Stress and Health最新文献

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Idiographic bidirectional associations of stressfulness of events and negative affect in daily life as indicators for mental health: An experience sampling study. 作为心理健康指标的日常生活中事件压力和负面情绪的双向关联:经验取样研究。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-05-30 DOI: 10.1002/smi.3433
Jannis T Kraiss, Thomas Vaessen, Peter M Ten Klooster
{"title":"Idiographic bidirectional associations of stressfulness of events and negative affect in daily life as indicators for mental health: An experience sampling study.","authors":"Jannis T Kraiss, Thomas Vaessen, Peter M Ten Klooster","doi":"10.1002/smi.3433","DOIUrl":"10.1002/smi.3433","url":null,"abstract":"<p><p>Evidence suggests that complex micro-dynamics occurring in daily life underly the development of mental distress. We aimed to (1) study the cross-lagged association between stressful events and negative affect (NA), (2) show that there is substantial between-person variability in idiographic associations and (3) show that idiographic associations are indicative of mental health. Experience sampling study assessing perceived stressfulness of events (PSE) and NA four times per day for 2 weeks in a non-clinical convenience sample (N = 70, mean age = 22.9, 61% female, 69% German). Bivariate vector autoregressive model implemented in dynamic structural equation modelling to model the associations between stressful events and NA and obtain idiographic associations. Stressfulness of events and NA were significantly reciprocally associated. Autocorrelations and cross-lagged associations from PSE to NA showed substantial variability and were significantly related with trait measures of depression, anxiety, well-being, and perceived stress. Contrary to expectations, cross-lagged associations from NA to stressfulness of events were not related to trait mental health. The approach outlined in this article is useful for studying idiographic dynamics in daily life. The findings increase our understanding of micro-dynamics underlying mental health and individual differences in these processes.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Having any mental health condition before the COVID-19 pandemic as a risk factor of COVID-19 contagion during the first year of pandemic: A Spanish adult cohort. 在 COVID-19 大流行之前有任何精神健康问题是 COVID-19 在大流行第一年传染的风险因素:西班牙成人队列。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-07-17 DOI: 10.1002/smi.3446
Sheila Lopez-Romeo, Susana Subira-Alvarez, Andrea Miranda-Mendizabal, Jorge Piqueras-Marques, Raquel Leal-Pujol, Silvia Recoder, Esther Calbo, Marc Casajuana-Closas, Carlos G Forero, Pere Castellvi
{"title":"Having any mental health condition before the COVID-19 pandemic as a risk factor of COVID-19 contagion during the first year of pandemic: A Spanish adult cohort.","authors":"Sheila Lopez-Romeo, Susana Subira-Alvarez, Andrea Miranda-Mendizabal, Jorge Piqueras-Marques, Raquel Leal-Pujol, Silvia Recoder, Esther Calbo, Marc Casajuana-Closas, Carlos G Forero, Pere Castellvi","doi":"10.1002/smi.3446","DOIUrl":"10.1002/smi.3446","url":null,"abstract":"<p><p>Numerous studies suggest that subjects suffering from a mental health condition before the COVID-19 pandemic were at higher risk of contagion, but mostly are cross-sectional or retrospective. The BIOVAL-D-COVID-19 is a longitudinal cohort study design with 922 subjects who full filled two evaluations from an online survey of Spanish residents before and during the pandemic. Mental health conditions assessed were: Major Depressive Episode (MDE), Generalised Anxiety Disorder (GAD), Suicidal Thoughts and Behaviours (STB) and subthreshold of panic and bipolar disorder (BD). Mental health screening instruments used were: the Spanish version of the Composite International Diagnostic Interview (CIDI) version 3.0 for the evaluation of MDE, the GAD-7 scale to evaluate GAD; STB was evaluated with four items from the CIDI questionnaire. Panic Disorder and BD were screened from a modified and self-reported version of the CIDI. A bivariate plus five logistic regression models were developed for each mental health condition adjusted by socio-demographic variables; employment status; general and physical health; comorbidity; and including all previous variables and the other mental health conditions. We found in bivariate model that MDE; GAD and STB were statistically significant risk factors of contagion of COVID-19. The logistic regression models developed reveal that having a previous GAD (aOR 3.30 1.31-8.31) or STB (aOR 2.16 CI 95% 1.01-4.62) was statistically significant associated with COVID-19 contagion, independently of all variables included. MDE was not a risk factor of contagion when it was adjusted by comorbidity (aOR 0.99 CI 95% 0.47-2.09). It is recommended to detect those subjects with previous GAD or STB as vulnerable groups of infection to reduce contagion rates.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anxiety, post-traumatic symptoms, media-induced secondary trauma, post-traumatic growth, and resilience among mental health workers during the Israel-Hamas war. 以色列-哈马斯战争期间心理健康工作者的焦虑、创伤后症状、媒体诱发的二次创伤、创伤后成长和复原力。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI: 10.1002/smi.3459
