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Chronic pain

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Full-Text Articles in Social and Behavioral Sciences

How Can Art Therapy Help Individuals With Chronic Illnesses? A Literature Review, Emily Heidler May 2024

How Can Art Therapy Help Individuals With Chronic Illnesses? A Literature Review, Emily Heidler

Expressive Therapies Capstone Theses

This literature review examines the influence of art therapy on the self-esteem of individuals who suffer from chronic pain. The research question was: How can art therapy help individuals with chronic illnesses? Through an exploration of the topics of art therapy, chronic pain, parenting style, and self-esteem, it was noted that there is a gap in literature about art therapy’s influence on self-esteem resulting from chronic pain. However, an analysis of the literature reveals that art therapy can influence the self-esteem of individuals who suffer from chronic pain. Art therapy can influence this population by providing a sense of belonging, …


Supporting Students With Chronic Pain: A Group Manual For School Counselors, Victoria Shinners May 2024

Supporting Students With Chronic Pain: A Group Manual For School Counselors, Victoria Shinners

Dissertations, Theses, and Projects

The purpose of this literature review was to examine the current literature on evidence-based interventions for working with youth who have a chronic pain condition. Interventions and other relevant information found were then used to formulate a school counseling group manual utilizing evidence-based interventions for school counselors to deliver to a group of students who live with chronic pain. Cognitive Behavioral Therapy (CBT) is an empirically supported intervention for use with people with chronic pain, adolescents, and group work. Acceptance and Commitment Therapy (ACT) is a newer modality that has promising research on efficacy for adolescents with chronic pain and …


Pain Among Immigrants To Canada: Testing The Healthy Immigrant Effect, Marouna Gomes Feb 2024

Pain Among Immigrants To Canada: Testing The Healthy Immigrant Effect, Marouna Gomes

MA Research Paper

In Canada, immigrants compose roughly one quarter of the population. The health of immigrants and their descendants is key to understanding the future health profile of all Canadians. Current literature on the health of immigrants often uses self-rated health and has produced mixed results regarding the healthy immigrant effect (HIE). Using data from the 2022 NEST survey, my study tests the HIE using chronic pain as a measure of population health to investigate the differences in pain experience among immigrants compared to the Canadian-born population. My results support the HIE: immigrants are 28% less likely to experience pain than Canadian-born …


Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo Jan 2024

Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo

Electronic Thesis and Dissertation Repository

Numerous self-report questionnaires have been used in pain research to explore patients' experiences. However, these questionnaires often employ negatively worded items that can potentially worsen patients' distress. In response to the emergence of positive psychology, this thesis aimed to develop a new questionnaire that adopts a positive and strengths-focused approach, incorporating resilience, to replace the negative items found in existing tools such as the Pain Catastrophizing Scale (PCS). First, the effectiveness of the Connor-Davidson Resilience Scale (CD-RISC) in measuring resilience following trauma was assessed through a systematic review using the COnsensus-based Standards for the selection of health status Measurement INstruments …


How Creative Arts Journaling Offers A Holistic And Humanizing Container For Chronic Pain Experiences: A Literature Review And Autoethnography, Courtney Putnam May 2023

How Creative Arts Journaling Offers A Holistic And Humanizing Container For Chronic Pain Experiences: A Literature Review And Autoethnography, Courtney Putnam

Expressive Therapies Capstone Theses

This expressive arts therapy capstone thesis explores the efficacy of using a creative arts journal in the exploration and management of chronic pain, as well as the correlative mental health issues that arise from chronic pain experiences. Using a biopsychosocial perspective with an awareness of racial health disparities related to chronic pain, I have provided information about chronic pain from medical and humanistic perspectives with a critical review of the literature that showcases the usefulness of the arts for reducing pain, hopelessness, and depression, and increasing mood, self–understanding, and hope. While research on visual journaling for chronic pain is in …


Reimagining Disability: Expressive Arts Therapy As An Empowerment Tool, Isla Goldstein May 2023

Reimagining Disability: Expressive Arts Therapy As An Empowerment Tool, Isla Goldstein

Expressive Therapies Capstone Theses

A quarter of the U.S. adult population is disabled. Current expressive therapies’ approaches are rooted in a medical-interventionist model of disability over a social model of disability. In utilizing the connection between disability arts and creative arts therapies, this capstone thesis explores the tools found within the field – such as photovoice – to examine the impact of hierarchy in therapeutic spaces. Mental health practices are also often rooted in individualistic models of self-care, over community care. Through examining the practices of disabled art, music, and drama therapists, this literature review seeks to imagine new therapeutic spaces and realities for …


