Pain Management Commons^™

Short Communication: Powerless And Jobless? Comparing The Effects Of Powerless Speech And Speech Disorders On An Applicant’S Employability, Christian M. End, Katherine Saunders

Faculty Scholarship

The present study examines the impact of a speech disorder (a lateral lisp) and powerless speech on an applicant’s hireability. College students (N = 113) reviewed an applicant’s resume, as well as a description of two occupations/job openings that varied in regard to necessitating speech. Participants listened to one of three interviews (speech disorder vs. powerless speech vs. control), indicated their willingness to hire the applicant, and then completed hire-ability and employability scales for both positions, as well as an impressions ratings form. Contrary to the hypotheses, few differences between the “employers” responses to the control and speech disorder applicants …

A Call To Integrate Religious Communities Into Practice: The Case Of Sikhs, Muninder Kaur Ahluwalia, Anjali Alimchandani

Department of Counseling Scholarship and Creative Works

Sikhs, an ethnic and religious minority group in the United States, have seen a significant shift in their social location since 9/11. They have experienced harassment and violence beyond race and ethnicity to the visible markers of the religion (e.g., turbans). In this article, we address how counseling psychology is uniquely positioned to work with Sikhs given these circumstances. We provide an overview of Sikh Americans, including specific experiences that may affect treatment such as race-based traumatic injury, identification as a part of a visible religious minority group, and the impact of historic community-level trauma. We discuss recommendations for practitioners …

Yoga As A Treatment For Low Back Pain A Systematic Review Of Randomized Controlled Trials, Alison Diaz

HIM 1990-2015

Background: Low back pain is very common and has a tremendous economic impact. With the prevalence and incidence of low back pain on the rise, individuals are turning to alternative treatments. Yoga is the most widely used complementary and alternative medicine treatment for low back pain and it is not fully certain how effective this method is for resolving the symptoms. Objectives: The purpose of this manuscript is to systematically review the current literature for randomized controlled trials that assess the outcomes of yoga intervention in individuals with low back pain. Methods: An electronic database search was performed to analyze …

Holding My Breath: The Experience Of Being Sikh After 9/11, Muninder Kaur Ahluwalia

Department of Counseling Scholarship and Creative Works

This article is based on the author’s experiences after the 9/11 terrorist attacks in New York City and the impact of the attacks on her life as a New Yorker, an academic, and a member of a Sikh family and community. To position the author’s narrative, her reflection integrates race-based traumatic stress (Carter, 2007), a model suggesting that individuals who are targets of racism experience harm or injury. The author outlines lessons learned that affect her both personally and professionally, including (a) Paralysis can happen but advocacy and allies are healing, (b) Trauma changes the work, and (c) …

The Application Of Dialectical Behavior Therapy To Chronic Pain Management, Jacob S. Iwaszewski

Loma Linda University Electronic Theses, Dissertations & Projects

Pain affects more than 50 million Americans annually, costs over 150 billion dollars each year in healthcare and legal expenses, and results in decreased work productivity and missed work days (Ballantyne, 2006; Boll, Raczynski, & Leviton, 2004; Thom, 2004). It is estimated that chronic pain negatively impacts 15% to 33% of the US population (Bokarius et al., 2008). Third-wave acceptance-based therapies, such as Dialectical Behavior Therapy (DBT), have demonstrated significant improvements in mental health functioning for a variety of populations (Carmody & Baer, 2008; Cusens, Duggan, Thome, & Burch, 2010). DBT, one of the primary treatment modalities for Borderline Personality …

The Association Of Religious Coping On Reports Of Low Back Pain And Inflammatory Markers, Jacqueline D. Bougie

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic pain is the most common cause of disability in the United States with depression, anxiety, and stress often occurring co-morbidly. The purpose of the study was to explore how religion may modulate the frequency of back pain, influence inflammatory markers, influence the use of medications, and impact functional ability.

