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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Understanding Couples' Perceptions of the Impact of Chronic Back Pain on their Relationship

Cross, Laura A. 07 May 2012 (has links)
While a substantial number of studies exist in the medical and mental health fields reflecting the physical and psychological implications for couples with chronic back pain, studies thus far have focused on the independent perceptions of each partner. Research investigating how couples jointly perceive the impact of chronic back pain on their relationship is absent. This qualitative study explored eight couples' joint perceptions of how chronic back pain has impacted their relationship. Using thematic analysis, dominant themes to emerge included (1) relationship changes, (2) influential relationship factors, and (3) making sense of pain. Limitations of the study as well as future research and clinical implications are also discussed. / Master of Science
2

Effects of acute pain and chronic low back pain on temporal perception

Jeon, Jasmine Hyejin 04 February 2023 (has links)
Chronic low back pain (CLBP) is a critical public health issue and affects a significant number of people physically, emotionally, and financially. There is evidence that pain may affect one’s perception of time, but more work is needed to understand how different types of pain (acute, chronic) impact temporal perception. This study aimed to examine how acute experimental pain and CLBP, together and separately, impact the perception of time. A sample of 77 participants, 10 with CLBP and 67 healthy pain-free controls, completed two temporal perception tasks (Bisection and Threshold) twice, once with induced acute pressure pain and once without pain. The effects of acute pain and CLBP on temporal perception were examined using repeated measures ANOVAs. Results showed that the presence of either acute or chronic pain was related to overestimating time during shorter stimuli presentations and underestimating time during longer stimuli presentations. Further, subjects with chronic pain generally required a longer time difference to accurately distinguish between stimuli of differing lengths. This study demonstrates that both acute and chronic pain affect temporal perception, though the combination of acute and chronic pain does not confer additive adverse effects. The results of this study broaden our understanding of the impact of different types of pain on a person’s perception of time. / 2025-02-03T00:00:00Z
3

Proceeding with Caution: The Medicalization of Chronic Back Pain

Renzhofer, Holly T. 09 September 2010 (has links)
No description available.
4

Cognitive Coping Strategies with Chronic Back Pain Patients

Hinnant, Donald Wayne 12 1900 (has links)
Low back pain has long been estimated to be the most prevalent and debilitating source of chronic pain. The present study first reviews the literature addressing the various theories of pain, the physiological and psychological variables important in pain research, and the psychotherapeutic approaches that have been used to date to reduce pain. Thirty-seven hospitalized chronic back pain patients were administered the cold-pressor test and a medical pain stimulus procedure which was medically relevant to their back pathology. A card-sort method was utilized in order to assess the coping strategies employed by the patients during these two pain stimulus tasks. These procedures were repeated following treatment. Coping strategies used by patients during the two pain tasks were compared. Results demonstrated that there was a significant difference in the manner in which patients coped with the two types of pain. Cold-pressor measures of pain threshold and tolerance were not significantly different between pretreatment and post-treatment. These measures were also not positively correlated with treatment outcome. A multiple regression approach demonstrated that particular coping strategies were significantly predictive of treatment outcome. The medical pain stimulus procedure was found to provide more significant pedictor variables than the cold-pressor test. At pre-treatment assessment, patients who relied on dramatized coping strategies were less likely to be successful in treatment. Breathing activity and pain acknowledgement were positive coping techniques highly predictive of successful outcome in this study. The use of computers for assessment and other recommendations for future research were discussed.
5

Health locus of control, self-efficacy, and multidisciplinary intervention for chronic back pain

Keedy, Nicole Hochhausen 01 December 2009 (has links)
Chronic back pain is costly and potentially disabling, with low response to medical procedures. Poor physical and mental health demonstrate correlation with chronic back pain. The current study investigated the value of using health-related locus of control and pain-related self-efficacy to predict physical and mental health outcomes following multidisciplinary intervention for chronic back pain. Form C of the Multidimensional Health Locus of Control scales and the Chronic Pain Self Efficacy scale were administered to 28 males and 33 females ages 28 to 72 completing chronic back pain rehabilitation. Locus of control, self-efficacy, and physical and mental health demonstrated treatment-related changes, with notable improvements in physical and mental health. Regression analyses examined the value of pre-treatment health locus of control and pain-related self-efficacy as predictors of physical and mental health one month following treatment. Higher internal and lower doctor health locus of control, and higher self-efficacy at baseline predicted higher lift scores one month after treatment. Higher baseline self-efficacy also predicted better physical functioning and lower disability at one month. Pain-related self-efficacy and health locus of control may be valuable predictors of treatment benefit for chronic back pain patients. Limitations included low sample size.
6

