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The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills 2021 University of San Francisco

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment ...


A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas MS 2021 West Virginia University

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms ...


Creatively Exploring Self: Applying Organic Inquiry, A Transpersonal And Intuitive Methodology, Larisa J. Bardsley PhD 2020 La Trobe University

Creatively Exploring Self: Applying Organic Inquiry, A Transpersonal And Intuitive Methodology, Larisa J. Bardsley Phd

The Qualitative Report

This article explores the merit of using Organic Inquiry, a qualitative research approach that is most effectively applied to areas of psychological and spiritual growth. Organic Inquiry is a research approach where the psyche of the researcher becomes the instrument of the research, working in partnership with the experiences of participants and guided by liminal and spiritual influences. Organic Inquiry is presented as a unique methodology that can incorporate other non-traditional research methods, including intuitive, autoethnographic and creative techniques. The validity and application of Organic Inquiry, as well as its strengths and limitations are discussed in the light of the ...


Prescription Analgesia And Adjuvant Use By Pain Severity At Admission Among Nursing Home Residents With Non-Malignant Pain, Kate L. Lapane, Anne L. Hume, Reynolds A. Morrison, William M. Jesdale 2020 University of Massachusetts Medical School

Prescription Analgesia And Adjuvant Use By Pain Severity At Admission Among Nursing Home Residents With Non-Malignant Pain, Kate L. Lapane, Anne L. Hume, Reynolds A. Morrison, William M. Jesdale

Population and Quantitative Health Sciences Publications

OBJECTIVE: We estimated the use of prescribed analgesics and adjuvants among nursing home residents without cancer who reported pain at their admission assessment, in relation to resident-reported pain severity.

METHODS: Medicare Part D claims were used to define 3 classes of analgesics and 7 classes of potential adjuvants on the 21st day after nursing home admission (or the day of discharge for residents discharged before that date) among 180,780 residents with complete information admitted between January 1, 2011 and December 9, 2016, with no cancer diagnosis.

RESULTS: Of these residents, 27.9% reported mild pain, 46.6% moderate pain ...


Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim 2020 Lesley University

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected ...


Imaginary Grave, Bailey M. Tennery 2020 Humboldt State University

Imaginary Grave, Bailey M. Tennery

Toyon Literary Magazine

I posted the work on my Wordpress blog Cinder-Bay.

https://cinderbay.wordpress.com/2018/01/08/pretend-grave/

Yes, I have permission to re-publish the work in Toyon because the blog is my personal site.


Pediatric Postoperative Pain Medication: Child Sex And Ethnicity Interact To Predict Parent Medication Attitudes, Vivian Luong, Harshitha V. Venkatesh, Michelle Fortier, Zeev N. Kain, Brooke N. Jenkins 2020 Chapman University

Pediatric Postoperative Pain Medication: Child Sex And Ethnicity Interact To Predict Parent Medication Attitudes, Vivian Luong, Harshitha V. Venkatesh, Michelle Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little or even no pain medication at home. Such poor pain management in children can have harmful long-term consequences, both physically and psychologically. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by beliefs and attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify which demographic factors are associated with certain parent analgesic attitudes or misconceptions among pediatric patients ...


Art And The Pursuit Of Happiness: How Artists Use Art To Promote Their Emotional Well-Being, August Namuth, Bruce Chase 2020 University of Nebraska at Omaha

Art And The Pursuit Of Happiness: How Artists Use Art To Promote Their Emotional Well-Being, August Namuth, Bruce Chase

Theses/Capstones/Creative Projects

Artists have used art’s positive mental and physical health effects for as long as art has been around. Art is known to have many therapeutic and mood benefiting effects, from reduced anxiety and stress levels, to increased confidence and a sense of purpose. Many different clinical studies have found art to be beneficial to people who have suffered from PTSD, bipolar disorder, strokes, and cancer pain. Despite the clearly beneficial effects of creativity associated with art, artists suffer from disorders such as depression, bipolar disorder, and schizophrenia at a much higher rate than the general population. This study sought ...