Participants were from the Biological Manifestations of Religion Study (BioMRS; N= 508) and the Psychological Manifestations of Religion Study (PsyMRS; N = 10,988). All participants completed a 20-page questionnaire and BioMRS participants provided blood, salivary, and urine samples, performance tests, and learning tests all collected within 1 week of …

An Evaluation Of Aquatic Therapy As A Treatment For Lower Back Pain, Daniel A. Olson

HIM 1990-2015

Lower back pain (LBP) is a medical condition that will affect most of us at some point in our lives. Several medical causes have been identified for LBP, yet the large majority of LBP patients do not receive a specific diagnosis. These patients use up a large majority of health care resources, and accumulate billions of dollars in medical costs in countries throughout the globe. In recent years, an increasing focus has been placed on the idea that aquatic therapy may be an effective therapy for LBP patients. Exercise therapy has already proven itself as an effective means for treating …

Acute Musculoskeletal Sports Injury And Topical Nsaid, Amit M. Deokar, Shawn J. Smith, Hatim A. Omar

Pediatrics Faculty Publications

The objective of this chapter is to summarize the current standards of pain management in minor sports related musculoskeletal injuries. We also address the topical form of non-steroidal anti-inflammatory drug as an effective pain management option in an out-patient setting. Design: Quantitive systematic review of randomized controlled trials. Methods: The data was obtained through literature review of articles published in the last 10 years. In addition, FDA information on non-steroidal anti-inflammatory medications was also reviewed. The patient population studied in the articles included children and adults. Conclusion: Current standards of managing pain resulting from sports injuries involve a number of …

Validating Kreiner And Ashforth’S Organizational Identification Measure In An Engineering Context, Morrie Mullins, Christian M. End, L. Carlin

Faculty Scholarship

No abstract provided.

A Psychoeducational Group Intervention For Fibromyalgia Patients, Derek O. Bacchus

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the effect of a multidisciplinary psychoeducational treatment group on Fibromyalgia Syndrome (FMS) pain, depression, catastrophizing, and quality of life. The Short-Form McGill Pain Questionnaire (SF-MPQ), Center for Epidemiologic Studies Depression Scale (CES-D), Coping Strategies Questionnaire (CSQ), and the World Health Organization Quality of Life Assessment—Abbreviated Version were used to assess these constructs in 15 participants. The sample was composed entirely of female participants and was predominantly middle aged, which is typical of the FMS population. Two separate groups of FMS patients—seven in Group 1, eight in Group 2—completed a 10-week psychoeducational intervention where they were presented with …

Use Of Topical Nsaids In Acute Musculoskeletal Sports Injury: A Brief Review, Amit M. Deokar, Shawn J. Smith, Hatim A. Omar

Pediatrics Faculty Publications

The objective of this chapter is to summarize the current standards of pain management in minor sports-related musculoskeletal injuries. This chapter also addresses the topical form of non-steroidal anti-inflammatory drug as an effective pain management option in an outpatient setting. Design: Quantitive systematic review of randomized controlled trials. Methods: The data was obtained through literature review of articles published in the last 10 years. In addition, FDA information on non-steroidal anti-inflammatory medications was also reviewed. The patient population studied in the articles included children and adults. Conclusion: Current standards of managing pain resulting from sports injuries involve a number of …

Mindfulness In Childbirth: An Investigation Of The Effects Of Mindfulness Training On Maternal Satisfaction With Childbirth And Obstetric Outcomes, Brenda L. Bratton

Dissertations

This study investigated the effects of mindfulness training on obstetric outcomes and maternal satisfaction with childbirth. We were interested in whether mindfulness training was more effective than a control group receiving psychoeducation on stress reduction. The goal of the intervention group was to increase participants' moment-to-moment awareness of thoughts, feelings, and body sensations during childbirth so that they would respond to these experiences rather than react to them in an automatic manner. These strategies were hypothesized to help a laboring woman minimize fear or anxiety associated with pain and complications and be more adaptive to whatever circumstances arose. Repeated measures …

