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The Long Term Role of Anxiety Sensitivity and Experiential Avoidance on Pain Intensity, Mood, and Disability among Individuals in a Specialist Pain Clinic.
Mehta, S; Rice, D; Janzen, S; Serrato, J; Getty, H; Shapiro, A P; Morley-Forster, P; Sequeira, K; Teasell, R W.
Afiliação
  • Mehta S; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Rice D; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Janzen S; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Serrato J; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Getty H; St. Joseph's Health Care London, London, ON, Canada.
  • Shapiro AP; St. Joseph's Health Care London, London, ON, Canada.
  • Morley-Forster P; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Sequeira K; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
  • Teasell RW; Western University, London, ON, Canada; St. Joseph's Health Care London, London, ON, Canada; Lawson Health Research Institute, London, ON, Canada.
Pain Res Manag ; 2016: 6954896, 2016.
Article em En | MEDLINE | ID: mdl-27445621
ABSTRACT
Background. Anxiety sensitivity (AS) and experiential avoidance (EA) have been shown to have an interactive effect on the response an individual has to chronic pain (CP) potentially resulting in long term negative outcomes. Objective. The current study attempted to (1) identify distinct CP subgroups based on their level of EA and AS and (2) compare the subgroups in terms of mood and disability. Methods. Individuals with CP were recruited from an academic pain clinic. Individuals were assessed for demographic, psychosocial, and personality measures at baseline and 1-year follow-up. A cluster analysis was conducted to identify distinct subgroups of patients based on their level of EA and AS. Differences in clinical outcomes were compared using the Repeated Measures MANOVA. Results. From a total of 229 participants, five clusters were formed. Subgroups with lower levels of AS but similar high levels of EA did not differ in outcomes. Mood impairment was significantly greater among those with high levels of EA compared to lower levels (p < 0.05). Significant improvement in disability (p < 0.05) was only seen among those with lower levels of EA and AS. Conclusions. This cluster analysis demonstrated that EA had a greater influence on mood impairment, while both EA and AS levels affected disability outcomes among individuals with CP.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Pessoas com Deficiência / Dor Crônica Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Res Manag Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Canadá País de publicação: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Pessoas com Deficiência / Dor Crônica Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Res Manag Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Canadá País de publicação: EEUU / ESTADOS UNIDOS / ESTADOS UNIDOS DA AMERICA / EUA / UNITED STATES / UNITED STATES OF AMERICA / US / USA