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Transaksiyonel Stres ve Başetme Modeline Göre Kronik Ağrı Yaşantısı: Farklı Ağrı Ölçümleri ve Sağlık Sonuçları Arasındaki İlişkiler

Yıl 2023, Cilt: 15 Sayı: Supplement 1, 95 - 109, 29.12.2023
https://doi.org/10.18863/pgy.1239250

Öz

Lazarus ve Folkman’ın Transaksiyonel Stres ve Başa Çıkma Modeli’ne göre kronik ağrı bir stres kaynağı olarak tanımlanmaktadır. Model, kişi ve çevre arasındaki etkileşime vurgu yapmakta ve bir stres kaynağının kişinin yaşamındaki etkilerini incelerken birincil (ağrı şiddeti ve/veya sıklığı) ve ikincil değerlendirmelere ( ağrıdan duyulan acı ve/veya rahatsızlık) odaklanmaktadır. Bu çalışmada kronik ağrı, bir stres türü olarak tanımlanmış ve ağrı stresi üç farklı şekilde ölçülmüştür: tek boyutlu ağrı stresi (sadece birincil değerlendirme), çok boyutlu ağrı stresi (hem birincil hem ikincil değerlendirmelerin toplamı), transaksiyonel ağrı stresi (hem birincil hem ikincil değerlendirmelerin çarpımı). Çalışmanın amacı, üç farklı ağrı stresi ölçümü ile sonuç değişkenler olan ağrıya bağlı engellilik, olumsuz duygudurum ve günlük aktivite düzeyi arasındaki ilişkileri incelemektir. Çalışma farklı türlerden kronik ağrı yaşantısı olan 167 kişiyle yürütülmüştür. Veri toplama araçları olarak Sosyodemog-rafik Özellikler ve Ağrı Bilgi Formu, Görsel Analog Skalası, West Haven Yale Çok Boyutlu Ağrı Envanteri ve Ya-şam Değişimleri Anketi kullanılmıştır. Çalışmanın sonuçlarında tek boyutlu ağrı stresi ile engellilik ve olumsuz duygudurum (sırasıyla; r(1,167) = 0.33; 0.36); çok boyutlu ağrı stresi ile engellilik ve olumsuz duygudurum (sırasıyla; r(1,167) = 0.51; 0.38); transaksiyonel ağrı stresi ile engellilik, olumsuz duygudurum (sırasıyla; r(1,167) = 0.43; 0.37) ve günlük aktivite (r(1,167)=-0.24) arasında anlamlı düzeyde ilişkilerin olduğu görülmek-tedir. Sonuçlar, ağrı deneyiminin değerlendirilmesinde yeni ölçümlerin önemine işaret etmektedir.

Kaynakça

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  • Bean DJ, Johnson MH, Kydd RR (2014) Relationships between psychological factors, pain, and disability in complex regional pain syndrome and low back pain. Clin J Pain, 30:647-653.
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  • Bryant RA (1993) Memory for pain and affect in chronic pain patients. Pain, 54:347-351.
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  • Day MA, Thorn BE (2010) The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain, 151:467-474.
  • Denkinger MD, Lukas A, Nikolaus T, Peter R, Franke S, ActiFE Study Group (2014) Multisite pain, pain frequency and pain severity are associated with depression in older adults: results from the ActiFE Ulm study. Age Ageing, 43:510-514.
  • Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I (2016) A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res, 9:457-467.
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  • Ferreira ML, Machado G, Latimer J, Maher C, Ferreira PH, Smeets RJ (2010) Factors defining care-seeking in low back pain–a meta-analysis of population based surveys. Eur J Pain, 14:747-e7.
  • Feuerstein M, Sult S, Houle M (1985) Environmental stressors and chronic low back pain: life events, family and work environment. Pain, 22:295-307.
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Chronic Pain Experience According to the Transactional Stress and Coping Model: Associations between Different Pain Measures and Health Outcomes

Yıl 2023, Cilt: 15 Sayı: Supplement 1, 95 - 109, 29.12.2023
https://doi.org/10.18863/pgy.1239250