Sagit Dahan, Esther Bloemhof-Bris, Ronen Segev, Marina Abramovich, Galit Levy, Assaf Shelef
{"title":"Anxiety, post-traumatic symptoms, media-induced secondary trauma, post-traumatic growth, and resilience among mental health workers during the Israel-Hamas war.","authors":"Sagit Dahan, Esther Bloemhof-Bris, Ronen Segev, Marina Abramovich, Galit Levy, Assaf Shelef","doi":"10.1002/smi.3459","DOIUrl":"10.1002/smi.3459","url":null,"abstract":"<p><p>The ongoing Israel-Hamas war is posing additional challenges for mental health workers in an already stressful workplace. This study centres on the psychological effects of the shared traumatic reality on mental health workers, arising from the Israel-Hamas war. One month after exposure to the terrorist attack of 7 October 2023 and the outbreak of war following this event, 147 mental health workers completed questionnaires regarding a variety of variables such as demographics, anxiety symptoms, acute stress symptoms, media-induced secondary trauma, personal resilience, National resilience (NR), and post-traumatic growth (PTG). The study found that mental health workers with previous trauma displayed higher anxiety symptoms, acute stress symptoms, and media-induced secondary trauma. Additionally, acute stress and anxiety were positively correlated with media-induced secondary trauma. Religiosity, personal resilience, and NR were found associated with lower anxiety and acute stress symptoms. Religiosity was also positively correlated with personal resilience, NR, and PTG. The PTG of mental health workers working with trauma survivors and evacuees was higher compared to that of other mental health workers. Both adverse and adaptive reactions were evident among mental health workers. While traumatic stress is expected, individual, professional, and NR factors may mitigate its effects. Providing training, social support, regulated media exposure, stress management, and meaning-focused coping strategies can help safeguard workers' well-being.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological adjustment to disease and treatment: A general model. 对疾病和治疗的心理适应:一般模式。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI: 10.1002/smi.3467
Joost Dekker
{"title":"Psychological adjustment to disease and treatment: A general model.","authors":"Joost Dekker","doi":"10.1002/smi.3467","DOIUrl":"10.1002/smi.3467","url":null,"abstract":"","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the impact of metabolic and cognitive stress on ghrelin and nesfatin-1 hormones in patients with diabetes and diabetic depression. 评估代谢和认知压力对糖尿病和糖尿病抑郁症患者胃泌素和奈斯法汀-1激素的影响。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-06-08 DOI: 10.1002/smi.3435
Sermin Algul, Oguz Ozcelik
{"title":"Evaluating the impact of metabolic and cognitive stress on ghrelin and nesfatin-1 hormones in patients with diabetes and diabetic depression.","authors":"Sermin Algul, Oguz Ozcelik","doi":"10.1002/smi.3435","DOIUrl":"10.1002/smi.3435","url":null,"abstract":"<p><p>Nesfatin-1 and ghrelin, initially recognised as hormones involved in regulating energy, have emerged as crucial players with vital functions in various human body systems. In this study, we conducted a comparative assessment of nesfatin-1 and ghrelin responses in individuals experiencing metabolic stress due to diabetes, those with depressive diabetes characterised by both metabolic and mental stress, and healthy controls. We collected blood samples from a total of 90 participants, consisting of 30 people with type II diabetes mellitus (DM), 30 people with type II DM and major depressive disorders, and 30 healthy individuals. Diabetes was diagnosed based on glycated haemoglobin (HbA1c) levels, while depression was assessed using DSM-V criteria. Insulin resistance (HOMA-IR) was calculated, and serum ghrelin and nesfatin-1 levels were measured using ELISA kits. We observed statistically significant decreases in nesfatin-1 and ghrelin levels in the diabetic group (p < 0.0001). However, in the depressive diabetic group, nesfatin-1 levels increased significantly, while ghrelin levels decreased further. The nesfatin-1 to ghrelin ratio decreased in the diabetic group but increased significantly in the depressive diabetic group (p < 0.0001). Nesfatin-1 and ghrelin hormones exhibit parallel impacts in response to metabolic stress, but nesfatin-1 demonstrates contrasting actions compared to ghrelin when mental stress is added to metabolic stress. The findings of this study suggest that nesfatin-1 and ghrelin hormones may play active roles as protective, prognostic, and even etiological factors in various stress situations, particularly those involving mental stress, in addition to their known functions in regulating energy.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students. 睡眠在 COVID-19 压力源预测新兴成年大学生身心健康结果之间的纵向中介作用。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1002/smi.3416
Chelsea D Williams, Sneha Gade, Kaprea Johnson, Roseann E Peterson, Oswaldo Moreno, Kristina B Hood, Arlenis Santana, Jasmin Vassileva, Danielle M Dick, Ananda B Amstadter, Karen G Chartier, Diamond Y Bravo
