On the body‐mind nexus in chronic musculoskeletal pain: A scoping review

Oliveira, I.; Garrido, Margarida; Bernardes, Sónia F.

doi:10.1002/ejp.1944

Cited by 7 publications

(4 citation statements)

References 72 publications

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“…Social support has been identified as an important predictor of outcome in patients with chronic musculoskeletal pain, including low back and neck pain, affecting both the course and severity of pain and the likelihood of returning to work ( 80 – 82 ). Collectivistic cultural values may also be positively associated with key psychological processes such as self-regulation ( 83 ), which can influence both the perception of musculoskeletal pain and the disability associated with it ( 84 , 85 ). These psychological and social factors may explain why collectivism appears to have a protective effect against chronic low back and neck pain: however, the current study was not designed to examine the mediating effects of such variables.…”

Section: Discussionmentioning

confidence: 99%

The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study

Rajkumar

2023

Front. Pain Res.

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IntroductionLow back pain and neck pain are among the most commonly reported forms of chronic pain worldwide, and are associated with significant distress, disability and impairment in quality of life. Though these categories of pain can be analyzed and treated from a biomedical perspective, there is evidence that they are both related to psychological variables such as depression and anxiety. The experience of pain can be significantly influenced by cultural values. For example, cultural beliefs and attitudes can influence the meaning attached to the experience of pain, the responses of others to a sufferer's pain, and the likelihood of seeking medical care for particular symptoms. Likewise, religious beliefs and practices can influence the both experience of pain and the responses to it. These factors have also been associated with variations in the severity of depression and anxiety.MethodsIn the current study, data on the estimated national prevalence of both low back pain and neck pain, obtained from the 2019 Global Burden of Disease Study (GBD 2019), is analyzed in relation to cross-national variations in cultural values, as measured using Hofstede's model (n =115 countries) and in religious belief and practice, based on the most recent Pew Research Center survey (n = 105 countries). To address possible confounding factors, these analyses were adjusted for variables known to be associated with chronic low back or neck pain, namely smoking, alcohol use, obesity, anxiety, depression and insufficient physical activity.ResultsIt was found that the cultural dimensions of Power Distance and Collectivism were inversely correlated with the prevalence of chronic low back pain, and Uncertainty Avoidance was inversely correlated with the prevalence of chronic neck pain, even after adjustment for potential confounders. Measures of religious affiliation and practice were negatively correlated with the prevalence of both conditions, but these associations were not significant after adjusting for cultural values and confounders.DiscussionThese results highlight the existence of meaningful cross-cultural variations in the occurrence of common forms of chronic musculoskeletal pain. Psychological and social factors that could account for these variations are reviewed, along with their implications for the holistic management of patients with these disorders.

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Section: Discussionmentioning

confidence: 99%

The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study

Rajkumar

2023

Front. Pain Res.

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“…Our evidence supports the integration of IS in cognitive–behavioral models of CP (eg, FAM 57 ), raising the possibility that IS profiles might be related to other relevant (but less investigated) pain-related psychological constructs (eg, psychological flexibility and coping). 46 Likewise, associations with affective (eg, emotional self-regulation and trauma) and social (eg, social support and social isolation) processes, as well as with neural pathways, 39 should be explored. As for clinical practice, our findings may inform the IS profiling of ICPs based on a parsimonious and cost-effective assessment strategy and may help tailor interventions to individuals' IS needs.…”

Section: Discussionmentioning

confidence: 99%

“…57 Although evidence for the association between IS and pain-related behaviors, such as activity patterns (eg, avoidance or pacing or overdoing 30 ) is lacking, some findings support the link between IS and pain-related cognitive and affective processes. For example, according to a recent literature review on body–mind relations in chronic musculoskeletal pain, 46 interoceptive-based interventions (psychomotor therapy) might improve individuals' mental health and quality of life by increasing pain-related self-efficacy and decreasing pain catastrophizing. Drawing on these theoretical models, we expected individuals with higher IS skills to report higher pain-related self-efficacy, lower catastrophizing and kinesiophobia, and more adaptive activity patterns.…”

