Effect of a Positive Psychological Intervention on Pain and Functional Difficulty Among Adults With Osteoarthritis

Hausmann, Leslie R.M.; Youk, Ada O.; Kwoh, C. Kent; Gallagher, Rollin M.; Weiner, Debra K.; Vina, Ernest R.; Obrosky, D. Scott; Mauro, Genna T.; McInnes, Shauna; Ibrahim, Said A.

doi:10.1001/jamanetworkopen.2018.2533

Cited by 33 publications

(39 citation statements)

References 75 publications

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“…The included studies were published between 1981 48 and 2018 45 ; came from 9 countries, 34,38,40,42,46,50,[54][55][56] with 16 from the United States [35][36][37]39,41,[43][44][45][47][48][49][51][52][53][57][58][59] ; had sample sizes ranging from 10 48 to 306 45 , and included a total of 2702 participants (mean [SD] age was 54.42 [9.15] years and 75% were women). Among the 26 included studies, seven were observational studies (four diary 39,42,47,58 , three longitudinal 51,53,55 ) and 19 were experimental studies (seven laboratory experiments 37,40,46,48,52,54,57 , 12 interventions [34][35][36]38,41,[43][44]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Risk-of-bias assessments for individual studies are summarized in eTable 1 in the Supplement. Following the EPHPP tool, six studies 41,[43][44][45]50,59 (23.08%) were classified as "strong" or having low risk of bias; 10 studies [34][35][36][37]40,48,49,52,54,56 (38.46%) were categorized as having "moderate" risk; and 10 studies 38,39,42,46,47,51,53,55,57,58 (38.46%) were categorized as "weak" or having high risk of bias. Weakness ratings derived from the inadequate control of confounders and insufficient information regarding study design, as well as lack of blinding.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Nineteen experimental studies [34][35][36][37][38]40,41,[43][44][45][46][48][49][50]52,54,56,57,59 provided data on pain severity for 1474 participants. As shown in Figure 4, PA had a significant effect in decreasing pain severity (Hedges' g = -0.39; requivalent = -0.22; p < .0001).…”

Section: Experimental Studiesmentioning

confidence: 99%

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Positive Affect and Chronic Pain:A Preregistered Systematic Review and Meta-Analysis

Ong¹,

Thoemmes²,

Ratner³

et al. 2019

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Importance: Chronic non-cancer pain (CNCP) is a significant health burden among adults. Standard behavioral therapies typically focus on targeting negative affect and yield only modest treatment effects. Objective: To systematically review and investigate the association between positive affect (PA) and pain severity among adults with chronic non-cancer pain. Data Sources: Databases search included MEDLINE (PubMed), PsycINFO, CINAHL, ProQuest Dissertations and Theses, OLASTER, Open Grey, PeerJ, and PsyArXiv (inception to September 24, 2018). Study Selection: We analyzed studies that: 1) employed a daily diary, longitudinal, laboratory, or intervention study design; 2) enrolled individuals with CNCP (pain ≥ 12 weeks); and 3) reported full quantitative results on outcomes. Data Extraction and Synthesis: At least 2 researchers independently screened articles, extracted data, and assessed the risk of bias. The main meta-analysis was followed by subgroup analyses. All analyses were performed using random-effects models. Formal tests for heterogeneity (Q-statistic; I2) and publication bias (p-curve and p-uniform*) were performed. Main Outcome: Pain severity. Results: We analyzed 26 studies with 2702 participants. Positive affect was associated with reduced pain severity in both observational and experimental studies. In subgroup analyses, only gender demonstrated a consistent effect: Higher PA was associated with lower pain in observational studies that had higher percentages of female participants. Conclusion and Relevance: Positive affect is associated with a reduction in pain severity, with the strongest association observed among women with CNCP.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

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Positive Affect and Chronic Pain:A Preregistered Systematic Review and Meta-Analysis

Ong¹,

Thoemmes²,

Ratner³

et al. 2019

Preprint

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“…However, a recent large scale randomised clinical trials failed to replicate the effect on knee OA patients 25,26 . Hausmann and colleagues (2017;2018) tested the effect of a PPI that is composed of PPI exercises that targeting gratitude, kindness, mindfulness, and savoring to patients with OA.…”

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confidence: 99%

Which Positive Psychological Intervention would work for Osteoarthritis? A study identifying positive traits that are associated with physical and psychological well-being

Lc¹,

Jwk²,

H³

et al. 2019

Preprint

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Objective: Positive psychology interventions have been shown to be effective in improving psychological and physical wellbeing in general populations and patients with chronic pain. The goal of the current exploratory cross-sectional study is to identify psychological strengths that can be targeted in patient with osteoarthritis (OA) for subsequent development of positive psychology interventions.Methods: A consecutive 156 OA patients referred to a joint re- placement center participated in this study. They complete a questionnaire measuring their psychological strengths and emo- tional experience. Radiographs of knee were taken and physical examination of the knee were performed and also quantified with Knee Society Score and Oxford Knee Score.Results: Correlational analysis revealed that humour, a psycho- logical strength, is significantly correlated with both psychological (increased positive emotional experience) and medical (decreased perceived pain intensity) out- comes. In subsequent hierarchical regression analyses, we found that humour has significant incremental predictability even after controlling for the disease severity (radiographic Kellgren-Law- rence grading, range of movement, alignment, and knee scores), emotional experience, and demographical measurements .Conclusion: Our results are the first to show that people with high- er humour have less pain intensity, independent of clinical and radiological severity of knee osteoarthritis. This study suggests that humor could be a potential therapeutic target for chronic pain associated with knee osteoarthritis and further studies to investigate its biological pathway (like change in endorphins level) and using positive psychology interventions to cultivate humor in OA patients for pain relief are warranted.

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“…This lag in improvement is consistent with the broaden-and-build theory where the development of personal resources could be the key to increased resilience and these take time (eg, building relationships by drawing people in, improving coping skills, and benefitting from behavioral activation that gets patients moving). 8 Another possible explanation for the null findings could be the study population-participants in the study by Hausmann and colleagues 4 ). Thus, for many of the same reasons why Zumba classes might not be the best choice of exercise programs for these veterans, positive psychological interventions could be doomed to fail.…”

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confidence: 99%

Remaining Positive About Positive Psychological Interventions for Pain

Hassett

2018

JAMA Netw Open

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More than 110 Americans die every day from an opioid overdose-that equates to over 40 000 deaths per year. 1 Changes in pharmacological management are a critical element of the effort to address this public health crisis, as is expanding our arsenal of safe, effective, and scalable nonpharmacological interventions for patients with pain. Behavioral therapies like cognitive behavioral therapy (CBT) for pain have been shown to be effective, 2 but also encouraging are interventions that specifically target enhancing resilience like acceptance and commitment therapy, mindfulness-based interventions, and positive psychological interventions. Positive psychological interventions can include activities that cultivate feelings of gratitude, purpose in life, kindness and altruism, and other positive emotions. These interventions are thought to be particularly promising strategies for patients with chronic pain. 3 Hausmann and colleagues 4 described a robust (N = 360), double-blind randomized clinical trial

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Effect of a Positive Psychological Intervention on Pain and Functional Difficulty Among Adults With Osteoarthritis

Cited by 33 publications

References 75 publications

Positive Affect and Chronic Pain:A Preregistered Systematic Review and Meta-Analysis

Positive Affect and Chronic Pain:A Preregistered Systematic Review and Meta-Analysis

Which Positive Psychological Intervention would work for Osteoarthritis? A study identifying positive traits that are associated with physical and psychological well-being

Remaining Positive About Positive Psychological Interventions for Pain

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