Pain Care In The Department Of Veterans Affairs: Understanding How A Cultural Shift In Pain Care Impacts Provider Decisions And Collaboration, Kristin M. Mattocks, Marc I. Rosen, John Sellinger, Tu Ngo, Brad Brummett, Diana M. Higgins, Thomas E. Reznik, Paul Holtzheimer, Alicia M. Semiatin, Todd Stapley, Steve Martino 2020 University of Massachusetts Medical School

Pain Care In The Department Of Veterans Affairs: Understanding How A Cultural Shift In Pain Care Impacts Provider Decisions And Collaboration, Kristin M. Mattocks, Marc I. Rosen, John Sellinger, Tu Ngo, Brad Brummett, Diana M. Higgins, Thomas E. Reznik, Paul Holtzheimer, Alicia M. Semiatin, Todd Stapley, Steve Martino

Open Access Articles

OBJECTIVE: Over the past decade, the Department of Veterans Affairs (VA) has experienced a sizeable shift in its approach to pain. The VA's 2009 Pain Management Directive introduced the Stepped Care Model, which emphasizes an interdisciplinary approach to pain management involving pain referrals and management from primary to specialty care providers. Additionally, the Opioid Safety Initiative and 2017 VA/Department of Defense (DoD) clinical guidelines on opioid prescribing set a new standard for reducing opioid use in the VA. These shifts in pain care have led to new pain management strategies that rely on multidisciplinary teams and nonpharmacologic pain ...


Spiritual And Religious Interventions For Medically High-Risk Adults: A Systematic Review, Nathanael J. Strissel 2020 Liberty University

Spiritual And Religious Interventions For Medically High-Risk Adults: A Systematic Review, Nathanael J. Strissel

Senior Honors Theses

This systematic review is an update and expansion to the population and methods of a previous systematic review concerning spiritual and religious interventions for the well-being of terminally ill adults. After expanding the criteria to incorporate a more diverse population and including non-randomized experimental studies that contained relatively few concerns of bias, the results of the review are inconclusive due to insufficient data. The lack of usable data in the field highlights the ethical and theoretical issues with the use of experimental trials in analyzing the efficacy of spiritual and religious interventions. The development of spirituality in healthcare will remain ...


Individual Vs. Group Delivery Of Acupuncture Therapy For Chronic Musculoskeletal Pain In Urban Primary Care-A Randomized Trial, M. Diane McKee, Arya Nielsen, Belinda Anderson, Elizabeth Chuang, Mariel Connolly, Qi Gao, Eric N. Gil, Claudia Lechuga, Mimi Kim, Huma Naqvi, Benjamin Kligler 2020 University of Massachusetts Medical School

Individual Vs. Group Delivery Of Acupuncture Therapy For Chronic Musculoskeletal Pain In Urban Primary Care-A Randomized Trial, M. Diane Mckee, Arya Nielsen, Belinda Anderson, Elizabeth Chuang, Mariel Connolly, Qi Gao, Eric N. Gil, Claudia Lechuga, Mimi Kim, Huma Naqvi, Benjamin Kligler

Open Access Articles

BACKGROUND: Acupuncture has been shown to be effective for the treatment of chronic musculoskeletal back, neck, and osteoarthritis pain. However, access to acupuncture treatment has been limited in medically underserved and low-income populations.

OBJECTIVE: Acupuncture therapy delivered in groups could reduce cost and expand access. We compared the effectiveness of group versus individual acupuncture for pain and function among ethnically diverse, low-income primary care patients with chronic musculoskeletal pain.

DESIGN: This was a randomized comparative effectiveness non-inferiority trial in 6 Bronx primary care community health centers. Participants with chronic ( > 3 months) back, neck, or osteoarthritis pain were randomly assigned to ...


