain, such as the intensity of pain with respect to the region of myocardium being affected.…”

Section: Introductionmentioning

confidence: 99%

Severity of Chest Pain among Acute Myocardial Infarction Patients with Diagonal Branch Vessel Disease: A Pilot Study

Rahman¹,

Artani²,

Baloch³

et al. 2019

Cureus

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Introduction: Acute myocardial infarction (AMI) patients present with variable clinical manifestations such as shortness of breath, nausea, etc. among which chest pain is the most common. Previous studies have reported that the clinical presentation of AMI patients with branch vessel disease is indistinguishable from epicardial coronary vessel disease. However, our experience suggests patients with branch vessel disease experience severe chest pain, especially those with a diagonal branch. Therefore, we aim to study the association of chest pain severity with isolated diagonal branch vessel disease as a culprit vessel in AMI patients.Methods: It is a retrospective case-control design, where 10 cases and 40 historic controls were recruited in the study. Cases were patients with isolated diagonal branch disease, whereas controls were patients with epicardial vessel disease in AMI. We reviewed Coronary Angiograms of adult patients who presented with acute myocardial infarction and had undergone coronary angiography at Aga Khan University Hospital, Karachi (AKUH). Information on pain scores was measured using the Numeric Pain Rating Scale (NRS) before administration of analgesics. Other relevant variables were also recorded on a pre-structured questionnaire.Results: The mean age of all the participants in the study was 60 ± 11.0 years, with 16% of the patients being women. Among all AMI patients, the intensity of chest pain in patients with isolated diagonal branch vessel disease was 2.6 units higher as compared to those with other epicardial coronary vessel diseases (p-value: <0.001; 95% CI: 1.67 - 3.46).Conclusion: This preliminary study indicates severe chest pain can be a differentiating symptom in AMI patients with diagonal branch disease. It emphasizes clinicians to look for a possibility of a diagonal branch as a culprit vessel in AMI for better judgment, as it is often overlooked. future studies may be conducted at multiple centers for larger sample size and better generalizability.

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“…A number of biological factors (e.g., comorbid conditions, age, gender, racial differences) impact the chronic pain experience of adults with SCD (Hofkamp, Henrickson, & Wegener, 2007). While some biological factors are common to all types of chronic pain, some are unique to persons with SCD.…”

Section: Discussionmentioning

confidence: 99%

A Biopsychosocial-Spiritual Model of Chronic Pain in Adults with Sickle Cell Disease

Taylor

Stotts

Humphreys

et al. 2013

Pain Management Nursing

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Chronic pain in adults with sickle cell disease (SCD) is a complex multidimensional experience that includes biological, psychological, sociological, and spiritual factors. To date, three models of pain associated with SCD (i.e., biomedical model; biopsychosocial model for SCD pain; Health Belief Model) are published. The biopsychosocial (BPS) multidimensional approach to chronic pain developed by Turk and Gatchel is a widely used model of chronic pain. However, this model has not been applied to chronic pain associated with SCD. In addition, a spiritual/religious dimension is not included in this model. Because spirituality/religion is central to persons affected by SCD, this dimension needs to be added to any model of chronic pain in adults with SCD. In fact, data from one study suggest that spirituality/religiosity is associated with decreased pain intensity in adults with chronic pain from SCD. A BPS-Spiritual model is proposed for adults with chronic pain from SCD since it embraces the whole person. This model includes the biological, psychological, sociological, and spiritual factors relevant to adults with SCD based on past and current research. The purpose of this paper is to describe an adaptation of Turk and Gatchel’s model of chronic pain for adults with SCD and to summarize research findings that support each component of the revised model (i.e., biological, psychological, sociological, spiritual). The paper concludes with a discussion of implications for the use of this model in research.

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An Interactive Model of Pain and Myocardial Ischemia

Cited by 8 publications

References 73 publications

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

Severity of Chest Pain among Acute Myocardial Infarction Patients with Diagonal Branch Vessel Disease: A Pilot Study

A Biopsychosocial-Spiritual Model of Chronic Pain in Adults with Sickle Cell Disease

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