Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2023, vol. 29, issue3
Subject Area:
Medicine
-
DOI:
10.5272/jimab.2023293.5089
Published online: 11 September 2023
Original article
J of IMAB. 2023 Jul-Sep;29(3):5089-5093
ASSESSMENT OF THE SITUATION DURING PAIN BY PATIENTS WITH CHRONIC PAIN
Tatyana Telbizova1


, Svetlin Varbanov2
,
1) Department of psychiatry and medical psychology, Medical University – Varna, MHAT "St. Marina" – Varna, Bulgaria.
2) Department of health care, Sliven Affiliate, Medical University – Varna, MHAT "St. Marina" – Varna, Bulgaria.
ABSTRACT:
The way a person perceives and interprets the situation during pain provokes a variety of emotional and behavioral responses.
Aim: The aim of the study was to analyze the assessment of the situation during pain by patients with chronic pain.
Materials and methods: A sample of 120 patients with chronic pain was studied. Sixty-one of them had clinically manifested symptoms of depression, and fifty-nine had no depression. The patients were evaluated using the following scales: HAM-D-17, Spielberger questionnaire – STAI – form Y1 and form Y2 and VAS. A model of four situations was applied to assess the situation during pain: unique, risky, routine and situation of uncertainty.
Results: The mean age of the sample was 51.90±11.94. Women predominate (81.7%) over men (18.3%). The group with depression had moderate severity of depression and pain intensity and high state and trait anxiety. A majority of them (48.4%) assessed the situation during pain as a risk and/or an uncertainty. The group without depression had moderate state and trait anxiety and mild pain intensity. More than half of them (62.7%) assessed the situation as routine.
Conclusion: Depression and anxiety affect the perceived situation during pain. Assessing and understanding the specific links between them is essential for forming adaptive ways of coping with chronic pain.
Keywords: chronic pain, depression, personality and state anxiety, situations,
- Download FULL TEXT /PDF 489 KB/
Please cite this article as: Telbizova T, Varbanov S. Assessment of the situation during pain by patients with chronic pain. J of IMAB. 2023 Jul-Sep;29(3):5089-5093. [Crossref - 10.5272/jimab.2023293.5089]
Correspondence to: Tatyana Telbizova, MD, PhD, Department of psychiatry and medical psychology, Medical University of Varna, UMHAT "St. Marina", Varna; 1, Hristo Smirnenski Blvd., 9000, Varna, Bulgaria; E-mail: telbizova@gmail.com
REFERENCES:
1. Milanov I. [Pain.] STENO. Varna. 2020; p. 21-25. [in Bulgarian]
2. Varela AJ, Van Asselt KW. The relationship between psychosocial factors and reported disability: the role of pain self-efficacy. BMC Musculoskelet Disord. 2022 Jan 3;23(1):21. [PubMed]
3. Telbizova T, Arnaoudova M. The (In)Visible Site of Pain: A Review of Qualitative Research. J of IMAB. 2020 Jul-Sep;26(3):3323-3327. [Crossref].
4. Block J, Block JH. Studying situational dimensions: A grand perspective and some limited empiricism. In: Toward a psychology of situations: An interactional perspective. Edited by: Magnusson D, Magnusson D. 1st edition. eBook. Psychology Press. 1 September 1981. Chapter 6:85-103. [Crossref]
5. Colloca L, Grillon C. Understanding placebo and nocebo responses for pain management. Curr Pain Headache Rep. 2014 Jun;18(6):419. [PubMed]
6. Urits I, Hubble A, Peterson E, Orhurhu V, Ernst CA, Kaye AD, et al. Viswanath O. An Update on Cognitive Therapy for the Management of Chronic Pain: a Comprehensive Review. Curr Pain Headache Rep. 2019 Jul 10;23(8):57. [PubMed]
7. Aleksandrov I, Varbanov S. [Situations in the system of diagnostic clinical analysis of suicide ideation]. Applied psychology and social practice. VFU university publishing house. Varna. 2022; p. 82-94. [in Bulgarian]
8. Aleksandrov I. [Personal regulatory processes in hospital environment. Principal directions in psychological aid.] STENO, Varna. 2015; p. 38-39. [in Bulgarian]
9. Mansfield KE, Sim J, Jordan JL, Jordan KP. A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain. 2016 Jan;157(1):55-64. [PubMed]
10. Munce SE, Stewart DE. Gender differences in depression and chronic pain conditions in a national epidemiologic survey. Psychosomatics. 2007 Sep-Oct;48(5):394-9. [PubMed]
11. Woo AK. Depression and Anxiety in Pain. Rev Pain. 2010 Mar;4(1):8-12. [PubMed]
12. Krishnan RRK, France RD, Pelton S, McCann UD, Davidson J, Urban BJ. Chronic pain and depression. II. Symptoms of anxiety in chronic low back pain patients and their relationship to subtypes of depression. Pain. 1985 Jul;22(3):289-294. [PubMed]
13. Hallegraeff JM, Kan R, van Trijffel E, Reneman MF. State anxiety improves prediction of pain and pain-related disability after 12 weeks in patients with acute low back pain: a cohort study. J Physiother. 2020 Jan;66(1):39-44. [PubMed]
14. Knowles KA, Olatunji BO. Specificity of trait anxiety in anxiety and depression: Meta-analysis of the State-Trait Anxiety Inventory. Clin Psychol Rev. 2020 Dec;82:101928. [PubMed]
15. Tang J, Gibson SJ. A psychophysical evaluation of the relationship between trait anxiety, pain perception, and induced state anxiety. J Pain. 2005 Sep;6(9):612-9. [PubMed]
16. Zautra AJ, Arewasikporn A, Davis MC. Resilience: Promoting well-being through recovery, sustainability, and growth. Res Hum Dev. 2010 Aug;7(3):221-238. [Crossref]
17. Telbizova Т, Aleksandrov I. Pain as a threat – psychological and phenomenological aspects. Varna Medical Forum. 2021; 10(2):187-196. [Crossref]
18. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA:1983 Consulting Psychologists Press.
19. Wenzel A, Brown GK, Karlin BE. Cognitive Behavioral Therapy for Depression in Veterans and Military Servicemembers: Therapist Manual. Washington, DC: U.S. Department of Veterans Affairs; 2011. [Internet]
Received: 07 February 2023
Published online: 11 September 2023
back to Online Journal