Art Therapy And Chronic Pain: Exploring Pain Tolerance, Body Sensations And Emotions, India Brown May 2023

Art Therapy And Chronic Pain: Exploring Pain Tolerance, Body Sensations And Emotions, India Brown

Expressive Therapies Capstone Theses

Over four weeks, topics of emotion, physical and body sensation, and chronic pain using art therapy were explored. The therapy provided a foundation for practicing mindfulness, increasing awareness, and expressing various symptoms such as somatic discomfort and emotional dysregulation. I co-facilitated a group consisting of individuals between the ages of 23 and 70 identifying as male or female, with a mix of white and black clients from the middle-class bracket. The group participated in art therapy and mindful meditation sessions in an outpatient program. Through this experience, I discovered that many individuals dissociate from their pain and emotional well-being. While …


An “Other” Experience Of Videogames: Analyzing The Connections Between Videogames And The Lived Experience Of Chronic Pain, Gracie Straznickas Apr 2023

An “Other” Experience Of Videogames: Analyzing The Connections Between Videogames And The Lived Experience Of Chronic Pain, Gracie Straznickas

College of Computing and Digital Media Dissertations

In this dissertation I argue for the connections between the lived experience of chronic pain and videogames, exploring what interacts with and influences them. To answer this, I draw on cripistemology as I engage in autoethnography, close-reading and close-gameplay, restorying, mixed methods design, formal interviews, surveys, and inductive coding. I further argue for pushing back against the unhelpful binaries that define the “human” and a false idea of “universal” experience or ability, instead pointing to the intersectionality that better reflects the biopolitics of disability, including both debility and capacity. I engage with these methods in three specific projects that consider …


A Systematic Review On The Relationship Between Attachment Styles And Chronic Pain, Samantha M. Cohen Jan 2023

A Systematic Review On The Relationship Between Attachment Styles And Chronic Pain, Samantha M. Cohen

Theses and Dissertations

Chronic pain (CP), a leading cause of disability, is associated with addiction, physical and psychosocial impairment and tremendous financial burden. Childhood experiences contribute to the genesis of different attachment styles. Attachment theory offers a useful framework for the conceptualization of CP, with different attachment styles impacting the experience and clinical manifestations of CP. This systematic review aims to evaluate the relationship between attachment styles and CP, to investigate which attachment styles pose the greatest risk for CP, to examine how CP is expressed in the context of different attachment styles, and to gain insight regarding the treatment approach to CP. …


A Review Of The Effects Of Mindfulness Meditation On Chronic Pain In Older Adults, Gregory H. Jacks Jan 2023

A Review Of The Effects Of Mindfulness Meditation On Chronic Pain In Older Adults, Gregory H. Jacks

Theses and Dissertations

Pain is a biopsychosocial phenomenon, which draws from physiological responses as well as cultural and social context and mental states. Pain is most frequently treated through surgical and pharmacological interventions, which can be costly and time-consuming, especially when treating chronic pain. Older adults suffer from chronic pain at a higher rate than the rest of the population, and more accessible interventions are desperately needed to help manage the experience of chronic pain. Mindfulness meditation is increasingly being utilized for management of pain due to evidence of its effectiveness, cheaper cost, and ability to be practiced outside of medical facilities. Prior …


How Art Therapy Promotes Resiliency In Individuals With Chronic Pain: A Literature Review, Margaret Lukas May 2022

How Art Therapy Promotes Resiliency In Individuals With Chronic Pain: A Literature Review, Margaret Lukas

Expressive Therapies Capstone Theses

Chronic pain is one of the most prominent physical health challenges in the United States. It is a health condition where people have not only debilitating physical pain but also mental health distress. With this combination of physical and mental symptoms, people with chronic pain must get good quality care. To properly support those with chronic pain, healthcare practitioners must be educated in caring for patients to better treat and understand them. This thesis searched for literature on chronic pain and art therapy to determine the benefits of art therapy for people with chronic pain. This search was conducted online …


Group Psychotherapy For Pain: A Meta-Analysis, Cameron Todd Alldredge Feb 2022

Group Psychotherapy For Pain: A Meta-Analysis, Cameron Todd Alldredge

Theses and Dissertations

Chronic pain is common and frequently interferes with people’s regular functioning and reduces quality of life. Though pharmacological approaches are used most frequently to treat pain-related issues, the side effects of these medications often lead to other problems. Group therapy has been used and studied for decades in treating pain though it’s general efficacy for addressing pain is not clear. Objectives: to determine group therapy’s efficacy for patients with pain-related issues and whether the effects are moderated by study, patient, leader, or group characteristics. Method: potential articles were selected from searches completed in major databases based on a set of …