The Minnesota Multiphasic Personality Inventory-2 and Low Back Pain Surgery Outcome

Shearer, David S. 01 May 2001 (has links)
Chronic back pain is a serious problem in the U.S. for which about 10% of back pain sufferers will undergo elective surgery. Unfortunately, back surgery is not successful in alleviating back pain in a substantial number of surgery patients. Various psychological and psychosocial variables have a demonstrated relationship to back surgery outcome. The most widely used personality test used to predict back surgery outcome is the Minnesota Multiphasic Personality Inventory (MMPJ). Past research has shown that elevations on three MMPI clinical scales (Hs, D, and Hy) are positively correlated with poor back surgery outcome. The current prospective study shows a similar pattern using the MMPI-2 to predict surgery outcome for 60 low back pain patients. It appears that past MMPI research in this area is applicable to the use of MMPI-2. These results also suggest that when MMPI-2 variables are combined with demographic and surgical variables, patients more likely to experience poor surgical outcome can be identified. There is evidence that elevations of the conversion V profile of the MMPI-2 may prospectively differentiate between successful and nonsuccessful surgery outcomes.
7

The economic burden of chronic back pain in the United States : a societal perspective

Chandwani, Hitesh Suresh 06 February 2014 (has links)
Back pain is the 6th most costly condition in the United States and is responsible for the most workdays lost. Approximately 33 million American adults suffered from back and neck problems in 2005. The societal cost of chronic back pain (CBP) has not been calculated from a US perspective. Longitudinal data files from Panels 12, 13, and 14 of the Medical Expenditure Panel Survey (MEPS) were used to estimate excess direct (ambulatory visits, inpatient admissions, emergency room visits, and prescription medication) costs and indirect (lost productivity) costs for persons 18 years and older reporting CBP compared to those not reporting back pain. Persons were included in the CBP group if they reported back pain (ICD-9-CM codes 720, 721, 722, 723, 724, 737, 805, 806, 839, 846, 847) in at least 3 consecutive interview rounds. The complex sampling design of MEPS was taken into account to get accurate national estimates. All costs were adjusted to 2011 using Consumer Price Indices. All mean costs were computed using age-stratified regression models, after adjusting for demographic and clinical covariates. Utilization of provider-based complementary and alternative medicine (CAM) among CBP patients was studied, and differences in costs between CAM users and non-users examined. Based on this analysis, the prevalence of CBP in the adult US population was estimated to be 3.76%. Total all-cause costs for CBP patients were estimated to be $187 billion over 2 years (direct costs = $176 billion, indirect cost = $11 billion). Overall estimates of excess costs of CBP over 2 years per person for direct medical costs were $37,129 ($25,273 vs. $48,984; p<0.001). This breaks down to $11,711 ($14,929 vs. $3,219; p<0.001) for ambulatory visits; $3,560 ($6,514 vs. $2,914; p<0.001) for inpatient admissions; $300 ($690 vs. $390; p<0.001) for emergency department visits; and $19,849 ($23,873 vs. $4,024; p<0.001) for prescription medications. Excess indirect costs for CBP patients were $1,668 ($2,329 vs. $661; p<0.001). Thirty-seven percent of CBP patients reported at least one CAM visit. There was no significant difference in overall costs between CAM users and non-users. The high cost of chronic back pain in the US population has potential implications for prioritizing policy, and in attempting to improve care and outcomes for these patients. / text
8

Bemötande vid långvarig ryggsmärta : patienters upplevelser av möten med vårdpersonal - en litteraturstudie / Treatment in the encounter of patients with chronic back pain : patients experiences in their encounters with the health-professionals

Abrahamsson, Cathrine, Hägg, Jennie January 2013 (has links)
Bakgrund:Cirka 80 procent av Sveriges befolkning kommer någon gång i livet att drabbas av ryggsmärta. Ryggsmärta är en av de största anledningarna till att patienterna söker vård vilket ställer stora krav på sjukvårdspersonalen. Syfte: Syftet med studien var att beskriva hur patienter med långvarig ryggsmärta upplever möten med vårdpersonal. Metod: Under litteraturstudiens gång har elva vetenskapliga artiklar analyserats och sammanställts. Detta resulterade i två presenterade kategorier. Resultat: Att känna sig delaktig i sin egen vård visade sig vara viktigt för patienterna. När vårdpersonalen lyssnade på patienterna och accepterade dem som experter på deras egen smärta kände de sig mer delaktiga. Patienternas känsla av misstro berodde på att de kände sig betraktade som hypokondriker och lögnare. De önskade också att få tillbringa tillräckligt med tid med sin vårdpersonal. Slutsats: Det är viktigt att vårdpersonalen tillåter patienter att vara delaktiga i sin vård. Genom att erbjuda patienterna tillräckligt mycket tid för samtal om deras smärta blir det möjligt att skapa en förståelse för det individuella lidandet och att minska misstron.
9