Defining Deception As The "Waiver Of An Element", Donelson R. Forsyth

Jepson School of Leadership Studies articles, book chapters and other publications

When dealing with the public, and with Institution Review Boards (IRBs), the moral high ground is the place to be. Yet, personality researchers and social psychologists, because of their methods and interests, often find themselves down in a moral morass. Take deception research as a case in point. Social psychologists, because they study people’s spontaneous reactions, prefer to not fully inform participants about all aspects of the situation until after the data have been gathered. This desire to withhold information, although scientifically essential, is nonetheless inconsistent with key elements in the Nuremberg Code, the Belmont Code, and HHS 45 CFR …

The Co-Mentoring Project: Overview And Outcomes, Renee A. Zucchero

Faculty Scholarship

The Co-mentoring Project matched developmental psychology students with older adult volunteers for an intergenerational learning experience. Students conducted a biopsychosocial life review to increase understanding of older adult development and the continuity in lifespan development. Each student developed a summary paper containing the older adult's life history, a developmental analysis, and personal reflection. A project description, including the scholarship of teaching and learning, and an overview of its outcomes are presented. The project goal was accomplished; students positively evaluated learning outcomes and displayed a significant increase in knowledge about older adults and aging. Implications for college instructors are discussed. (Contains …

The Relations Of Pain, Religious Coping, And Depression In Fibromyalgia Patients, Derek O. Bacchus

Loma Linda University Electronic Theses, Dissertations & Projects

This study attempted to examine the relationship between Fibromyalgia Syndrome (FMS) pain, religious coping, and depression. The Fibromyalgia Impact Questionnaire (FIQ), Short-Form McGill Pain Questionnaire (SF-MPQ), RCOPE, and the Center for Epidemiologic Studies Depression Scale (CES-D) were used to assess these constructs in 50 participants. The sample was primarily middle aged and female, which is typical of the FMS population. This study used multiple regression to make assumptions about the causal progression of the variables. Study findings show that religious coping does not appear to significantly mediate the strong relationship between FMS pain and depression. This research served to uncover …

Training Program To Improve Estimation Of Patients' Periodontal Pain Experience, Yoon Jeong Kim

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The purpose of this study was to determine if periodontal residents could enhance their ability to appraise the pain levels experienced by their patients from probing, using Visual Analog Scale (VAS) to record pain. We hypothesized that with increasing experience by repeated comparisons of the patients' VAS pain ratings with independent ratings by the residents, they would improve their ability to appraise their patients' pain experiences.

Methods: For each of three periodontal residents, 40 consecutive periodontitis patients were asked to express the degree of pain they experienced during the probing. Independently, the residents rated the pain level they perceived …

Nurses' Perceptions Of The Pharmacological Management Of Acute Pain Experienced By Patients Hospitalised In The General Ward Setting, Susan Slatyer

Theses : Honours

This study explored and described the experiences and perceptions of nurses managing acute pain in a Western Australian public hospital. The focus was nurses practising in the general ward setting and using current prescribing guidelines. The aim of this research was to explore nurses' attitudes, beliefs and knowledge about pain and pain pharmacology and how this practice setting influences efficient pain management. Qualitative methodology was selected for its ability to explore complex issues in order to build nursing knowledge and guide nursing practice. This study used a descriptive, exploratory design based on a phenomenological approach. The sample comprised ten Registered …

Pain Experienced By Patients Using Thinner Vs. Thicker Probes During Probing, Mohamed A. Hassan

Loma Linda University Electronic Theses, Dissertations & Projects

The aim of the present study, performed during periodontal recall visits, was to compare the levels of pain experienced by patients during periodontal probing using probes with tip diameters of either 0.40 mm or 0.63 mm.

Prior to the maintenance procedures, three groups of 20 adult patients were examined by 3 different therapists. Diagonal maxillary/mandibular quadrants were probed with a 0.40 mm and a 0.63 mm probe, respectively. At the completion of probing of each quadrant, the patients were asked to describe their pain using a Visual Analog Scale (VAS).