Understanding Language Use Patterns Of People With Chronic Pain: A Novel Assessment Approach, Jodie Maccarrone Jan 2022

Understanding Language Use Patterns Of People With Chronic Pain: A Novel Assessment Approach, Jodie Maccarrone

Theses and Dissertations

It is estimated that 35% of Americans or 116 million people report experiencing chronic pain daily (Nahin, 2015). Due to the unique and individualized nature of chronic pain, successful treatment of this condition is difficult to achieve. The heterogeneity and complexity in presentation may help explain why, as all methods of treatment have fallen short of providing consistent and reliable outcomes (Finnerup et al., 2015; Lumley & Schubiner, 2019), resulting in unsuccessful treatment approaches that can lead to compounding negative consequences such as hyperalgesia (Garland et al., 2013) and even death (Scholl, Seth, Kariisa, Wilson, & Baldwin, 2019). As such, …


Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …


Eye Movement Desensitization And Reprocessing: Standard Versus Pain-Focused Treatment Protocols, Joni Walsh Jan 2022

Eye Movement Desensitization And Reprocessing: Standard Versus Pain-Focused Treatment Protocols, Joni Walsh

Scripps Senior Theses

Typically used as a trauma therapy, Eye Movement Desensitization and Reprocessing (EMDR) may be a promising intervention for chronic pain, given the relationship (and rates of comorbidity) between chronic pain and post-traumatic stress (PTS). The purpose of the proposed study is to investigate how EMDR therapy might best be implemented as an integrated treatment for chronic pain among individuals with post-traumatic stress symptoms. This study will be the first of its kind to directly compare the standard trauma-focused (TF) EMDR treatment to a popular emerging pain-focused (PF) EMDR treatment modification (Grant, 2000). This study will utilize a matched-participants design and …


I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell Jan 2022

I’M Not A Tragedy: Speaking Up About Ableist Microaggressions, Kasandra Marguerite Colwell

Communication Senior Capstones

Have you heard of ableist microaggressions? Let me tell you about them, as someone who has experienced them. I have a bi-lateral dislocating knee condition that I was born with. I can walk, but sometimes I need additional stability or reduction of pain while getting around, in which case I tend to use a cane. I have had many othering interactions while using a mobility aid in public, whether that be a knee brace, a cane, or crutches. While it often seemed the stranger didn’t mean any harm, the question is how many invasive questions and comments from strangers can …


Telehealth Delivery Of Acceptance And Commitment Therapy And Recreational Therapy: Supporting People With Chronic Pain During The Covid-19 Pandemic, Grace L. Roy Jan 2022

Telehealth Delivery Of Acceptance And Commitment Therapy And Recreational Therapy: Supporting People With Chronic Pain During The Covid-19 Pandemic, Grace L. Roy

Honors Theses and Capstones

Chronic pain is a significant public health problem that requires person-centered and comprehensive care to address the many socioecological factors that contribute to pain. Within the context of the COVID-19 pandemic, telehealth options for chronic pain management can help more people access the care that they need. The purpose of the current pilot study was to investigate the efficacy and feasibility of delivering a 6-week Acceptance and Commitment Therapy (ACT) and recreational therapy intervention via telehealth for a group of seven participants with chronic pain. It was found that TeleACT-RT was associated with positive behavioral outcomes including increased psychological flexibility, …


Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White Jan 2022

Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White

Honors Theses and Capstones

Chronic pain is a significant and widely prevalent health condition which requires comprehensive care to address the many facets contributing to symptomatology. In 2016, 20% of American adults (about 50 million) reported experiencing chronic pain, of which 7.4% indicated that chronic pain frequently limited their life and participation in activities within the past 3 months (CDC, 2018). As a result, many individuals with chronic pain turn to opioid-based medication for pain relief, but long-term use of opioids actually increases pain sensation (Tobin, 2019). Moreover, opioid medication is unable to target underlying mental health components which emerge as part of chronic …


Benzodiazepine Use And Dependence In Relation To Chronic Pain Intensity And Pain Catastrophizing, Emma Carnes Lape Dec 2021

Benzodiazepine Use And Dependence In Relation To Chronic Pain Intensity And Pain Catastrophizing, Emma Carnes Lape

Theses - ALL

Benzodiazepines (BZDs), a class of sedative-hypnotic drugs, are at the center of an emerging prescription drug crisis. From approximately 1995-2015, overdose deaths involving BZDs quadrupled and average dose equivalents more than tripled. Specific concern has centered on elevated rates of BZD use among individuals with chronic pain, given that BZDs are generally not indicated for pain management. Consistent with negative reinforcement and motivational models of substance use, desire for pain alleviation may be a salient motivator of BZD use, particularly as individuals commonly report using BZDs for negative affect alleviation. The present study tested cross-sectional associations between pain intensity and …