Ett mångdimensionellt lidande : Äldre personers upplevelser av att leva med långvarig ryggsmärta – en systematisk litteraturstudie

Eek, Katarina January 2022 (has links)
Bakgrund Forskning visar att en stor del av Sveriges äldre befolkning lider av långvarig ryggsmärta. Trots frekventa besök till hälso- och sjukvården känner de sig otillfredsställda med bemötandet och smärtbehandlingen. Ryggsmärta är en individuell upplevelse beroende på lokalisation och intensitet med olika psykologiska och emotionella dimensioner. Flertalet faktorer samverkar och påverkar smärtupplevelsen. Syfte Att belysa äldres upplevelser av att leva med långvarig ryggsmärta. Metod En systematisk litteraturöversikt där befintliga data från tio kvalitativavetenskapliga originalartiklar samlades in, analyserades och sammanställdes genom dataextraktion, till resultatet. Resultat Två huvudkategorier urskildes: Lidandets dimensioner och Lindrandets aspekter. Att leva med långvarig ryggsmärta var ett mångdimensionellt lidande. Smärtan var ständigt närvarande och oförutsägbar. Sömnbrist gjorde att smärtanintensifierades. Positivt tänkande samt fysisk och social aktivitet var faktorer för lindring. Att bli sedd och lyssnad på ökade delaktigheten och minskade lidandet. Slutsats Att leva med långvarig ryggsmärta påverkar de äldre på olika sätt, dygnet runt, i alla sammanhang. Upplevelsen av delaktighet i kontakt med vården, att bli sedd som unik person med egna erfarenheter, minskar lidandet, höjer välbefinnandet och livskvaliteten. Studien förbättrar förståelsen för hur äldre personer upplever de psykologiska, fysiska, emotionella och sociala effekterna av att leva med långvarig ryggsmärta. / Background Research shows that a large part of Sweden´s elderly population suffers from chronic back pain. Despite frequent visits to the health service, they feel dissatisfied with the treatment. Chronic back pain is an individual experience depending on location and intensity with different psychological and emotional dimensions. Several factors interact and affect the experience of pain. Aim To shed light on the elderly´s experiences of living with chronic back pain. Method A systematic literature review where existing data from ten qualitative scientific original articles were collected, analyzed and compiled through data extraction, to the result. Result Two main categories were distinguished: the dimensions of suffering and the aspects of relief. Living with chronic back pain was a multidimensional suffering. The pain was constantly present and unpredictable. Lack of sleep intensified the pain. Positive thinking as well as physical and social activity were factors for relief. Beeing seen and listened to, increased participation and reduced suffering. Conclusion Living with chronic back pain affects the elderly in different ways, around the clock, in all contexts. The experience of participation in contact with health care, to be seen as a unique person with own experiences, reduces suffering, increases well-being and quality of life. The study improves the understanding of how the elderly experience the psychological, physical, emotional and social effects of living with chronic back pain.
10

Vliv cílené terapie na stereognozii a somatognozii u pacientů s chronickým vertebrogenním algickým syndromem / The influence of targeted treatment on stereognosis and somatognosis in patients with chronic vertebrogenic algic syndrome

Svobodová, Alena January 2008 (has links)
This diploma thesis called "The impact of individual physiotherapy on stereognosis and somatognosis in patients with chronic back pain" contains basic knowledge about stereognostic and somatognostic function, it summarizes significant information about pain and the development of its chronic form, and last but not least it states possible causes of back pain disorders and its functional factors. One special part of the thesis describes non-standardized tests used to examine 21 probands who had been diagnosed chronic back pain and particularly it compares the results of these two examinations, the first of which was carried out before the beginning of physiotherapy and the second one carried out after 14 days of physiotherapeutic treatment. The aim of this thesis was to evaluate the impact of physiotherapy on stereognosis and somatognosis of patients with chronic back pain. All types of medical examination were tested without visual check. As a part of the medical examination a short form of McGill ́s questionnaire and a visual analogue scale indicating the intensity of pain were to be filled in by the probands to explicate their subjective feelings. The results of all but two tests improved after 14 days of physiotherapy, the therapy impact on function of stereognosis and somatognosis of patients with...

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