Emotional and Neurobehavioural Status in Chronic Pain Patients

Shuchang, He; Mingwei, HE; Jia, Huang; Wu, Si; Yang, Xing; Antonius, Daniel; Opler, Mark

doi:10.1155/2011/825636

Cited by 14 publications

(12 citation statements)

References 29 publications

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“…Several studies revealed depressive symptoms and suicide risk in CPPs 19,31–34. In our study, the HDRS showed a higher total score and a higher suicide-item score in the CPPs compared to the control group, thus confirming literature results.…”

Section: Discussionsupporting

confidence: 91%

Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study

Margari¹,

Lorusso²,

Matera³

et al. 2014

NDT

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ObjectivesThe objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these negative feelings, analyzing the relationship between CPPs and their caregivers.MethodsWe enrolled a total of 208 patients, divided into CPPs and controls affected by internistic diseases. Assessment included collection of sociodemographic and health care data, pain characteristics, administration of visual analog scale (VAS), Modified Overt Aggression Scale (MOAS), Barratt Impulsiveness Scale Version 11 (BIS), Hamilton Depression Rating Scale (HDRS), and a caregiver self-administered questionnaire. All variables were statistically analyzed.ResultsA significant difference of VAS, MOAS-total/verbal/auto-aggression, HDRS-total/suicide mean scores between the groups were found. BIS mean score was higher in CPPs misusing analgesics. In CPPs a correlation between MOAS-total/verbal/auto-aggression with BIS mean score, MOAS with HDRS-suicide mean score and BIS with HDRS-suicide mean scores were found. The MOAS and BIS mean scores were significantly higher when caregivers were not supportive.ConclusionIn CPPs, aggression and impulsivity could increase the risk of suicide. Moreover, impulsivity, overt aggression and pain could be interrelated by a common biological core. Our study supports the importance of a multidisciplinary approach in the CPPs management and the necessity to supervise caregivers, which may become risk/protective factors for the development of feelings interfering with the treatment and rehabilitation of CPPs.

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Section: Discussionsupporting

confidence: 91%

Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study

Margari¹,

Lorusso²,

Matera³

et al. 2014

NDT

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“…In Spain, prevalence is 17% (75% women) ( 3 ). Chronic pain is a complex phenomenon that is known to have a negative impact on physical ( 4 , 5 ) and psychological function ( 6 ). Individuals with chronic pain are more likely to report more fear ( 7 ), anxiety ( 8 ), depressive symptoms ( 9 ), and negative mood in general ( 10 ) than those without this condition.…”

Section: Introductionmentioning

confidence: 99%

Behavioral Inhibition and Activation Systems, and Emotional Regulation in Individuals With Chronic Musculoskeletal Pain

et al. 2018

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Gray's Reinforcement Sensitivity Theory postulates two distinct neurophysiological systems that underlie thoughts, emotions, and behavior: the Behavioral Inhibition System (BIS) and the Behavioral Approach System (BAS). Preliminary research suggests that both systems may play relevant roles in the adjustment of individuals with chronic pain. However, there is a lack of research on the extent to which emotional regulation (i.e., cognitive reappraisal and expressive suppression) mediates the associations between BIS and BAS activation and emotional responses in individuals with chronic pain. The aim of this study was to test a model of the associations between the BIS and BAS, cognitive reappraisal and expressive suppression, and positive and negative affect in individuals with chronic musculoskeletal pain. In total, 516 participants were interviewed. Structural Equation Modeling was used to estimate the associations between variables. The empirical model showed a good fit to the data (χ2/df = 1.95; RMSEA = 0.04; GFI = 0.99; AGFI = 0.98; CFI = 0.99). The hypothesized model received partial support. The BIS was associated with cognitive reappraisal and expressive suppression; cognitive reappraisal was associated with negative and positive affect; expressive suppression was positively associated with affect; and the BAS was not associated with the emotional regulation strategies assessed. However, the BIS and BAS were both directly associated with negative and positive affect. The results suggest that individuals with chronic pain with higher BIS activation appear to use greater expressive suppression. Cognitive reappraisal strongly mediated the BIS-negative affect association. The results also suggest that BAS activation may have a weak or inconsistent association with emotional regulation approaches in individuals with chronic pain. These data provide new and relevant information on the potential role of the BIS and BAS as predictors of psychological functioning in individuals with chronic pain. They suggest that the BIS-BAS model of chronic pain may need to be modified to take into account the potential negative effects of BAS activation. The findings suggest that treatments for emotional regulation could potentially reduce the negative impact of chronic pain via BIS.