An Innovative Electronic Health Toolkit (Our Whole Lives For Chronic Pain) To Reduce Chronic Pain In Patients With Health Disparities: Open Clinical Trial, Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas 2020 University of Massachusetts Medical School

An Innovative Electronic Health Toolkit (Our Whole Lives For Chronic Pain) To Reduce Chronic Pain In Patients With Health Disparities: Open Clinical Trial, Paula Gardiner, Salvatore D'Amico, Man Luo, Niina Haas

Center for Integrated Primary Care Publications

BACKGROUND: Chronic pain affects millions of Americans. Our Whole Lives, an electronic health (eHealth) toolkit for Chronic Pain (Our Whole Lives for Chronic Pain [OWLCP]), is a mind-body chronic pain management platform that teaches self-management strategies to reduce pain impact and pain medication use.

OBJECTIVE: The primary goal of this study was to evaluate the feasibility of OWLCP in reducing pain impact and pain-related outcomes.

METHODS: We conducted a pre-post clinical study (2 cohorts) to assess the feasibility of OWLCP usage among low-income patients with chronic pain. Outcome data, collected at baseline and 9 weeks, included Patient-Reported Outcomes Measurement Information ...


In Vitro And In Vivo Effects Of Flavonoids On Peripheral Neuropathic Pain, Paramita Basu, Arpita Basu 2020 University of Pittsburgh School of Medicine

In Vitro And In Vivo Effects Of Flavonoids On Peripheral Neuropathic Pain, Paramita Basu, Arpita Basu

Kinesiology and Nutrition Sciences Faculty Publications

Neuropathic pain is a common symptom and is associated with an impaired quality of life. It is caused by the lesion or disease of the somatosensory system. Neuropathic pain syndromes can be subdivided into two categories: central and peripheral neuropathic pain. The present review highlights the peripheral neuropathic models, including spared nerve injury, spinal nerve ligation, partial sciatic nerve injury, diabetes-induced neuropathy, chemotherapy-induced neuropathy, chronic constriction injury, and related conditions. The drugs which are currently used to attenuate peripheral neuropathy, such as antidepressants, anticonvulsants, baclofen, and clonidine, are associated with adverse side effects. These negative side effects necessitate the investigation ...


Understanding The Role Of Art Programming In Mitigating Social Exclusion As Experienced By People Experiencing Poverty, Emmalee Harper 2020 Regis University

Understanding The Role Of Art Programming In Mitigating Social Exclusion As Experienced By People Experiencing Poverty, Emmalee Harper

All Regis University Theses

Inspired by her own work in the art programs in Denver’s own The Gathering Place, the author explores the role that art programs play in the lives of people experiencing poverty. This interdisciplinary thesis challenges our traditional notions of poverty-alleviation services that would construe art programming as a misappropriation of limited resources. The author explores social isolation and social exclusion in the lives of people experiencing poverty through the broad framework of intersectionality. Art programming is offered as one potential way we could navigate intersectional concerns of exclusion, and this programming is explored through the framework of Relational-Cultural Theory ...


Effects Of Appalachian Culture And Pregnancy Status On Pain-Related Fear, Cecelia Irene Nelson 2020 West Virginia University

Effects Of Appalachian Culture And Pregnancy Status On Pain-Related Fear, Cecelia Irene Nelson

Graduate Theses, Dissertations, and Problem Reports

Fear of pain during pregnancy is an understudied phenomenon with important implications for prenatal and postpartum functioning. The aim of the current study was to understand the role of pregnancy and culture on pain-related fear in Appalachia. Archival datasets, and a new sample of women recruited via Amazon’s Mechanical Turk, were sources of data. Participants completed the Fear of Pain Questionnaire-9 and responded to demographic questions in order to ascertain whether they were pregnant at the time of the study as well as the number and nature of prior pregnancies. In support of hypotheses, results indicated that pregnant women ...


Doubled Up With Pain: Applying A Relational Framework To The Primary Care Provider - Chronic Pain Patient Relationship, Rebecca Hillel 2020 University of Denver

Doubled Up With Pain: Applying A Relational Framework To The Primary Care Provider - Chronic Pain Patient Relationship, Rebecca Hillel

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment relationships between primary care providers (PCPs) and chronic pain patients are often rife with difficult interpersonal dynamics and experienced by both parties as being noncollaborative. It is important that PCPs are provided with recommendations to make these treatment relationships more collaborative. Relational psychological frameworks, such as intersubjectivity, can teach PCPs how to improve their relationships with chronic pain patients. This paper focuses on how to strengthen the working alliance between PCPs and chronic pain patients using intersubjective principles. Conceptualizing the working alliance from an intersubjective lens gives PCPs guidance about where to turn if their treatment relationships with chronic ...


