The group mechanism in treatment: group identification and cohesion contributes to reducing chronic lower back pain by increasing personal control

Haslam, Catherine; Bertschy, Kristen; Cruwys, Tegan; Griffin, Joanne; Johnson, David

doi:10.1080/09638288.2022.2057602

Cited by 12 publications

(5 citation statements)

References 67 publications

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“…A recent study comparing G4H with treatment as usual for people with chronic low back pain (another COPC) found G4H to be significantly more effective in reducing pain intensity and disability post-intervention and at a one-month follow-up. More robust treatment group identification and cohesion early in the program among G4H recipients predicted better pain outcomes over time, which was fully mediated by perceptions of personal control ( 217 ).…”

Section: Discussionmentioning

confidence: 99%

Interstitial cystitis—an imbalance of risk and protective factors?

Westropp,

Stella,

Buffington

2024

Front. Pain Res.

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Interstitial cystitis (IC) presents as a chronic pain condition with variable combinations of symptoms depending on the species and individual patient. It is diagnosed by the presence of lower urinary tract signs and symptoms in combination with a variety of comorbid health problems, a history of life adversities, and the absence of other conditions that could cause the lower urinary tract signs. IC occurs naturally in humans and cats as a dimensional condition, with patients presenting with mild, moderate, and severe symptoms. Most patients appear to recover without specific treatment. A number of rodent models of IC have been used to study its causes and treatments. Unfortunately, current therapies generally fail to ameliorate IC symptoms long-term. The recent classification of IC as a chronic primary pain disorder calls for a rethinking of current clinical and research approaches to it. Beginning when a patient encounters a clinician, precipitating, perpetuating, and palliating risk factors can be addressed until a cause or reliably effective therapy is identified, and identifying predisposing and preventive factors can inform epidemiological studies and health promotion interventions. Predisposing, precipitating, and perpetuating risk factors, including environmental, psychological, and biological, increase the activity of the central threat response system (CTRS), which plays a clinically important role in IC symptoms. Studies in cats and rodent models have revealed that environmental enrichment (EE), in the absence of bladder-directed therapies, leads to amelioration of IC symptoms, implying a central role for the CTRS in symptom precipitation and perpetuation. Conceptually moving the source of IC pain to the brain as a motivational state rather than one resulting from peripheral nociceptive input offers both clinicians and researchers novel opportunities to improve care for patients with IC and for researchers to use more ecologically valid rodent models. It may even be that IC results from an excess of risk to protective factors, making this imbalance a targetable cause rather than a consequence of IC.

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Section: Discussionmentioning

confidence: 99%

Interstitial cystitis—an imbalance of risk and protective factors?

Westropp,

Stella,

Buffington

2024

Front. Pain Res.

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“…Previous research has shown the benefits of groups, which can improve maintenance and adherence [ 20 ]. Identification has been pointed out as an important factor when attending a group treatment, and a facilitator is needed for successful treatment [ 21 , 22 ]. A review shows the effect of social identification-building on health, offering the possibility to identify with and belong to a group [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

Köpsén

Lilja

Hellgren

et al. 2023

Nursing Research and Practice

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Background. Gestational diabetes mellitus (GDM) is increasing and is associated with adverse outcomes for both mother and child. The metabolic demands of pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and women with a history of GDM are more likely to develop T2DM than women with normoglycemic pregnancies. Aim. The aim of this study was to explore midwives’ and diabetes nurses’ experience of their role in screening, care, and follow-up of women with gestational diabetes mellitus and, further, to explore their opinions and thoughts about existing routines and guidelines. Method. Individual interviews were performed with ten diabetes nurses and eight midwives working in primary and special care. Qualitative content analysis was done according to Graneheim and Lundman. Results. The analysis of the interviews resulted in the overall theme “An act of balance between normalcy and illness, working for motivation with dilemmas throughout the chain of health care.” Difficulties in carrying out the important task of handling GDM while at the same time keeping the pregnancy in focus were central. Women were described as highly motivated to maintain a healthy lifestyle during pregnancy with the baby in mind, but it seemed difficult to maintain this after delivery, and compliance with long-term follow-up with the aim of reducing the risk of T2DM was low. The women came to the first follow-up but did not continue with later contact. This was at a time when the women felt healthy and were focusing on the baby and not themselves. A lack of cooperation and easy access to a dietician and physiotherapist were pointed out as well as a wish for resources such as group activities and multiprofessional teams.

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“…Our study highlights the prevalence of poor movement proficiency in the community and sets the benchmark for movement points of performance research utilising the NeuroHAB Screen that should be specifically targeted with effective functional movement therapy that is inherently and relatively intense, promoting physiological adaption and arresting the suffering from low back pain. Our group's additional research has also shown strong correlations between restoring movement proficiency based on the NeuroHAB screen and improvement in pain and disability in patients with chronic low back pain [24,33,[40][41][42].…”

Section: Discussionmentioning

confidence: 99%

Defining The Disease of Movement Dysfunction Related Low Back Pain - An Observational Study and Description of The Necessary Paradigm Shift Required to Cure the Root Cause of Globally Prevalent Low Back Pain Symptoms

2023

J Orthop Res Ther

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Study Design: This observational study examined defined movement points of performance of a random sample of twentysix subjects working in an inner-city tertiary hospital. Based on the observed biomechanical movement points of performance expressed, Movement Dysfunction or Movement Proficiency for a simple bending task was determined. No subjects declined participation in the study.Background: Movement Dysfunction (MD) is hypothesised to be a significant contributor to the high prevalence of Non-Specific Low Back Pain (NSLBP) in our modern industrialized society. Treatment of low back pain symptoms is conventionally directed towards symptoms. This is clearly apparent by the misguided yet accepted diagnosis and often misused label of "Non-Specific Low Back Pain" which itself is not a diagnosis at all but an admission that the disease causing the symptom remains nebulous. This is unacceptable if progress is to be achieved in controlling the rising prevalence and economic burden of this condition. If the aforementioned hypothesis and authors are correct, in that the disease causing NSLBP symtoms is spino-pelvic Movement Dysfunction, a distinctive management paradigm shift can be implemented with the treatment targets being those of neurologically corrupted motor patterns which manifest as default poor bending technique during activities of daily living, be they trivial or physically demanding. Accelerated musculo-skeletal structural degeneration (degeneritis) and back pain symptoms are secondary sequelae. Tertiary sequale include multifidus muscle fatty atrophy, micro-instability, symtomatic neural compression, macroinstability and central sensitisation. The progression from episodic back pain to chronic back pain and structural changes that require surgical consideration are all preventable if low back pain is considered to be a primary neurological movement disorder and we shift our focus away from common, expensive, invasive and often poorly efficacious strategies such as interventional nociceptor blocks (interventional pain blocks), strengthening and stretching exercise therapy, manual therapy adjustments and deep tissue release in favour of primarily restoring the primary condition of corrupted central nervous system motor patterns that express movement dysfunction of the lumbo-pelvic spine. This is observable as default poor bending technique for simple

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The group mechanism in treatment: group identification and cohesion contributes to reducing chronic lower back pain by increasing personal control

Cited by 12 publications

References 67 publications

Interstitial cystitis—an imbalance of risk and protective factors?

Interstitial cystitis—an imbalance of risk and protective factors?

Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

Defining The Disease of Movement Dysfunction Related Low Back Pain - An Observational Study and Description of The Necessary Paradigm Shift Required to Cure the Root Cause of Globally Prevalent Low Back Pain Symptoms

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