Öz

According to Lazarus and Folkman's Transactional Stress and Coping Model, chronic pain is defined as a source of stress. The model emphasizes the interaction between the person and the environment and focuses on primary (pain severity and/or frequency) and secondary appraisals (pain and/or discomfort from pain) when examining the effects of a stressor on a person's life. In this study, chronic pain was defined as a type of stress and pain stress was measured in three different ways: unidimensional pain stress (primary appraisal only), multidimensional pain stress (sum of both primary and secondary appraisals), and transactional pain stress (product of both primary and secondary appraisals). The aim of the study was to examine the relationships between the three different pain stress measures and the outcome variables of pain-related disability, negative mood and daily activity level. The study was conducted with 167 individuals with different types of chronic pain. Sociodemographic Characteristics and Pain Information Form, Visual Analog Scale, West Haven Yale Multidimensional Pain Inventory and Life Changes Questionnaire were used as data collection tools. The results of the study showed that there were significant relationships between unidimensional pain stress and disability and negative mood (r(1,167) = 0.33; 0.36, respectively); multidimensional pain stress and disability and negative mood (r(1,167) = 0.51; 0.38, respectively); transactional pain stress and disability, negative mood (r(1,167) = 0.43; 0.37, respectively) and daily activity (r(1,167) = -0.24). The results indicate the significance of new measures in the assessment of pain experience.