Racial And Ethnic Differences In Chronic Pain, Sarah M. Revie Nov 2021

Racial And Ethnic Differences In Chronic Pain, Sarah M. Revie

MA Research Paper

Chronic pain literature consistently shows differences in the prevalence of chronic pain by race and ethnicity. However, these studies primarily focus on White, African American, and Hispanic respondents. This paper aims to examine differences in pain by race and ethnicity including most major racial categories as well as Asian, Native American, and multiple-race respondents. This study uses data from the 2017 and 2018 National Health Interview Survey (n=33,161). To determine the relationship between race and ethnicity and chronic pain, we conducted multiple nested logistic regression. The analysis found that African Americans [OR= 0.67, p<0.001], Hispanic [OR= 0.61, p<0.001], and Asian [OR= 0.42, p<0.001] respondents have lower odds of pain when compared to White participants while multiracial respondents have higher odds of chronic pain [OR = 1.28, p<0.05]. This study is important for future research as it shows the need for other scholars, as well as policymakers, to focus on expanding racial and ethnic categories commonly studied in chronic pain literature.


Changes In Pain During Buprenorphine Maintenance Treatment Among Patients With Opioid Use Disorder And Chronic Pain, Karlyn A. Edwards Jul 2021

Changes In Pain During Buprenorphine Maintenance Treatment Among Patients With Opioid Use Disorder And Chronic Pain, Karlyn A. Edwards

Psychology ETDs

Objective: Opioid use disorder (OUD) and chronic pain frequently co-occur. Little is known about changes in pain during buprenorphine/naloxone (BUP/NX) maintenance and whether outcomes vary by pain levels. The current study examined changes in pain intensity and pain interference over 12 weeks of BUP/NX maintenance among participants with OUD and chronic pain (N=194). Differences in outcomes were assessed during BUP/NX maintenance (week 12) and two months following a BUP/NX taper (week 24). Method: Data from Phase 2 of the Prescription Opioid Addiction Treatment Study were used. Two latent transition models were conducted to characterize profiles and transitions between …


Physical Education And Extracurricular Activity Participation Of Autistic, Neurodivergent, Disabled Trans Adults, Steven Kelly Holland Jul 2021

Physical Education And Extracurricular Activity Participation Of Autistic, Neurodivergent, Disabled Trans Adults, Steven Kelly Holland

Human Movement Studies & Special Education Theses & Dissertations

Disabled trans students may be multiply marginalized and/or have reduced access to otherwise affirming gender identity- or disability-related spaces in educational contexts because of their intersectional identities. At present, a limited understanding of disabled trans students school experiences are known. This dissertation was constructed using a two-manuscript format. The purpose of the first study was to investigate the physical education experiences of disabled trans adults. The study was conducted from an interpretivist paradigm and used interpretative phenomenological analysis (IPA) to explore the lived experiences of disabled trans adults. Six adults (aged 18-30), who identified as: autistic, neurodivergent, disabled, trans, non-binary, …


Attitudes Toward Mindfulness And Adherence In Chronic Pain Management, Sarah Johnson Jun 2021

Attitudes Toward Mindfulness And Adherence In Chronic Pain Management, Sarah Johnson

Global Honors Theses

Chronic pain is a global public health problem, affecting 10-25% of the population. Mindfulness is an effective treatment but requires consistency. Because of its benefit, it is important to examine obstacles to mindfulness practice. In order to determine if negative attitudes toward mindfulness are related to non-adherence, 748 adults with chronic pain were recruited to fill out a series of questionnaires assessing treatment adherence and attitudes toward mindfulness. We found that positive attitudes toward mindfulness predicted reduced adherence. However, those who had more positive feelings toward mindfulness made more attempts at the therapy. Upper and middle-class participants had more positive …


The Effectiveness Of Art Therapy As A Treatment Modality In Improving Quality Of Life For Adults With Chronic Pain, Kayley Nelson May 2021

The Effectiveness Of Art Therapy As A Treatment Modality In Improving Quality Of Life For Adults With Chronic Pain, Kayley Nelson

Expressive Therapies Capstone Theses

The efficacy of art therapy is explored in the context of improving the quality of life and mental health of individuals experiencing chronic pain. The exploration and examination of previous research on chronic pain and art therapy have led to various interconnected themes that tie together the needs of this population with the healing aspects of this treatment method. Through gathering data on both the negative impact of chronic pain and the healing aspects of art therapy and exploring research on chronic pain art therapy groups already in action, it can be deduced that future research may further illuminate the …