The results were as follows: Most patients showed low VAS …

Pain Experienced By Patients During Periodontal Examination, Mohammed A. Al-Ajmi

Loma Linda University Electronic Theses, Dissertations & Projects

The aims of the present study were to determine the level of pain experienced by patients from probing during periodontal examination, and to find out to what extent the examining periodontist and the dental assistant could estimate the degree of pain experienced by the patients.

For each of three periodontists, 20 patients referred for periodontal diagnosis and treatment were selected. The periodontist carried out his examination, which included probing at six sites per tooth. Following probing, the patients rated the pain using a Visual Analog Scale (VAS). The periodontist and the dental assistant who helped out during the examination independently …

The Impact Of Child Life Non-Pharmacologic Pain Interventions On Pediatric Patient's Pain Perception In The Emergency Department, Wendy Lee Reynolds-Wilcox

Theses Digitization Project

The purpose of this current study is to examine the impact of non-pharmacologic pain interventions administered by trained Child Life professionals in an emergency department on pain perception in children. Results showed no significant decrease in children's pain report during the medical procedure compared to before the medical procedure. However, pain after the medical procedure is significantly less than pain during the medical procedure.

Predictors Of Posttraumatic Stress Disorder In Chronic Low Back Pain Patients, Lorie Tulia Decarvalho

Loma Linda University Electronic Theses, Dissertations & Projects

The present study investigated the predictors of posttraumatic stress disorder (PTSD) symptom severity level in patients with chronic low back pain (CLBP). Research questions focused on whether or not patients with CLBP would evidence clinically-significant levels of PTSD, whether or not the intensity and duration of the trauma would predict PTSD symptoms, and whether or not the age of the patient and perceived uncontrollability would positively predict PTSD symptom severity level. Participants included 161 patients receiving treatment for their CLBP from several Southern California chronic pain clinics, as well as major Southern California chiropractic facilities. Data was gathered through selfreport …

Clinically Relevant Aspects Of Chronic Pain: Normal Personality Predictors, Stephen Ray Nitch

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the normal personality characteristics of chronic pain patients using cluster analysis. To date, much of the research involving chronic pain and personality has assumed that signs of psychopathology are likely to be present (Jay, Grove, and Grove, 1987; Love and Peck, 1987). There have been some exceptions to this trend by researchers who sought to measure the normal personality structure of individuals with chronic pain (see Wade, Dougherty, Hart, and Cook, 1992). One of central aims of the current study was to further refine the psychosocial taxonomy of chronic pain patients by paying more attention to individual …

Update - July 2002, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Having Enough Faith Not To Be Healed
-- Theological Warrants for Palliative Care
-- Congratulations (master program graduates)

Pain Experienced By Patients During Periodontal Recall Treatment, Thu-Diem Chung

Loma Linda University Electronic Theses, Dissertations & Projects

The aims of this study were to determine; 1) the degree of pain experienced by patients during probing and debridement; 2) if the treating hygienists could estimate the degree of pain experienced by the patients; and 3) if the patients' pain responses could be predicted by factors such as the patients' age, gender, number of residual periodontal lesions, and the patients' answers to a questionnaire on dental anxiety.

Prior to the maintenance procedures, 2 groups of 20 adult patients to be treated by 2 hygienists completed an anxiety questionnaire. Subsequently, measurements of probing depths were performed, followed by pain ratings …

The Nature Of The Traumatic Event As A Predictor Of Posttraumatic Stress Disorder In Chronic Low Back Pain Patients, Lorie Tulia Decarvalho

Loma Linda University Electronic Theses, Dissertations & Projects

The present study investigated the specific nature of the traumatic event in patients with chronic low back pain (CLBP). Specifically, the following questions were asked: (1) Do individuals with CLBP evidence posttraumatic stress disorder?, (2) In patients with CLBP, what is the trauma which predicts the development of PTSD- the specific event which led to the lower back pain, any other traumatic event, or is it the chronic low back pain itself which is traumatic? (3) In CLBP patients who evidence PTSD, do the intensity and duration of the trauma predict the development of PTSD? Participants were 112 patients receiving …