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“…The hypothesized model was constructed on the basis of a previous study 25 – 29 and the result of the current correlational analysis involving total social skills values, VAS, social support, and psychological factors (depression, loneliness). The hypothesis model, with standardized path coefficients, is presented in Figure 4 .…”

Section: Resultsmentioning

confidence: 99%

“…However, loneliness in cancer patients exacerbated psychological conditions such as depression and perception of pain; 23 depression and anxiety can also increase physical pain sensitivity. 24 , 25 Thus, interactions with one’s social environment is critical for managing pain; social skills are among the personal characteristics required for adequate social interaction.…”

Section: Introductionmentioning

confidence: 99%

“… 28 – 31 In addition, it was found that social support reduces pain sensitivity 19 – 22 and that negative psychological condition increases pain sensitivity. 23 – 25 However, there are no studies that have examined relations between social skills and pain sensitivity and that have examined mutual relationships between psychosociological factors and pain sensitivity. Therefore, the aim of this study was to examine 1) the relations between social skills and pain sensitivity and 2) the influence of social skills and psychosociological factors on pain sensitivity, using structural equation modeling.…”

Section: Introductionmentioning

confidence: 99%

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Uncovering the influence of social skills and psychosociological factors on pain sensitivity using structural equation modeling

Tanaka

Nishi

Osumi

et al. 2017

JPR

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Pain is a subjective emotional experience that is influenced by psychosociological factors such as social skills, which are defined as problem-solving abilities in social interactions. This study aimed to reveal the relationships among pain, social skills, and other psychosociological factors by using structural equation modeling. A total of 101 healthy volunteers (41 men and 60 women; mean age: 36.6±12.7 years) participated in this study. To evoke participants’ sense of inner pain, we showed them images of painful scenes on a PC screen and asked them to evaluate the pain intensity by using the visual analog scale (VAS). We examined the correlation between social skills and VAS, constructed a hypothetical model based on results from previous studies and the current correlational analysis results, and verified the model’s fit using structural equation modeling. We found significant positive correlations between VAS and total social skills values, as well as between VAS and the “start of relationships” subscales. Structural equation modeling revealed that the values for “start of relationships” had a direct effect on VAS values (path coefficient =0.32, p<0.01). In addition, the “start of relationships” had both a direct and an indirect effect on psychological factors via social support. The results indicated that extroverted people are more sensitive to inner pain and tend to get more social support and maintain a better psychological condition.

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Emotional and Neurobehavioural Status in Chronic Pain Patients

Cited by 14 publications

References 29 publications

Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study

Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study

Behavioral Inhibition and Activation Systems, and Emotional Regulation in Individuals With Chronic Musculoskeletal Pain

Uncovering the influence of social skills and psychosociological factors on pain sensitivity using structural equation modeling

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Emotional and Neurobehavioural Status in Chronic Pain Patients

Cited by 14 publications

References 29 publications

Aggression, impulsivity, and suicide risk in benign chronic pain patients &ndash; a cross-sectional study

Aggression, impulsivity, and suicide risk in benign chronic pain patients &ndash; a cross-sectional study

Behavioral Inhibition and Activation Systems, and Emotional Regulation in Individuals With Chronic Musculoskeletal Pain

Uncovering the influence of social skills and psychosociological factors on pain sensitivity using structural equation modeling

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Product

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Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study

Aggression, impulsivity, and suicide risk in benign chronic pain patients – a cross-sectional study