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Mark P Jensen - One of the best experts on this subject based on the ideXlab platform.
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a prospective study of pain and Psychological Functioning following traumatic spinal cord injury
Spinal Cord, 2016Co-Authors: Nanna B Finnerup, Mark P Jensen, Cecilia Norrbrink, Katarzyna Trok, I L Johannesen, Troels S Jensen, Lars WerhagenAbstract:Longitudinal study. To study prospectively pain characteristics, change in pain over time and the associations between pain and Psychological Functioning in adults with traumatic spinal cord injury (SCI). Neurosurgical departments, SCI rehabilitation centres and the community. Adults with traumatic SCI admitted over a 3-year period to two neurosurgical departments underwent clinical examination and questionnaires within 3 months after injury (baseline) and at 6, 12 and 42 months following SCI. Pain intensity and interference within the last 7 days, a global quality of life (QoL) item, the 5-item Mental Health Index and the 6-item Catastrophizing scale were used. Ninety individuals were recruited, of which 81 completed a telephone interview on average 3.5 (s.d., 0.6) years after the SCI. Pain was present in 75% at 3.5 years. Baseline pain catastrophizing scores did not predict pain intensity at 3.5 years. Both Psychological Functioning and QoL increased over time. QoL scores increased less in participants who reported an increase in pain intensity from baseline to the 3.5-year follow-up, and the change in QoL score correlated with the change in pain interference. Neuropathic pain had an onset within the first 12 months and tended to become persistent, whereas musculoskeletal pain more often had a late onset or resolved in cases of early onset. A large proportion of SCI participants continue to experience pain many years after SCI. Teaching individuals with SCI skills to minimise pain’s impact on function as soon as possible following injury may prove beneficial.
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changes in pain related beliefs coping and catastrophizing predict changes in pain intensity pain interference and Psychological Functioning in individuals with myotonic muscular dystrophy and facioscapulohumeral dystrophy
The Clinical Journal of Pain, 2012Co-Authors: Ruben Nieto, Mark P Jensen, Katherine A Raichle, Jordi MiroAbstract:Objectives The primary aim of this study was to test hypothesized associations between changes in Psychological variables (i.e., pain beliefs, catastrophizing and coping strategies) and changes in pain intensity and related adjustment (i.e., pain interference and Psychological Functioning) in individuals with Myotonic Muscular Dystrophy (MMD) and Facioscapulohumeral Muscular Dystrophy (FSHD).
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impact of biopsychosocial factors on chronic pain in persons with myotonic and facioscapulohumeral muscular dystrophy
American Journal of Hospice and Palliative Medicine, 2009Co-Authors: Jordi Miro, Katherine A Raichle, Gregory T Carter, Sarah Obrien, Richard T Abresch, Craig M Mcdonald, Mark P JensenAbstract:To assess the role of biopsychosocial factors in patients with type 1 myotonic and facioscapulohumeral muscular dystrophy (MMD1/FSHD) with chronic pain. Associations between psychosocial factors were found to be important in other samples of persons with pain and both Psychological Functioning and pain interference in a sample of patients suffering from MMD/FSHD. Prospective, multiple group, survey study of 182 patients with confirmed MMD1 and FSHD. Participants completed surveys assessing pain interference and Psychological Functioning, as well as psychosocial, demographic, and injury-related variables. Analyses indicated that greater catastrophizing was associated with increased pain interference and poorer Psychological Functioning, pain attitudes were significantly related to both pain interference and Psychological Functioning, and coping responses were significantly related only to pain interference. In addition, greater perceived social support was associated with better Psychological Functioning. ...
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pain catastrophizing and beliefs predict changes in pain interference and Psychological Functioning in persons with spinal cord injury
The Journal of Pain, 2008Co-Authors: Marisol A Hanley, Mark P Jensen, Katherine A Raichle, Diana D CardenasAbstract:Abstract The current study sought to examine how changes in pain-related beliefs and coping responses are related to changes in pain interference and Psychological Functioning in individuals with spinal cord injuries (SCI) and pain. To measure longitudinal changes in these variables, respondents completed a survey that included measures of pain intensity, pain interference, and Psychological Functioning, as well as specific psychosocial variables (pain-related beliefs, coping, and social support) and then completed the same survey 6 months later; analyses included only the individuals who reported pain at both times (n = 40). Demographic and injury-related variables were also assessed, but none were found to be significantly associated with changes in Functioning. Changes in catastrophizing and belief in one's ability to control pain were each significantly associated with changes in the outcome variables: Greater pain interference and poorer Psychological Functioning. Changes in specific coping strategies and social support were not predictors of changes in pain, interference, or Psychological Functioning. These findings support a biopsychosocial model of pain in persons with SCI. Intervention studies targeting maladaptive pain-related beliefs and catastrophizing may help to identify the causal nature of these relationships and may improve multidisciplinary treatment of pain in SCI. Perspective Intervention studies targeting catastrophizing and maladaptive pain-related beliefs may be the next step in determining which variables play a causal role in the pain interference and Psychological Functioning of individuals with pain and SCI.