Chronic Pain: A Study Of Low Back Pain Patients From Southern West Virginia And Eastern Kentucky, Nickandrea M. Cooke

Theses, Dissertations and Capstones

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) was administered to 60 males ranging from 22 to 65 years of age. Subjects were seeking treatment at Mountain Comprehensive Care Center, an outpatient mental health center, for depression/anxiety with a secondary diagnosis of chronic pain stemming from low back pain related to an injury. This study considered T-scores of a K-corrected profile using Scales F (Faking, 1 (Hypochondriasis), 2 (Depression), and 3 (Hysteria). Statistical interpretation of data was obtained through use of the General Linear Model at the p < .05 level of significance to determine variance among the groups. Subjects were assigned to three of six groups based on the criteria of age (less than 35 years vs. 35 years or older); duration of pain (less than one year's duration vs. one year or more duration); and medical evidence available (with clinical evidence to support an orthopedic diagnosis vs. those with no clinical evidence available). The results of this study showed that there was no significant difference between groups on the age variable and the only significant differences on the medical evidence variable were for Scales 2 (D) and 3 (Hy). On the duration of pain variable, significant differences among groups for all scales were noted. Also, chronic low back pain patients from this geographic area presented with extreme elevations on Scale F and high elevations on Scales 1 (Hs), 2 (D), and 3 (Hy), with a higher elevation on Scale 2 (D).

The Nonverbal Communication Of Pain As Recognized By Alternative Health Care Providers, Jodi L. Pope

Masters Theses

Recognizing nonverbal messages of pain in a health care setting is essential. The nonverbal communication of pain is a communication aspect typically overlooked in modern health care environments. This research surveyed alternative health care providers to determine what nonverbal behaviors they recognize as pain indicators and how they react to those behaviors. Massage therapists and chiropractors from a Midwest county filled out surveys and participated in a focus group. Fifty nonverbal pain indicators, such as guarding body parts, postural inequalities, gait, and clenched fists, among others, were charted. Several other topics such as learning how to determine nonverbal pain indicators, …

Nonmigrainous Pediatric Headache Management: Thermal Biofeedback And Parent Guidelines, Richard E. Amdorfer

Dissertations

This study explored the utility of the combination of thermal biofeedback and parent-mediated pain behavior management guidelines as a treatment for children experiencing nonmigrainous headache. Five children, ages 8 to 14, were assigned to baselines of varying lengths prior to receiving treatment. Four of the five children demonstrated significant reductions in one or more headache parameters (frequency, duration, average peak intensity) following treatment. The utility of thermal biofeedback and parent-mediated guidelines are supported as a treatment for children suffering from nonmigrainous headache.

Update - March 1999, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Mark Carr, Richard Rice and Siroj Sorajjakool join LLU Faculty of Religion
-- Scholars, Clinicians, and Patients Highlight February Palliative Care Conference
-- [ The Meaning of Pain and Suffering ]
-- MA in Clinical Ethics
-- MA in Clinical Ministry

Cognitive And Psychophysiological Investigation Of Chronic Pain, Amy D. Clegg

Loma Linda University Electronic Theses, Dissertations & Projects

Using Bower’s (1981) associative network model of mood and memory, and Klinger’s theory of current concerns, it was hypothesized that the experience of chronic pain may be functionally similar to a mood state and that the chronicity of the condition may maintain it as a current concern. Specifically, it was hypothesized that chronic pain patients would not show any differences in reaction time and accuracy when making lexical decisions about pain-related, neutral, and nonwords. However, it was anticipated that chronic pain patients would show differences in physiological responding (particularly, increased skin conductance responses) when compared to controls. Results confirmed that …