{"title":"The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students.","authors":"Chelsea D Williams, Sneha Gade, Kaprea Johnson, Roseann E Peterson, Oswaldo Moreno, Kristina B Hood, Arlenis Santana, Jasmin Vassileva, Danielle M Dick, Ananda B Amstadter, Karen G Chartier, Diamond Y Bravo","doi":"10.1002/smi.3416","DOIUrl":"10.1002/smi.3416","url":null,"abstract":"<p><p>The current study tested a longitudinal mediation model throughout the COVID-19 pandemic focused on whether students' housing instability stress and food/financial instability stress at the beginning of the pandemic in spring 2020 (T1) informed sleep dissatisfaction and duration in fall 2020 (T2) and, in turn, physical and mental health in spring 2021 (T3). Further, we tested whether relations varied based on students' ethnic-racial backgrounds. Participants included 879 Asian, Black, Latine, Multiracial, and White emerging adult college students (Mage = 19.95, SD = 0.33) from a large public university in the mid-Atlantic region of the United States who attended college during the COVID-19 pandemic and completed surveys about their experiences. Findings indicated a significant mediation process, such that T1 housing instability stress predicted greater T2 sleep dissatisfaction and, in turn, less physical health, greater depressive symptoms, and greater anxiety symptoms at T3. Additionally, T1 food/financial instability stress was significantly associated with less T2 sleep duration but was not, in turn, associated with any T3 outcomes. Findings did not vary by students' ethnicity/race. Results highlight that sleep dissatisfaction is an important factor that accounts for relations between COVID-19 stressors predicting mental and physical health outcomes throughout the pandemic.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A longitudinal study of the relationships among competency-based teasing, positivity, and depressive symptoms in Chinese children: Highlighting gender differences. 中国儿童基于能力的取笑、积极性和抑郁症状之间关系的纵向研究:突出性别差异。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1002/smi.3438
Zhaoyuan Liang, E Scott Huebner, Shan Shao, Lili Tian
{"title":"A longitudinal study of the relationships among competency-based teasing, positivity, and depressive symptoms in Chinese children: Highlighting gender differences.","authors":"Zhaoyuan Liang, E Scott Huebner, Shan Shao, Lili Tian","doi":"10.1002/smi.3438","DOIUrl":"10.1002/smi.3438","url":null,"abstract":"<p><p>Competency-based teasing has been identified as a risk factor for children's depressive symptoms. However, the specific psychological mechanisms mediating this relationship are not well understood, especially in the context of Chinese culture. This study examined the relationship between competency-based teasing, subsequent depressive symptoms, and the possible mediating role of positivity in Chinese children by using parallel process latent growth curve modelling. Gender differences were also explored. A sample of 4376 Chinese children (55.1% boys; age: M = 9.98 years, SD = 0.88) completed measurements of the relevant constructs on five occasions across 2 years, using half-year intervals. The findings revealed that competency-based teasing was significantly positively associated with subsequent depressive symptoms in Chinese children. Furthermore, positivity mediated this relationship in girls, but not in boys. The results suggest that positivity-cultivating and gender-specific interventions may be effective to reduce the risk of depressive symptoms in Chinese children.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Components of hot and cold executive functions and their relations to different forms of stress resilience: A systematic review. 冷热执行功能的组成部分及其与不同形式的抗压能力的关系:系统综述。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-06-29 DOI: 10.1002/smi.3439
Patricia Mecha, Maria Rodriguez-Morales, Alvaro Sanchez-Lopez
{"title":"Components of hot and cold executive functions and their relations to different forms of stress resilience: A systematic review.","authors":"Patricia Mecha, Maria Rodriguez-Morales, Alvaro Sanchez-Lopez","doi":"10.1002/smi.3439","DOIUrl":"10.1002/smi.3439","url":null,"abstract":"<p><p>Increasing evidence points out that Executive Functions (i.e., EFs) may be core mechanisms for the generation of resilient responses to adversity. A systematic review testing the relations between either affective (hot) and/or non-affective (cold) EFs (i.e., inhibition, flexibility and working memory updating) and resilience was conducted. A total of 449 articles were initially identified. After two steps of title-and-abstract (k = 449), and full-text reading filtering (k = 67), 11 studies were reviewed. Three studies included cold measures of working memory and supported significant positive relations between higher working memory functioning and higher trait resilience levels. One study included cold measures of inhibition and another one both hot and cold measures, with only the first one supporting a positive relation between more efficient inhibition and higher trait resilience levels. Finally, 7 studies measured flexibility in its cold and/or hot dimensions and overall supported significant relations between higher flexibility and higher levels of trait, process and outcome resilience measures. These results support the role of EFs performance to promote different forms of resilience. This review allows to identify different issues that need to be addressed in future research and highlight the need to integrate the analysis of all hot and cold EFs components to understand their role in the generation of resilience.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of stress, anxiety and depression levels of health, education and security sector employees: The effect of psychological resilience. 卫生、教育和安全部门雇员的压力、焦虑和抑郁水平比较:心理复原力的影响。