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psychosocial factors associated with pain intensity pain related interference and Psychological Functioning in persons with multiple sclerosis and pain
Pain, 2007Co-Authors: Travis L Osborne, Mark P Jensen, Dawn M Ehde, Marisol A Hanley, George H KraftAbstract:Abstract Biopsychosocial models of chronic pain that recognize Psychological and environmental factors as important aspects of adjustment to pain have been proposed for understanding chronic pain and related suffering in persons with multiple sclerosis (MS), but such models have not been empirically tested. The objective of this study was to test such a model by evaluating the associations of several psychosocial variables (i.e., pain-related catastrophizing, perceived social support, pain beliefs, and pain coping) with pain intensity, pain interference with Functioning, and Psychological Functioning in persons with chronic pain and MS, after controlling for demographic and disease-related factors. Participants were 125 community-dwelling persons with MS and pain who completed a mailed questionnaire that included measures of pain intensity and interference, Psychological Functioning, catastrophizing, social support, and pain beliefs and coping. The psychosocial variables accounted for an additional 25% of the variance in average pain intensity after controlling for demographic and disease-related variables (p
Terry Hartig - One of the best experts on this subject based on the ideXlab platform.
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mindfulness based restoration skills training rest in a natural setting compared to conventional mindfulness training Psychological Functioning after a five week course
Frontiers in Psychology, 2020Co-Authors: Freddie Lymeus, Marie Ahrling, Josef Apelman, Cecilia De Mander Florin, Cecilia Nilsson, Janina Vincenti, Agnes Zetterberg, Per Lindberg, Terry HartigAbstract:Restoration skills training (ReST) is a mindfulness-based course that draws on restorative nature experience to facilitate the meditation practice and teach widely applicable adaptation skills. Previous studies comparing ReST to conventional mindfulness training (CMT) showed that ReST has important advantages: it supports beginning meditators in connecting with restorative environmental qualities and in meditating with less effort; it restores their attention regulation capabilities; and it helps them complete the course and establish a regular meditation habit. However, mindfulness theory indicates that effortful training may be necessary to achieve generalized improvements in Psychological Functioning. Therefore, this study tests whether the less effortful and more acceptable ReST approach is attended by any meaningful disadvantage compared to CMT in terms of its effects on central aspects Psychological Functioning. We analyze data from four rounds of development of the ReST course, in each of which we compared it to a parallel and formally matched CMT course. Randomly assigned participants (total course starters = 152) provided ratings of dispositional mindfulness, cognitive Functioning, and chronic stress before and after the 5-week ReST and CMT courses. Round 4 also included a separately recruited passive control condition. ReST and CMT were attended by similar average improvements in the three outcomes, although the effects on chronic stress were inconsistent. Moderate to large improvements in the three outcomes could also be affirmed in contrasts with the passive controls. Using a reliable change index, we saw that over one third of the ReST and CMT participants enjoyed reliably improved Psychological Functioning. The risk of experiencing deteriorated Functioning was no greater with either ReST or CMT than for passive control group participants. None of the contrasts exceeded our stringent criterion for inferiority of ReST compared with CMT. We conclude that ReST is a promising alternative for otherwise healthy people with stress or concentration problems who would be less likely to complete more effortful CMT. By adapting the meditation practices to draw on restorative setting characteristics, ReST can mitigate the demands otherwise incurred in early stages of mindfulness training without compromising the acquisition of widely applicable mindfulness skills.
Marisol A Hanley - One of the best experts on this subject based on the ideXlab platform.
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pain catastrophizing and beliefs predict changes in pain interference and Psychological Functioning in persons with spinal cord injury
The Journal of Pain, 2008Co-Authors: Marisol A Hanley, Mark P Jensen, Katherine A Raichle, Diana D CardenasAbstract:Abstract The current study sought to examine how changes in pain-related beliefs and coping responses are related to changes in pain interference and Psychological Functioning in individuals with spinal cord injuries (SCI) and pain. To measure longitudinal changes in these variables, respondents completed a survey that included measures of pain intensity, pain interference, and Psychological Functioning, as well as specific psychosocial variables (pain-related beliefs, coping, and social support) and then completed the same survey 6 months later; analyses included only the individuals who reported pain at both times (n = 40). Demographic and injury-related variables were also assessed, but none were found to be significantly associated with changes in Functioning. Changes in catastrophizing and belief in one's ability to control pain were each significantly associated with changes in the outcome variables: Greater pain interference and poorer Psychological Functioning. Changes in specific coping strategies and social support were not predictors of changes in pain, interference, or Psychological Functioning. These findings support a biopsychosocial model of pain in persons with SCI. Intervention studies targeting maladaptive pain-related beliefs and catastrophizing may help to identify the causal nature of these relationships and may improve multidisciplinary treatment of pain in SCI. Perspective Intervention studies targeting catastrophizing and maladaptive pain-related beliefs may be the next step in determining which variables play a causal role in the pain interference and Psychological Functioning of individuals with pain and SCI.