Impacts Of Parental Pain Dismissal In Emerging Adulthood, Sophia Zwick May 2021

Impacts Of Parental Pain Dismissal In Emerging Adulthood, Sophia Zwick

Theses and Dissertations

The experience of chronic pain and pain dismissal is common in children/adolescents. Parental pain dismissal is of particular interest in this study due to the complexity of the family unit. Substantial research has been conducted to determine the negative impacts on emerging adults (e.g., drug misuse and rates of anxiety and depression). However, no research has explored the lasting impacts that these experiences facilitate into emerging adulthood. The purpose of the current study was to better understand the long-term impacts of parental pain dismissal into emerging adulthood. Participants in the current study were emerging adults that completed an online survey …


Experience Of Loss And Resilience In Persons With Chronic Pain, Lauren Abshire Apr 2021

Experience Of Loss And Resilience In Persons With Chronic Pain, Lauren Abshire

Doctor of Psychology (PsyD)

Chronic pain is one of the most common concerns people seek medical treatment for, yet it is historically difficult to treat. The current best evidence practice in chronic pain treatment is through a multidisciplinary team with psychologists implementing cognitive behavioral therapy or acceptance commitment therapy. These approaches are efficacious in decreasing pain-related behaviors and improving mood and quality of life. Resilience has also been shown to mitigate the impact of chronic pain. However, the sense of loss or grief related to the experience of chronic pain has been inadequately explored in the research literature and may be related to poor …


The Efficacy Of A Novel Facebook-Based Psychosocial Intervention For Adults With Chronic Pain: A Randomized Clinical Trial, Bethany Danielle Pester Jan 2021

The Efficacy Of A Novel Facebook-Based Psychosocial Intervention For Adults With Chronic Pain: A Randomized Clinical Trial, Bethany Danielle Pester

Wayne State University Dissertations

Social networking-based groups such as Facebook groups have become increasingly popular among people with chronic conditions, and the affordances of such groups make them a promising platform for chronic disease intervention. Yet, there have been few controlled tests of the effects of social networking-based groups. Our team developed a Facebook-based intervention that focuses on enhancing social support by connecting adults with peers who also have chronic pain. Using a randomized controlled clinical trial, we aimed to understand the efficacy of this intervention and to explore whether a professional-led support group leads to greater effects than a support group alone. The …


Effect Of Chronic Pain On Prospective Memory Performance, Alexander Joseph Kuka Jan 2021

Effect Of Chronic Pain On Prospective Memory Performance, Alexander Joseph Kuka

Electronic Theses and Dissertations

Chronic pain is among the most widespread and disabling conditions worldwide. In the United States, approximately 50 million people suffer from chronic pain, and nearly half that number experience daily chronic pain. Diagnostic testing, treatments, and operations related to chronic pain cost Americans over $600 billion annually. Prospective memory, the process by which people remember to perform an action in the future after a delay, appears to be affected by the experience of pain, especially when a prospective memory task is more cognitively demanding. While self-report studies of individuals with chronic pain suggest that pain adversely affects both their retrospective …


Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci Jan 2021

Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci

Walden Dissertations and Doctoral Studies

In the United States 100 million people live with pain and must negotiate complicated clinical decisions that lead to a variety of treatments to control pain, some of which are effective and some that are not. Social identity theory and attribution theory guided the development of the interview protocol and analysis plan. A qualitative study was conducted to explore the complex nature of living with chronic pain through the narratives of seventeen adults in chronic pain for at least 3 months. Structural and thematic approaches were used to analyze the data. The structural results revealed three groups of participants: those …


Medical Cannabis Use Among Chronic Pain Patients And Associations With Prescription Opioid Use: A Retrospective Study, Jesse Kosiba Aug 2020

Medical Cannabis Use Among Chronic Pain Patients And Associations With Prescription Opioid Use: A Retrospective Study, Jesse Kosiba

Dissertations - ALL

Medical cannabis is increasingly used as a treatment for chronic pain, and there is initial evidence that medical cannabis may lead to a subsequent decrease in prescription opioid use. The objective of the current study was to conduct a retrospective, naturalistic examination of medical cannabis use (i.e., dose, frequency, type) and subsequent changes in prescription opioid use among a sample of treatment-seeking chronic (non-cancer-related) pain patients (N =277). Data from the electronic medical record (EMR) was paired with information from the State Prescription Drug Monitoring Program and collected at time of initial certification and at six months post-certification. Results indicated …