Section: Introductionmentioning

confidence: 99%

Sensing the body matters: profiles of interoceptive sensibility in chronic pain adjustment

Oliveira,

Vaz Garrido,

Carvalho

et al. 2023

Pain

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Interoception is critical to health regulation and is often disrupted in individuals with chronic pain (ICPs). Interoceptive sensibility (IS)—the self-reported experience and relationship toward internal states—includes skills such as sensing, interpreting, and using bodily information for self-regulation. Current studies on IS and chronic pain (CP) adjustment are scarce, and how the interplay between different IS skills shapes CP adjustment remains unclear. This cross-sectional study aimed to identify profiles of IS skills among ICPs and examined their associations with pain outcomes and psychological and behavioral risk or protective processes. Individuals with chronic musculoskeletal pain (n = 173; 84.4% women) completed the Multidimensional Assessment of Interoceptive Awareness (MAIA), measures of CP adjustment (depression, anxiety, vitality, pain severity, interference, and physical function), psychological (self-efficacy, catastrophizing, and kinesiophobia), and behavioral processes (activity patterns). A cluster analysis identified 3 IS skills profiles: (1) high IS skills (n = 68), with the highest levels of attention regulation toward bodily sensations, body trust, listening for insight, and self-regulation; (2) low IS skills (n = 29), who distracted less and worried more about bodily sensations, and presented lower-body trust; and (3) mixed IS skills (n = 71), despite good body trust, attention regulation, and low worrying, showed lower awareness of body–mind connections. Interoceptive sensibility skills profiles differed in depression, vitality (fatigue), and psychological or behavioral processes, such as pain-related self-efficacy, catastrophizing, kinesiophobia, and activity pacing. These findings contribute to integrating body–mind connections more explicitly into current theoretical CP models and developing tailored interventions targeting specific IS skills to improve CP adjustment.

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“…We found a mild reduction of body awareness in migraine. Reduced body awareness has been described in chronic pain, with an uncertain Impact on disease severity [ 26 ]. In our migraine group, while males displayed reduced body perception, they did not display a worse perception of disease features, in accord with the unclear impact of this factor on pain severity.…”

Section: Discussionmentioning

confidence: 99%

Gender-related stress factors and emotional perception in migraine: a structured online questionnaire in migraine patients and controls

Delussi,

Piraino,

Guerzoni

et al. 2023

Neurol Sci

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Background While migraine is markedly prevalent in women, gender-related phenotype differences were rarely assessed. For this reason, we investigated, through a multicenter observational cross-sectional study, based on an online questionnaire, gender-related differences in stress factors, emotions, and pain perception in migraine patients and controls and their impact on migraine severity. Methods The study was designed as an online questionnaire. The link was emailed to healthy subjects (C) and migraine patients (MIG) (age 18–75, education ≥ 13 years) recruited during the first visit in 8 Italian Headache Centers adhering to Italian Society for Headache Study (SISC). The questionnaire included personal/social/work information, the Perceived Stress Scale, the Romance Quality Scale, the Emotion Regulation Questionnaire, the Beck Anxiety Inventory, the Body Perception Questionnaire, the pain perception, and a self-assessment of migraine severity in the last 3 months. Results 202 MIG and 202 C completed the survey. Independently from gender, migraine was characterized by higher pain sensitivity and more severe partner relationships. The female gender, in MIG, exhibited higher anxiety scores, body awareness, and reduced emotional suppression. Body awareness and emotional suppression were discriminating factors between genders in control and migraine groups without relevant influence on disease features. Perceived perception of migraine severity was similar between genders. Conclusion Gender-related emotional and stress factors did not contribute to delineate a distinct phenotype in migraine men and women. The possible impact of emotional and stress factors characterizing genders could be considered for a single case–tailored therapeutic approach.

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On the body‐mind nexus in chronic musculoskeletal pain: A scoping review

Cited by 7 publications

References 72 publications

The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study

The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study

Sensing the body matters: profiles of interoceptive sensibility in chronic pain adjustment

Gender-related stress factors and emotional perception in migraine: a structured online questionnaire in migraine patients and controls

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