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psychosocial factors associated with pain intensity pain related interference and Psychological Functioning in persons with multiple sclerosis and pain
Pain, 2007Co-Authors: Travis L Osborne, Mark P Jensen, Dawn M Ehde, Marisol A Hanley, George H KraftAbstract:Abstract Biopsychosocial models of chronic pain that recognize Psychological and environmental factors as important aspects of adjustment to pain have been proposed for understanding chronic pain and related suffering in persons with multiple sclerosis (MS), but such models have not been empirically tested. The objective of this study was to test such a model by evaluating the associations of several psychosocial variables (i.e., pain-related catastrophizing, perceived social support, pain beliefs, and pain coping) with pain intensity, pain interference with Functioning, and Psychological Functioning in persons with chronic pain and MS, after controlling for demographic and disease-related factors. Participants were 125 community-dwelling persons with MS and pain who completed a mailed questionnaire that included measures of pain intensity and interference, Psychological Functioning, catastrophizing, social support, and pain beliefs and coping. The psychosocial variables accounted for an additional 25% of the variance in average pain intensity after controlling for demographic and disease-related variables (p
Freddie Lymeus - One of the best experts on this subject based on the ideXlab platform.
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mindfulness based restoration skills training rest in a natural setting compared to conventional mindfulness training Psychological Functioning after a five week course
Frontiers in Psychology, 2020Co-Authors: Freddie Lymeus, Marie Ahrling, Josef Apelman, Cecilia De Mander Florin, Cecilia Nilsson, Janina Vincenti, Agnes Zetterberg, Per Lindberg, Terry HartigAbstract:Restoration skills training (ReST) is a mindfulness-based course that draws on restorative nature experience to facilitate the meditation practice and teach widely applicable adaptation skills. Previous studies comparing ReST to conventional mindfulness training (CMT) showed that ReST has important advantages: it supports beginning meditators in connecting with restorative environmental qualities and in meditating with less effort; it restores their attention regulation capabilities; and it helps them complete the course and establish a regular meditation habit. However, mindfulness theory indicates that effortful training may be necessary to achieve generalized improvements in Psychological Functioning. Therefore, this study tests whether the less effortful and more acceptable ReST approach is attended by any meaningful disadvantage compared to CMT in terms of its effects on central aspects Psychological Functioning. We analyze data from four rounds of development of the ReST course, in each of which we compared it to a parallel and formally matched CMT course. Randomly assigned participants (total course starters = 152) provided ratings of dispositional mindfulness, cognitive Functioning, and chronic stress before and after the 5-week ReST and CMT courses. Round 4 also included a separately recruited passive control condition. ReST and CMT were attended by similar average improvements in the three outcomes, although the effects on chronic stress were inconsistent. Moderate to large improvements in the three outcomes could also be affirmed in contrasts with the passive controls. Using a reliable change index, we saw that over one third of the ReST and CMT participants enjoyed reliably improved Psychological Functioning. The risk of experiencing deteriorated Functioning was no greater with either ReST or CMT than for passive control group participants. None of the contrasts exceeded our stringent criterion for inferiority of ReST compared with CMT. We conclude that ReST is a promising alternative for otherwise healthy people with stress or concentration problems who would be less likely to complete more effortful CMT. By adapting the meditation practices to draw on restorative setting characteristics, ReST can mitigate the demands otherwise incurred in early stages of mindfulness training without compromising the acquisition of widely applicable mindfulness skills.
Judith Tedlie Moskowitz - One of the best experts on this subject based on the ideXlab platform.
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self report mindfulness as a mediator of Psychological well being in a stress reduction intervention for cancer patients a randomized study
Annals of Behavioral Medicine, 2010Co-Authors: Richard Branstrom, Pia Kvillemo, Yvonne Brandberg, Judith Tedlie MoskowitzAbstract:Background There is increasing recognition of mindfulness and mindfulness training as a way to decrease stress and increase Psychological Functioning.
