The Relationships Between Determination of Treatment Success and Emotional Factors in Patients With Chronic Musculoskeletal Pain

Yi, Tae Im; Kim, Bo Kyoung; Ha, Seung A; Lim, Ji Young

doi:10.5535/arm.2014.38.1.77

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…Although perceptions of symptom importance have not been studied in cancer patients, these perceptions have been assessed in patients with chronic pain conditions (Robinson et al, 2005). Studies have found that not all patients prioritize improvement in the same symptoms; some patients were most interested in pain reduction, whereas others placed greater emphasis on improvement of other symptoms, such as fatigue or emotional distress (Robinson et al, 2005; Yi et al, 2014; Zeppieri et al, 2012). Not only do patients differ in the specific symptoms they consider most important, they also differ in the overall number of symptoms they prioritize for improvement.…”

Section: Introductionmentioning

confidence: 99%

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Factors underlying metastatic breast cancer patients' perceptions of symptom importance: a qualitative analysis

et al. 2016

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The symptom literature in cancer has primarily examined symptom severity, frequency and distress. Assessing cancer patients' perceptions of symptom importance-how important it is for them to see improvement in a symptom following an interventionand factors influencing these judgments would also inform patient-centred care, but this analysis has not been undertaken. This qualitative study aimed to identify factors underlying perceptions of symptom importance among 25 symptomatic metastatic breast cancer (MBC) patients. Participants were recruited from a cancer centre in the Midwestern USA. Semi-structured interviews focused on patients' rationale for considering common symptoms (i.e., anxiety, sadness, sleep problems, pain or fatigue) to be important. Thematic analyses revealed five interrelated factors underlying MBC patients' perceptions of symptom importance: activity restriction, concentration difficulties, exacerbation of other physical symptoms, symptom-related long-term health concerns and negative impact on their relationships with others. Patients most frequently stated that a physical or psychological symptom was important because of the resulting activity restriction. Additionally, some patients considered pain to be important because it signalled potential long-term health concerns, such as worsening metastatic disease. Findings suggest that clinicians should take into account MBC patients' perceptions of symptom importance and factors underlying these judgments when making shared treatment decisions. K E Y W O R D Sanxiety, fatigue, metastatic breast cancer, pain, psychological, symptoms

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Section: Introductionmentioning

confidence: 99%

“…Such differences in number of prioritized symptoms may be related to important outcomes. For example, patients with chronic pain who rate all symptoms as highly important have been found to experience greater anxiety and depressive symptoms (Yi et al, 2014; Zeppieri et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Factors underlying metastatic breast cancer patients' perceptions of symptom importance: a qualitative analysis

et al. 2016

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“…Table shows the characteristics of the included studies. In most quantitative studies (N=18), a self‐constructed questionnaire was used; six studies used a validated questionnaire . Most studies (N=12) were conducted in the USA, seven in Europe, two in Australia and two in Asia.…”

Section: Resultsmentioning

confidence: 99%

“…In most quantitative studies (N=18), a self-constructed questionnaire [25][26][27][28][29][30][31][32][33] was used; six studies used a validated questionnaire. [34][35][36][37][38][39] Most studies (N=12) were conducted in the USA, seven in Europe, two in Australia and two in Asia. Research aims and management settings were diverse.…”

Section: Data Collection Extraction and Synthesismentioning

confidence: 99%

Patient expectations for management of chronic non‐cancer pain: A systematic review

Geurts

Willems

Lockwood

et al. 2016

Health Expectations

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BackgroundChronic pain is a major economic and social health problem. Up to 79% of chronic pain patients are unsatisfied with their pain management. Meeting patients’ expectations is likely to produce greater satisfaction with care. The challenge is to explore patients’ genuine expectations and needs. However, the term expectation encompasses several concepts and may concern different aspects of health‐care provision.ObjectiveThis review aimed to systematically collect information on types and subject of patients’ expectations for chronic pain management.Search strategyWe searched for quantitative and qualitative studies. Because of the multidimensional character of the term “expectations,” the search included subject headings and free text words related to the concept of expectations.Data extraction and synthesisA framework for understanding patients’ expectations was used to map types of expectations within structure, process or outcome of health care.Main resultsTwenty‐three research papers met the inclusion criteria: 18 quantitative and five qualitative. This review found that assessment of patients’ expectations for treatment is mostly limited to outcome expectations (all 18 quantitative papers and four qualitative papers). Patients generally have high expectations regarding pain reduction after treatment, but expectations were higher when expressed as an ideal expectation (81‐93% relief) than as a predicted expectation (44‐64%).Discussion and conclusionsFor health‐care providers, for pain management and for pain research purposes, the awareness that patients express different types of expectations is important. For shared decision making in clinical practice, it is important that predicted expectations of the patient are known to the treating physician and discussed.Structure and process expectations are under‐represented in our findings. However, exploring and meeting patients’ expectations regarding structure, process and outcome aspects of pain management may increase patient satisfaction.

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“…Nearly a third of FM patients simply wanted to know if they actually believed that the disease with which they were diagnosed really existed. These desires took precedence over the development of more effective drugs, more funding for research and better diagnosis 18,24,43 . Patients are more satisfied when their physicians adopt a therapeutic set, not limited to the prescribed drugs, and use a greater variety of methods to deal with FM symptoms, showing more concern with them.…”

Section: Fibromyalgia Patients' Needs Under Their Own Perspectivesmentioning

confidence: 99%

Adherence to fibromyalgia treatment: challenges and impact on the quality of life

Júnior

Ramos

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Fibromyalgia is a chronic and idiopathic syndrome, characterized by a general distributed pain, more prevalent in women. Its pathophysiology remains unclear. Its chronicity implies an exclusively symptomatic treatment, often unsatisfactory. The lack of adherence to the established treatment is quite common. The objective of this study is to present a review of the adherence to the fibromyalgia syndrome treatment. CONTENTS: The concept of adherence to the fibromyalgia syndrome treatment, its classification, the identification of its measurement options, and the detection of its causes are detailed, revised and updated. CONCLUSION: The review of the literature regarding the adherence to the fibromyalgia syndrome treatment points to a large number of nonconformity of prescription, in general with the prevalence of the adoption of the reduction of the recommended dose and the interruption of the treatment, over possible overdoses and self-medication. The study of the causes that led to the non-adherence to the treatment elects the characteristics of the syndrome as the great villain for its occurrence. However, other associated factors such as the age of the subject with fibromyalgia, the intensity of the pain, the established polypharmacy, the quality of the doctor-patient relationship and the socioeconomic variables were also listed. The patient's quality of life was always higher in patients with higher adherence to treatment and persistence. Patients' quality of life indices may indicate the level of commitment to treatment adherence, and vice versa.

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The Relationships Between Determination of Treatment Success and Emotional Factors in Patients With Chronic Musculoskeletal Pain

Cited by 9 publications

References 15 publications

Factors underlying metastatic breast cancer patients' perceptions of symptom importance: a qualitative analysis

Factors underlying metastatic breast cancer patients' perceptions of symptom importance: a qualitative analysis

Patient expectations for management of chronic non‐cancer pain: A systematic review

Adherence to fibromyalgia treatment: challenges and impact on the quality of life

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