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI: 10.1002/smi.3425
Mehmet Emin Şanlı, Ahmet Yıldız, Erhan Ekingen, Murat Yıldırım
{"title":"Comparison of stress, anxiety and depression levels of health, education and security sector employees: The effect of psychological resilience.","authors":"Mehmet Emin Şanlı, Ahmet Yıldız, Erhan Ekingen, Murat Yıldırım","doi":"10.1002/smi.3425","DOIUrl":"10.1002/smi.3425","url":null,"abstract":"<p><p>This study compared the stress, anxiety and depression levels in employees working in the health, education and security sectors. The study also investigated the effect of psychological resilience on stress, anxiety, and depression levels and whether the stress, anxiety, depression and psychological resilience levels of employees differ according to occupational and demographic variables. In this cross-sectional study, 1222 employees participated, comprising 50.8% from the health sector, 37.7% from education, and 11.5% from security. Data were collected using the Stress, Anxiety, and Depression Scale-21 and the Brief Resilience Scale. The study revealed varying rates of severe stress (49.1%), anxiety (74.0%), and depression (53.2%) among participants. Health employees experienced higher stress (52.1%), anxiety (77.0%), and depression (58%) rates compared to those in education (46.4%, 72.4%, and 48.4%) and security sectors (44.3%, 66.4%, and 48.5%). Health employees exhibited higher stress, anxiety, and depression levels, signifying a significant difference. Furthermore, the research identified psychological resilience as a crucial predictor of stress, anxiety, and depression. Additionally, these mental health issues were more prevalent among younger individuals with less work experience, females, private sector employees, singles, and those without children. The findings of the study showed that the level of stress, anxiety and depression was high in employees working in all three sectors (health, education and security), but mental problems were more common in health employees. The fact that psychological resilience is a significant predictor of stress, anxiety and depression levels indicates that this factor should be taken into account.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotions in search of words: Does alexithymia predict treatment outcome in chronic musculoskeletal pain? 寻找词语的情感:情感障碍能否预测慢性肌肉骨骼疼痛的治疗效果?
IF 3 2区 心理学
Stress and Health Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI: 10.1002/smi.3436
Roberta Lanzara, Chiara Conti, Vittorio Lalli, Paolo Cannizzaro, Gianna Pia Affaitati, Maria Adele Giamberardino, Alison Williams, Piero Porcelli
{"title":"Emotions in search of words: Does alexithymia predict treatment outcome in chronic musculoskeletal pain?","authors":"Roberta Lanzara, Chiara Conti, Vittorio Lalli, Paolo Cannizzaro, Gianna Pia Affaitati, Maria Adele Giamberardino, Alison Williams, Piero Porcelli","doi":"10.1002/smi.3436","DOIUrl":"10.1002/smi.3436","url":null,"abstract":"<p><p>Chronic pain, with its complex and multidimensional nature, poses significant challenges in identifying effective long-term treatments. There is growing scientific interest in how psychopathological and personality dimensions may influence the maintenance and development of chronic pain. This longitudinal study aimed to investigate whether alexithymia can predict the improvement of pain severity following a treatment-as-usual programme for chronic musculoskeletal pain over and above psychological cofactors (emotional distress, catastrophizing, and self-efficacy). A consecutive sample of 129 patients with diagnosed chronic musculoskeletal pain referred to two tertiary care centres was recruited and treated for 16 weeks. Clinical pain, psychological distress, self-efficacy, catastrophizing, and alexithymia were assessed with validated self-report measures at the first medical visit (T0) and at 16-week follow-up (T1). Compared with non-responder patients (n = 72, 55.8%), those who responded (i.e., reduction of >30% in pain severity; n = 57, 44.2%) reported an overall improvement in psychological variables except alexithymia. Alexithymia showed relative stability between baseline and follow-up within the entire sample and remained a significant predictor of treatment outcome even when other predictive cofactors (i.e., pain interference, depressive symptoms, and catastrophizing) were considered simultaneously. Our results suggest that identifying patients with a co-occurrence between alexithymia, depressive symptoms, catastrophizing, and the stressful experience of chronic pain can be clinically relevant in pain prevention and intervention programs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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