Kaynakça

  • Ahlstrand I, Vaz S, Falkmer T, Thyberg I, Björk M (2017) Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis. Clin Rehabil, 31:824-834.
  • Andreu Y, Galdon MJ, Durá E, Ferrando M et al. (2006) An examination of the psychometric structure of the Multidimensional Pain Inventory in temporomandibular disorder patients: a confirmatory factor analysis. Head Face Med, 2:48.
  • Arola HM, Nicholls E, Mallen C, Thomas E (2010) Self-reported pain interference and symptoms of anxiety and depression in community-dwelling older adults: can a temporal relationship be determined? Eur J Pain, 14:966-971.
  • Asghari A, Julaeiha S, Godarsi M (2008) Disability and depression in patients with chronic pain: pain or pain-related beliefs? Arch Iran Med, 11:263-269.
  • Ayonrinde OT, Ayonrinde OA, Adams LA, Sanfilippo FM, O’Sullivan TA, Robinson M et al. (2020) The relationship between abdominal pain and emotional wellbeing in children and adolescents in the Raine Study. Sci Rep, 10:1-11.
  • Aytar G (1985) Life events, depression and anxiety in an university population (Uzmanlık tezi). İstanbul, Boğaziçi Üniversitesi.
  • Azevedo LF, Costa-Pereira A, Mendonça L, Dias CC, Castro-Lopes JM (2012) Epidemiology of chronic pain: a population-based nationwide study on its prevalence, characteristics and associated disability in Portugal. J Pain, 13:773-783.
  • Bean DJ, Johnson MH, Kydd RR (2014) Relationships between psychological factors, pain, and disability in complex regional pain syndrome and low back pain. Clin J Pain, 30:647-653.
  • Booker SQ, Herr KA (2016) Assessment and measurement of pain in adults in later life. Clin Geriatr Med, 32:677-692.
  • Bryant RA (1993) Memory for pain and affect in chronic pain patients. Pain, 54:347-351.
  • Cetin AA, Bektas H, Ozdogan M (2016) The West Haven Yale Multidimensional Pain Inventory: Reliability and validity of the Turkish version in individuals with cancer. Euro J Oncol Nurs, 20:1-9.
  • Charles ST, Piazza JR (2009) Age differences in affective well‐being: Context matters. Soc Pers Psychol Compass, 3:711-724.
  • Cherkin DC, Sherman KJ, Balderson BH, Cook AJ, Anderson ML, Hawkes RJ et al. (2016) Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial. JAMA, 315:1240-1249.
  • Closs SJ, Staples V, Reid I, Bennett MI, Briggs M (2009) The impact of neuropathic pain on relationships. J Adv Nurs, 65:402-411.
  • Collins SL, Moore RA, McQuay HJ, Wiffen P (2000) Antidepressants and anticonvulsants for diabetic neuropathy and postherpetic neuralgia: a quantitative systematic review. J Pain Symptom Manage, 20:449-458.
  • Dansie EJ, Turk DC (2013) Assessment of patients with chronic pain. Br J Anaesth, 111:19-25.
  • Day MA, Thorn BE (2010) The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain, 151:467-474.
  • Denkinger MD, Lukas A, Nikolaus T, Peter R, Franke S, ActiFE Study Group (2014) Multisite pain, pain frequency and pain severity are associated with depression in older adults: results from the ActiFE Ulm study. Age Ageing, 43:510-514.
  • Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I (2016) A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res, 9:457-467.
  • Esteve R, Ramírez-Maestre C, López-Martínez AE (2007) Adjustment to chronic pain: the role of pain acceptance, coping strategies, and pain-related cognitions. Ann Behav Med, 33:179-188.
  • Ferreira ML, Machado G, Latimer J, Maher C, Ferreira PH, Smeets RJ (2010) Factors defining care-seeking in low back pain–a meta-analysis of population based surveys. Eur J Pain, 14:747-e7.
  • Feuerstein M, Sult S, Houle M (1985) Environmental stressors and chronic low back pain: life events, family and work environment. Pain, 22:295-307.
  • Fillingim RB, Loeser JD, Baron R, Edwards RR (2016) Assessment of chronic pain: domains, methods, and mechanisms. J Pain, 17:T10-T20.
  • Garbi MDOSS, Hortense P, Gomez RRF, Silva TDCRD, Castanho ACF, Sousa FAEF (2014) Pain intensity, disability and depression in individuals with chronic back pain. Rev Lat Am Enfermagem, 22:569-575.
  • Generaal E, Vogelzangs N, Macfarlane GJ, Geenen R, Smit JH, de Geus EJ et al. (2017) Biological stress systems, adverse life events, and the improvement of chronic multisite musculoskeletal pain across a 6-year follow-up. J Pain, 18:155-165.
  • Ghosh SN, Sharma T (2010) Life events stress and chronic pain. Psychol Stud, 55: 46-51.
  • Gignac MA, Davis AM, Hawker G, Wright JG, Mahomed N, Fortin PR et al. (2006) “What do you expect? You're just getting older”: a comparison of perceived osteoarthritis‐related and aging‐related health experiences in middle‐and older‐age adults. Arthritis Care Res (Hoboken), 55:905-912.
  • Haefeli M, Elfering A (2006) Pain assessment. Eur Spine J, 15:S17-S24.
  • Häuser W, Brähler E, Wolfe F, Henningsen P (2014) Patient Health Questionnaire 15 as a generic measure of severity in fibromyalgia syndrome: surveys with patients of three different settings. J Psychosom Res, 76:307-311.
  • Homann D, Stefanello JMF, Góes SM, Breda CA, Paiva EDS, Leite N (2012) Stress perception and depressive symptoms: functionality and impact on the quality of life of women with fibromyalgia. Rev Bras Reumatol, 52:324-330.
  • Houde F, Cabana F, Léonard G (2016) Does age affect the relationship between pain and disability? A descriptive study in individuals suffering from chronic low back pain. J Geriatr Phys Ther, 39:140-145.
  • Jones J, Rutledge DN, Jones KD, Matallana L, Rooks DS (2008) Self-assessed physical function levels of women with fibromyalgia: a national survey. Womens Health Issues, 18:406-412.
  • Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM (2004) Psychological aspects of persistent pain: current state of the science. J Pain, 5:195-211.
