Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Issue title: Thematic Issue: Stress, Pain and the Brain
Guest editors: Gary Goldberg, Blessen Eapen and Leonard Kamen
Article type: Research Article
Authors: McGeary, Cindya | Nabity, Paula | Reed, Davida | Cobos, Brianaa | Eapen, Blessenb | Pugh, Mary Joc | Jaramillo, Carlosd | Potter, Jennifera | Houle, Timothye | Young-McCaughan, Staceya | Peterson, Alana | McGeary, Dona; d; *
Affiliations: [a] Department of Psychiatry, University of Texas Health Science Center at San Antonio, USA | [b] Department of Physical Medicine and Rehabilitation, University of California, Los Angeles, USA | [c] Department of Medicine, University of Utah Health Sciences Center, USA | [d] Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, USA | [e] Department of Anesthesia, Massachusetts General Hospital, USA
Correspondence: [*] Address for correspondence: Don McGeary, PhD, ABPP, Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Tel.: +1 210 567 5454; E-mail: mcgeary@uthscsa.edu.
Abstract: BACKGROUND:Chronic musculoskeletal pain is a complex problem, particularly for individuals with head injury and comorbid psychiatric conditions. The Fear Avoidance Model offers one of the strongest opportunities to conceptualize comorbid traumatic injury and pain, but this model is largely untested. OBJECTIVE:This study tests the Fear Avoidance Model of chronic pain using a sample from a study of polytrauma patients in a large Department of Veterans Affairs facility who participated in a federally-funded study of interdisciplinary chronic pain management. METHODS:The present study comprises a secondary analysis of 93 veterans with chronic pain, head injury, posttraumatic stress symptoms and a history of persistent opioid use. Standardized measures of Fear Avoidance Model risk factors (e.g., pain catastrophizing, fear avoidance beliefs, anxiety, depression) were examined as cross-sectional predictors of pain-related disability. RESULTS:Secondary data analysis revealed that Fear Avoidance Model factors accounted for almost 40% of the variance in pain-related disability, with pain catastrophizing and depression demonstrating the strongest relationships with disability. A summary variable combining all four factors revealed a 6% increase in disability for each factor that was clinically significant for the sample patients. CONCLUSIONS:This study represents the first attempt to examine a complex, theoretical model of pain in a comorbid pain and TBI sample. Findings revealed a strong relationship between this model and pain-related disability that outperforms pain intensity ratings. This model could be used to guide better treatment for comorbid pain and TBI.
Keywords: Polytrauma, chronic pain, fear avoidance, prediction
DOI: 10.3233/NRE-203084
Journal: NeuroRehabilitation, vol. 47, no. 1, pp. 35-43, 2020
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl