Eric Salas, Ryan Hulla, Nikeis Vanzzini, Cynthia Trowbridge, Marco Brotto, David Keller, Robert J. Gatchel
{"title":"The relative efficacy of two exercise methods for older adults with chronic low back pain: A preliminary randomized control study","authors":"Eric Salas, Ryan Hulla, Nikeis Vanzzini, Cynthia Trowbridge, Marco Brotto, David Keller, Robert J. Gatchel","doi":"10.1111/jabr.12132","DOIUrl":"10.1111/jabr.12132","url":null,"abstract":"<p>The objective of the current study was to examine the relative efficacy of two exercise techniques—a multidimensional treatment (MDT) and a traditional senior exercise therapy treatment (TET)—in older adults diagnosed with chronic low back pain (CLBP). Participants (<i>N</i> = 16) were randomly assigned to either the MDT (<i>n</i> = 8) or TET (<i>n</i> = 8) groups after meeting the requirements for the presence of CLBP. Participants in the MDT group received an individualized exercise program, while participants in the TET participated in a group exercise program. A Mann–Whitney test was conducted to determine differences between psychosocial and physical variables pre- and post-intervention. Statistical analyses indicated no significant differences in physical or psychosocial variables at pre-intervention assessment. However, participants in the MDT group reported a decrease in fatigue and pain interference, with an increase in physical functioning, when compared to the TET group. Additionally, the MDT group displayed a significant decrease pain interference, while the TET group had an increase grip strength. Patients who received the MDT reported less fatigue and pain interference, and an increase in their overall physical functioning. Overall, the MDT was a more efficacious method to manage CLBP.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46514728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio I. Cuesta-Vargas, Cristina Roldan-Jimenez, Bella Pajares, Emilio Alba, Club_CAM
{"title":"Central sensitization in breast cancer survivors","authors":"Antonio I. Cuesta-Vargas, Cristina Roldan-Jimenez, Bella Pajares, Emilio Alba, Club_CAM","doi":"10.1111/jabr.12120","DOIUrl":"10.1111/jabr.12120","url":null,"abstract":"<p>The goal of this study was to study central sensitization (CS)-related symptoms in breast cancer (BC) survivors and to find if there are differences in clinical and functional variables. In this cross-sectional study, 25 women aged between 32 and 69 years participated. CS pain was measured with the Central Sensitization Inventory (CSI). Forty points was considered the cutoff value. Cancer-related fatigue (CRF), Quality of life, functional capacity, and handgrip strength (HGS) was assessed. A 60% of BC survivors showed a CSI score from 0 to 40, while the rest 40% of women had a score higher than 40, CSI scores being 38.35 ± 14.54 points in the whole sample. Significant differences were found in functional capacity, CRF and QoL (<i>p</i> < .011). However, there were no differences in HGS (<i>p</i> = .089). This is the first study to report BC survivors CS-related symptoms. The high CS-related symptoms group showed differences in some symptoms and functional capacity in this population. Future research including a wider sample and more variables related to pain should be carried out.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43642461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie J. Sabik, Sarah B. Lupis, Ashley M. Geiger, Jutta M. Wolf
{"title":"Are body perceptions and perceived appearance judgments by others linked to stress and depressive symptoms?","authors":"Natalie J. Sabik, Sarah B. Lupis, Ashley M. Geiger, Jutta M. Wolf","doi":"10.1111/jabr.12131","DOIUrl":"10.1111/jabr.12131","url":null,"abstract":"<p>Body dissatisfaction has consistently been linked to depressive symptoms. We posit stress as a pathway, with differential links to two aspects of body esteem, including body dissatisfaction and evaluations attributed to others about one's body and appearance. The Trier Social Stress Test was administered, and cortisol responses to acute psychosocial stress and survey data (perceived chronic stress, self-reported body esteem, and depressive symptoms) were assessed in 57 undergraduates (28F). Chronic stress mediated the association between body image and depressive symptoms. These findings support stress as a pathway by which poor self-image gets “under the skin” to negatively affect health.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49262687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How nurses can help monitor potential opioid abuse in patients","authors":"Pamela Bolyanatz","doi":"10.1111/jabr.12128","DOIUrl":"10.1111/jabr.12128","url":null,"abstract":"<p>Opioid use raises genuine concern in the United States today; everyone has an opinion about opioids and their use. Recently hospitalized patients have refused to take opioids after surgery for fear they would become addicted. In addition, some physicians refuse to prescribe opioids in their practice, even if their patients has been compliant on 1–2 hydrocodone/acetaminophen (Norco) a day for many years. The current political climate and the “war on opioids,” has caused the unintended result of tightening access for the legitimate patient rather than limiting illegal access according to interviews with patients. An Emergency Room (ER) nurse or physician cannot adequately assess the motivation of a patient who comes to the ER for the third or tenth or thirtieth time for the same problem asking for an opioid for their pain, while they are also caring for trauma patients. It is difficult to know if this is drug-seeking behavior or a true pain exacerbation. Nurses can be at the forefront of policy design and protocol implementation throughout the various entry points of the health care system; this will enhance patient safety surrounding opioid use. National organizations have published guidelines and position papers to guide practice for primary care physicians, outpatient clinics, and hospitals to safeguard care. Opioid-sparing efforts are the future of health care.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42626516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The nurse work environment: Current and future challenges","authors":"Jessica G. Smith","doi":"10.1111/jabr.12126","DOIUrl":"10.1111/jabr.12126","url":null,"abstract":"<p>Costs of nurse turnover including financial loss and loss of intellectual capital warrant a better understanding of how improving the nurse work environment could result in increased nurse retention and better patient outcomes. The purpose of this paper is to discuss the current and future challenges for improving the nurse work environment in health care settings across the United States. This was a critical analysis about the current and future challenges of improving the nurse work environment from analysis of current literature integrated with the author's experience of studying the nurse work environment. Current challenges for improving the nurse work environment include staying informed of developing evidence on a global scale, using innovative research methods to learn about how work environments might change over time, and expanding research to understudied patient populations. Future challenges for improving the nurse work environment include effective intervention design, testing interventions, and sustaining changes designed to have a positive influence on patient and nurse outcomes. Despite inherent current and future challenges, attending to opportunities for improving the nurse work environment could help reduce nurse turnover and improve patient care outcomes.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43574017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of the profession of nursing in health care: Current and future issues","authors":"Robert J. Gatchel","doi":"10.1111/jabr.12127","DOIUrl":"10.1111/jabr.12127","url":null,"abstract":"<p>The present article presents a brief summary of the articles and themes highlighted in this Special Issue on the importance of nursing in our current health care system. As will be reviewed, there is an array of biobehavioral problems encountered by nurses, ranging from chronic low back pain, depression to burnout and workplace stress. In addition, nurses are becoming increasingly involved in important issues, such as the current opioid crisis, pain management, and a host of interpersonal demands of patients. As a consequence of them having to “wear many different hats,” a great number of nurses are now leaving the profession, resulting in a real threat of a nursing-shortage in this country. Efforts are now underway to stem this exodus from this important profession.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47429533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of nurse monitoring for potential opioid abuse in their patients","authors":"Theresa Mallick-Searle, Hong Chang","doi":"10.1111/jabr.12129","DOIUrl":"10.1111/jabr.12129","url":null,"abstract":"<p>Deaths related to opioids have quadrupled since 1999, making it a top priority in health care. This article will provide an overview of the opioid crisis, focusing on the role that nurses play in addressing this crisis, with emphasis on assessment, early recognition, and prevention of opioid misuse. Systematic review of Medline, PubMed, and Google Scholar for articles relating to nurses’ role in pain management, education, and safe opioid use. Research suggests the incidence of ongoing, persistent pain is at an all-time high (IOM Report, 2011, <i>Relieving pain in America: A blueprint for transforming prevention, care, education, and research</i>, The National Academies Press, Washington, DC), coincidently the rate of opioid prescribing over the past 15 years has also reached an all-time high (Prescription Opioid Overdose Data, 2017, https://www.cdc.gov/drugoverdose/data/overdose.html/). An “opioid crisis” was declared, calling for safer opioid prescribing (CDC Guideline for Prescribing, 2016, https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm/). Further research shows that nurses are educated and accomplished health care professionals (ASPMN, 2017, <i>The core curriculum for pain management nursing</i>, Elsevier, New York, NY; DEA Requirements, 2017, https://www.deadiversion.usdoj.gov/pubs/docs/dwp_buprenorphine.htm/; Ray & Behr, <i>Clinical Nurse Specialist</i>, 31, 2017, 115; St. Marie, <i>Pain Management Nursing</i>, 17, 2016, 311), at the forefront of monitoring for addiction and opioid misuse. Nurses contribute greatly to enhanced pain assessment and education to patients, families, and their peers. With the current opioid crisis, nurses have taken on the added responsibility of monitoring for potential opioid abuse, safety, and signs of addiction in their patients.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46292187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute effects of continuous and high-intensity interval exercise on executive function","authors":"Denver M. Y. Brown, Steven R. Bray","doi":"10.1111/jabr.12121","DOIUrl":"10.1111/jabr.12121","url":null,"abstract":"<p>The purpose of this study was to examine the acute effects of 20-min of cycling exercise at varying exercise intensities on executive function performance. Participants (<i>N </i>= 107) completed a baseline measure of executive function (Stroop task [ST]) and a graded cardiovascular exercise test during Visit 1. During Visit 2, participants were randomized to groups and completed 20 min of activity involving: high-intensity interval exercise, high-, moderate- or very-light intensity continuous exercise, or no-exercise (control). The ST was performed immediately following the exercise/control manipulation and at 10-min post-manipulation. Results showed exercise positively influenced executive function immediately after exercising in all groups with the exception of the very-light intensity exercise group, while all groups showed significant improvements at 10-min post-exercise. Findings also revealed a significant difference between the moderate-intensity exercise group in comparison to the very-light intensity exercise group immediately post-exercise. Among the exercise stimuli investigated, results suggest moderate-intensity exercise provides the greatest beneficial effects on executive function immediately following exercise. Future research should focus on mechanisms that would account for enhanced executive function performance following acute exercise and dose–response effects.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41973018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central sensitization and the biopsychosocial approach to understanding pain","authors":"Leah M. Adams, Dennis C. Turk","doi":"10.1111/jabr.12125","DOIUrl":"10.1111/jabr.12125","url":null,"abstract":"<p>Medical interventions alone have been largely unsuccessful in treating and curing disorders characterized by chronic pain like central sensitivity syndromes (CSS; e.g., fibromyalgia, chronic migraine, temporomandibular disorders, irritable bowel syndrome). In this article, we discuss how a biopsychosocial perspective adds to understanding people's experiences with chronic pain. A biopsychosocial perspective examines how biological, psychological, social, and contextual factors work independently and jointly to influence the experience, maintenance, and exacerbation of CSS and their symptoms. We highlight several key psychological and social factors relevant to many people who live with CSS, while also emphasizing the heterogeneity in people's experiences, life courses, and symptoms. Furthermore, we emphasize that the psychological, social, and contextual factors that we include are best characterized as contributors to chronic pain experience rather than causes of it.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46352277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An overview of health challenges faced by nurses","authors":"Anne Bavier","doi":"10.1111/jabr.12118","DOIUrl":"10.1111/jabr.12118","url":null,"abstract":"<p>Nurses play a critically important role in health care delivery as caregivers, patient advocates, managers of care, and decision-makers, who use critical thinking-skills in order to come up with the best outcomes for patients, as well as helping the patients’ families through tough health challenges. Their varying roles as dependable counselors, comforters, confidants, and great listeners are a big part of the reason why nurses are so vital in the health care system. Indeed, polls conducted by the Gallup Organization consistently list nursing as one of the nation's most trusted professions. However, many nurses pay a huge price for their service. Indeed, research shows that, on average, nurses are less healthy than the general public. They are more likely to be overweight, have higher levels of stress, and get less sleep. The heavy lifting required on the job makes nurses seven times more susceptible to musculoskeletal injuries like back pain, an ailment that afflicts large numbers of Americans.</p>","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43972141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}