Predictors of psychological distress in chronic pain patients

Walker, Jan; Sofaer, Beatrice

doi:10.1046/j.1365-2648.1998.00526.x

Cited by 19 publications

(11 citation statements)

References 30 publications

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“…The reason for this difference is not clear. In this smaller sample, the INT participants were younger (INT M ¼ 43, ABD ¼ 45, GYN ¼ 46 years) and more had chronic pain (INT ¼ 40%; ABD ¼ 36%; GYN ¼ 33%), perhaps associated with chronic stress and sustained sympathetic effects (McEwen, 2003;Walker & Sofaer, 1998).…”

Section: Discussionmentioning

confidence: 84%

Relaxation and music reduce pain following intestinal surgery

Good

Anderson

Ahn

et al. 2005

Research in Nursing & Health

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Three nonpharmacological nursing interventions, relaxation, chosen music, and their combination, were tested for pain relief following intestinal (INT) surgery in a randomized clinical trial. The 167 patients were randomly assigned to one of three intervention groups or control and were tested during ambulation and rest on postoperative days 1 and 2. Pain sensation and distress were measured with visual analog scales (VAS). Multivariate analysis of covariance showed significantly less post-test pain in the intervention groups than in the control group on both days after rest and at three of six ambulation post-tests (p ¼ .024-.001), resulting in 16-40% less pain. Mixed effects after ambulation were due to the large variation in pain and difficulty relaxing while returning to bed; but post hoc explorations showed effects for those with high and low pain. These interventions are recommended along with analgesics for greater postoperative relief without additional side effects.ß

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Section: Discussionmentioning

confidence: 84%

Relaxation and music reduce pain following intestinal surgery

Good

Anderson

Ahn

et al. 2005

Research in Nursing & Health

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“…Another stress factor could be financial strain. Earlier studies have reported associations between financial problems and relationship problems in patients with chronic pain (25) as well as between financial strain and duration of sick leave (7). Our results indicate a somewhat steeper decrease in partner relationship quality in the long term in the presence of financial strain, especially where there were children living at home who had to be maintained.…”

Section: Discussionmentioning

confidence: 99%

“…Another study reported predictors of psychological distress in chronic pain patients and found the following predictors: fears about the future, regrets about the past, being young, needing practical help, feeling unoccupied and having personal relationship problems. The relationship problems were closely associated with financial problems, lack of emotional support and high levels of pain (25). Stress‐related disorders can also be found in women exposed to domestic violence, sexual abuse or both.…”

Section: Introductionmentioning

confidence: 99%

Partner relationships and long‐term sick leave among female workers: consequences and impact on dimensions of health and return to work

Dellve

Ahlborg

2012

Scandinavian Caring Sciences

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Few efforts have been made to prospectively identify resources and obstacles outside work that may predict regained work ability and return to work when workers are on sick leave. This study investigates the association between partner relationships and sick leave. Our research questions were as follows: (i) What is the influence of sick leave, pain, stress and domestic strain on the quality of the dyadic partner relationship?, and (ii) What is the influence of the partner and social relationship on pain, stress, work ability, self-rated health and return to work? A cohort of female workers (n = 225) on long-term sick leave (>60 days), all in a partner relationship, at 6-month intervals completed a questionnaire based on the Quality of Dyadic Relationship (QDR) instrument, the Interview Schedule of Social Interaction (ISSI), the Work Ability Index (WAI) and the Copenhagen Psychosocial Questionnaire (COPSOQ). Univariate and multivariate analyses of baseline and prospective data were performed. The results showed that decreased partner relationship quality was related to having major responsibility for household work despite being on sick leave, having pain and having decreased social integration. Among younger individuals on sick leave, a reduction in the quality of the partner relationship was shown already at the first (6-month) follow-up, while among middle-aged women, such a reduction was seen only at the 12-month follow-up. No dimensions of partner relationship quality at baseline were related to dimensions of return to work, either as a resource or as an obstacle. Consequently, our results show that a good relationship does not keep the woman from returning to work. Having main responsibility for household work, which implies domestic strain while on sick leave, predicts lower partner relationship quality. The practical implications are that healthcare professionals treating women on sick leave should emphasize the importance of keeping a social network as well as making sufficient adjustments at home for the relationship quality to be safeguarded. Special attention should be given to the young woman on sick leave as being on sick leave seems to influence her partner relationship considerably.

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“…Mood disorders and long‐term pain, among other factors, have been reported to influence the relationships with close relatives negatively (Turk et al. , 1995; Walker & Sofaer, 1998; Robinson et al. , 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Chronic/long‐term pain, recurrent or persistent, regardless of cause, has been reported to have an effect on physical functioning and to be associated with mood disorders (Turk et al. , 1995; Walker & Sofaer, 1998; Craig, 1999). Long‐term pain may impose stress on the person and the family and cause considerable suffering in everyday life that affects well‐being and QoL.…”

Section: Introductionmentioning

confidence: 99%