Effectiveness Of Integrative Medicine Group Visits In Chronic Pain And Depressive Symptoms: A Randomized Controlled Trial, Paula Gardiner, Man Luo, Salvatore D'Amico, Katherine Gergen-Barnett, Laura F. White, Robert Saper, Suzanne Mitchell, Jane M. Liebschutz 2019 University of Massachusetts Medical School

Effectiveness Of Integrative Medicine Group Visits In Chronic Pain And Depressive Symptoms: A Randomized Controlled Trial, Paula Gardiner, Man Luo, Salvatore D'Amico, Katherine Gergen-Barnett, Laura F. White, Robert Saper, Suzanne Mitchell, Jane M. Liebschutz

Open Access Articles

BACKGROUND: Current treatment options for chronic pain and depression are largely medication-based, which may cause adverse side effects. Integrative Medical Group Visits (IMGV) combines mindfulness techniques, evidence based integrative medicine, and medical group visits, and is a promising adjunct to medications, especially for diverse underserved patients who have limited access to non-pharmacological therapies.

OBJECTIVE: Determine the effectiveness of IMGV compared to a Primary Care Provider (PCP) visit in patients with chronic pain and depression.

DESIGN: 9-week single-blind randomized control trial with a 12-week maintenance phase (intervention-medical groups; control-primary care provider visit).

SETTING: Academic tertiary safety-net hospital and 2 affiliated federally-qualified ...


Chronic Pain Acceptance: Optimism Mediates The Relation Between Dispositional Mindfulness And Pain Acceptance, Kelli Miles 2019 Stephen F. Austin State University

Chronic Pain Acceptance: Optimism Mediates The Relation Between Dispositional Mindfulness And Pain Acceptance, Kelli Miles

Electronic Theses and Dissertations

ABSTRACT

Chronic pain is associated with many indicators of maladjustment. We expected that five individual components of dispositional mindfulness would be positively associated with pain willingness (Hypothesis 1) and activity engagement (Hypothesis 2). A mediational hypothesis was tested, whereby dispositional mindfulness would be positively associated with optimism and optimism would in turn be positively associated with both pain willingness and activity engagement (Hypothesis 3). Both Hypothesis 1 and 2 were partially supported. Acting with awareness and nonjudging were the only mindfulness components that were positively associated with pain willingness. Other components of mindfulness were either negatively associated with pain willingness ...


Management Of Breakthrough Pain In Cancer Patients: Traditional And Novel Approaches, Courtney Porter, Nathaniel Hedrick, Katherine Salay, Lacey Shumate, Caitlin Swann, Kelly Reilly Kroustos 2019 Ohio Northern University

Management Of Breakthrough Pain In Cancer Patients: Traditional And Novel Approaches, Courtney Porter, Nathaniel Hedrick, Katherine Salay, Lacey Shumate, Caitlin Swann, Kelly Reilly Kroustos

Pharmacy and Wellness Review

Approximately 80 percent of career patients experience breakthrough pain (BTP) characterized by acute onset, short duration, and moderate-to-severe intensity. Treatment of BTP using current available medications is often insufficient, leading to the development of various novel approaches that focus on rapid onset of action and short duration of action. Most of these products are still in clinical trials, and future studies are needed to compare the novel approaches to currently available treatments. Non-medication related issues, which arise from a lack of communication and understanding between the patient, physician and pharmacist, are also barriers to adequate BTP management. By educating patients ...


Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong 2019 Chapman University

Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little pain medication at home. Such poor pain management in children can have harmful long-term consequences. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by the attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify how demographic factors such as child sex and ethnicity predict certain parent analgesic attitudes and, in turn, the amount of pain medication their ...


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