  • Kerns RD, Turk DC, Rudy TE (1985) The West Haven-Yale Multidimensional Pain İnventory (WHYMPI). Pain, 23:345-356.
  • Lami MJ, Martínez MP, Miró E, Sánchez AI, Guzmán MA (2018) Catastrophizing, acceptance, and coping as mediators between pain and emotional distress and disability in fibromyalgia. J Clin Psychol Med Settings, 25:80-92.
  • Langley P, Müller-Schwefe G, Nicolaou A, Liedgens H, Pergolizzi J, Varrassi G (2010) The societal impact of pain in the European Union: health-related quality of life and healthcare resource utilization. J Med Econ, 13:571-581.
  • Lazarus RS (2006) Stress and emotion: A new synthesis. New York, Springer.
  • Lazarus RS, Folkman S (1984) Stress, Appraisal, and Coping. New York, Springer
  • Lee H, Hübscher M, Moseley GL, Kamper SJ, Traeger AC, Mansell G et al. (2015) How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain, 156:988-997.
  • Lerman SF, Rudich Z, Brill S, Shalev H, Shahar G (2015) Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosom Med, 77:333-341.
  • Liossi C, Howard RF (2016) Pediatric chronic pain: biopsychosocial assessment and formulation. Pediatrics, 138:e20160331.
  • Lumley MA, Cohen JL, Borszcz GS, Cano A, Radcliffe AM, Porter LS et al. (2011) Pain and emotion: a biopsychosocial review of recent research. J Clin Psychol, 67:942-968.
  • Martinez-Calderon J, Jensen MP, Morales-Asencio JM, Luque-Suarez A (2019) Pain catastrophizing and function in individuals with chronic musculoskeletal pain. Clin J Pain, 35:279-293.
  • McCracken LM, Eccleston C (2005) A prospective study of acceptance of pain and patient functioning with chronic pain. Pain, 118:164-169.
  • Matthieu MM, Ivanoff A (2006) Using stress, appraisal, and coping theories in clinical practice: Assessments of coping strategies after disasters. Brief Treat Cris Interv, 6:337-348.
  • Merskey H (1994) Pain terms: a current list with definitions and notes on usage. In Classification of Chronic Pain, 2nd ed. 209-214. Seattle, IASP Press.
  • Nesse RM, Ellsworth PC (2009) Evolution, emotions, and emotional disorders. Am Psychol, 64:129-139.
  • Nicholas MK, Molloy AR, Brooker C (2006) Using opioids with persisting noncancer pain: a biopsychosocial perspective. Clin J Pain, 22:137-146.
  • Ojeda B, Salazar A, Dueñas M, Torres LM, Micó JA, Failde I (2014) The impact of chronic pain: the perspective of patients, relatives, and caregivers. Fam Syst Health, 32:399-407.
  • Peters ML (2015) Emotional and cognitive influences on pain experience. Mod Trends Pharmacopsychiatr, 30:138-152.
  • Puente CP, Furlong LV, Gallardo CÉ, Méndez MC, Cruz DB, Fernández-de-Las-Peñas C (2015) Self-efficacy and affect as mediators between pain dimensions and emotional symptoms and functional limitation in women with fibromyalgia. Pain Manage Nurs, 16:60-68.
  • Puntillo K, Naidu RK (2018) Measurement of chronic pain and opioid use evaluation in community-based persons with serious illnesses. J Palliat Med, 21:43-51.
  • Rosenzweig S, Greeson JM, Reibel DK, Green JS, Jasser SA, Beasley D (2010) Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. J Psychosom Res, 68:29-36.
  • Roth RS, Geisser ME (2002) Educational achievement and chronic pain disability: mediating role of pain-related cognitions. Clin J Pain, 18:286-296.
  • Salaffi F, Sarzi-Puttini P, Atzeni F (2015) How to measure chronic pain: new concepts. Best Pract Res Clin Rheumatol, 29:164-186.
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  • Tan G, Teo I, Anderson KO, Jensen MP (2011) Adaptive versus maladaptive coping and beliefs and their relation to chronic pain adjustment. Clin J Pain, 27:769-774.
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  • Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R et al. (2015) A classification of chronic pain for ICD-11. Pain, 156:1003-1007.
  • Türetgen IÖ, Berk ÖS, Basbug G, Unsal P (2012) The development of the Job Stressor Appraisal Scale as part of the Job Stress Battery. Eur J Psychol Assess, 28:147-153.
  • Ullrich PM, Turner JA, Ciol M, Berger R (2005) Stress is associated with subsequent pain and disability among men with nonbacterial prostatitis/pelvic pain. Ann Behav Med, 30:112-118.
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  • Varallo G, Giusti EM, Scarpina F, Cattivelli R, Capodaglio P, Castelnuovo G (2020) The association of kinesiophobia and pain catastrophizing with pain-related disability and pain intensity in obesity and chronic lower-back pain. Brain Sci, 11:1-8.
  • Varallo G, Scarpina F, Giusti EM, Suso-Ribera C, Cattivelli R, Guerrini Usubini A et al. (2021) The role of pain catastrophizing and pain acceptance in performance-based and self-reported physical functioning in individuals with fibromyalgia and obesity. J Pers Med, 11:810.
  • von Baeyer CL (2006) Children’s self-reports of pain intensity: scale selection, limitations and interpretation. Pain Res Manag, 11:157-162.
  • Zeng F, Sun X, Yang B, Fu X (2016) Life events, anxiety, social support, personality, and alexithymia in female patients with chronic pain: A path analysis. Asia Pac Psychiatry, 8:44-50.
Toplam 79 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikoloji
Bölüm Araştırma
Yazarlar

Ayla Hocaoğlu Uzunkaya 0000-0002-3444-0309

H. Özlem Sertel Berk 0000-0002-3045-3903

Erken Görünüm Tarihi 6 Mayıs 2023
Yayımlanma Tarihi 29 Aralık 2023
Kabul Tarihi 6 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 15 Sayı: Supplement 1

Kaynak Göster

AMA Hocaoğlu Uzunkaya A, Sertel Berk HÖ. Chronic Pain Experience According to the Transactional Stress and Coping Model: Associations between Different Pain Measures and Health Outcomes. Psikiyatride Güncel Yaklaşımlar. Aralık 2023;15(Supplement 1):95-109. doi:10.18863/pgy.1239250

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.