scholarly journals The Relationship between Higher Chronic Opioid Therapy Dose and Specific Personality Traits in Individuals with Chronic Pain

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Amanda McIntyre ◽  
Swati Mehta ◽  
Danielle Vanderlaan ◽  
Keith Sequeira ◽  
Eldon Loh ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Personality Traits ◽  
Outcome Measures ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Short Form ◽  
Pain Interference ◽  
High Dose ◽  
Sensitivity Index ◽  
The Relationship

Objective. To evaluate the relationship between opioid use and specific personality traits among individuals with chronic pain stratified by morphine equivalent doses (MEQ). Design. Observational cohort study. Setting. Chronic pain outpatient clinic in Canada (2017–2019). Patients. Participants were included if they (1) were at least 18 years old, (2) had been diagnosed with chronic pain (pain >3 months), and (3) were able to read and write in English. Interventions. None. Main Outcome Measures. Completion of the following outcome measures: Acceptance and Action Questionnaire, Anxiety Sensitivity Index, Brief-Coping with Problems Experience 28-item, Brief Pain Inventory Short Form, CAGE-AID substance misuse screening tool, EuroQol-5D, Generalized Anxiety Disorder 7-item, and Patient Health Questionnaire 9-item. One-way analysis of variance compared outcomes between MEQ groups. Results. 215 individuals (64.2% female) were included with a mean age of 52.7 ± 11.7 years and time since pain onset of 14.1 ± 10.2 years (range 1–45). There were no significant differences between MEQ groups with respect to sociodemographic and clinical health variables except for gender and employment status and time since pain onset. After controlling for gender, time since pain onset, and average pain severity, patients with MEQ 90+ mg had significantly higher scores for experiential avoidance and anxiety sensitivity in addition to increased pain interference, greater depressive and anxiety symptoms, more dysfunctional coping, and poorer QoL than those with MEQ 1–89 mg or MEQ 0 mg. Conclusions. Compared to individuals using no or lower-dose opioids to treat chronic pain, those using high-dose opioids had higher scores on two maladaptive personality traits (i.e., anxiety sensitivity and experiential avoidance) which was associated with poorer mood, greater pain interference, lower quality of life, and dysfunctional coping. These maladaptive personality traits may help to explain how individuals with chronic pain utilize higher doses of opioid analgesics.

scholarly journals The Mediating Role of Impulsivity and Experiential Avoidance in the Relationship between Emotion Regulation and Pornography Viewing in Married Men

2020 ◽  
Vol 8 (4) ◽  
pp. 287-296
Author(s):  
Arezoo Khaleghian ◽  
◽  
Ilnaz Sajjadian ◽  
Maryam Fatehizade ◽  
Gholamreza Manshaei ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Experiential Avoidance ◽  
Short Form ◽  
Total Sample ◽  
Mediating Role ◽  
Married Men ◽  
Positive Direct ◽  
Study Participants ◽  
The Relationship

Objective: The present study aimed to predict the tendency to Internet Pornography Viewing (IPV) in married men based on difficulty in Emotion Regulation (ER) with the mediating role of impulsivity and experiential avoidance. Methods: The study participants were recruited via advertising banners posted on some of the most popular social networking applications in Iran. A total sample of 123 married men in Isfahan City, Iran, participated in the study. The study participants completed the Pornography Craving Questionnaire (PCQ), the Short-form version of Difficulties in Emotion Regulation Scale (DERS-SF), the Acceptance and Action Questionnaire-II (AAQ-II), and Barratt Impulsiveness Scale (BIS-15) through the internet. The collected data were analyzed in SPSS using descriptive statistics (Mean±SD) and correlation tests. For analyzing the study model, the PLS-SEM technique was performed in WarpPLS. Results: The current research results indicated that difficulties in ER provided a positive direct effect on the tendency to IPV (β=0.37, P<0.01). The results also revealed that impulsivity (β=0.64, P<0.01) and experiential avoidance (β=0.71, P<0.01) played mediating roles between difficulties in ER and the tendency to IPV. The model presented a good fit with the data (AVIF=2.88, GOF=0.63, SPR=1, RSCR=1, SSR=1, NLBCDR=1). Conclusion: Difficulties in ER, impulsivity, and experiential avoidance play important roles in the tendency to IPV. Impulsivity and experiential avoidance, as two modes of ER, can mediate the relationship between difficulties in ER and the tendency to IPV; therefore, they should be taken into consideration in this regard.

scholarly journals Pain Interference Mediates the Relationship between Pain and Functioning in Pediatric Chronic Pain

2016 ◽  
Vol 7 ◽  
Author(s):  
Rikard K. Wicksell ◽  
Marie Kanstrup ◽  
Mike K. Kemani ◽  
Linda Holmström
Keyword(s):  
Chronic Pain ◽  
Pain Interference ◽  
Pediatric Chronic Pain ◽  
The Relationship

THE MEDIATING EFFECT OF EMOTIONAL INTELLIGENCE ON THE BIG FIVE PERSONALITY TRAITS AND THE BIG SIX VOCATIONAL INTERESTS

2021 ◽  
Author(s):  
Mayiana Mitevska ◽  
◽  
Paulina Tsvetkova
Keyword(s):  
Emotional Intelligence ◽  
Career Choice ◽  
Personality Traits ◽  
Big Five ◽  
Career Choices ◽  
Short Form ◽  
Mediating Effect ◽  
Big Six ◽  
The Impact ◽  
The Relationship

"A central theme in the present study is the assumption that the influence on the human behavior is mediated by different internal processes in the career choice. Emotional intelligence is defined as a variable which is a cause for the relationship between personality traits and the choice of a certain career. Three causal paths to the dependent variable were tracked – a path to the direct impact of the emotional intelligence on the career choice, a path to the influence of personality traits on the emotional intelligence as well as a path to the impact of personality traits on the career choice via the emotional intelligence. The aim of the study is to show the mediating role of emotional intelligence in the relationship between personality traits and career choice. A total of 100 Bulgarian secondary and university students (42 males and 58 females), aged 17-40 years, were included in the research. The following measures were used for the purpose of the study - Trait Emotional Intelligence Questionnaire – Short Form (TEIQue-SF), The Big five questionnaire and the Big six method for career choices. The Bulgarian version of the emotional intelligence questionnaire was translated and adapted for Bulgarian sociocultural context by Antonina Kardasheva (Kardasheva, 2012). The Big five questionnaire and the Big six method for career choices were adapted for Bulgarian conditions by S. Karabelyova (Karabelyova, 2015). The results showed that there was a direct positive impact of the emotional intelligence on the relationship between the enterprising type and conscientiousness, the artistic type and neuroticism and a negative impact on the relationship between the conventional type and extraversion. The conclusions derived from the study could be used for further psychological research in the field, as well as for enhancing the knowledge of one’s personality."

Mood and Disability among a Subgroup of Chronic Pain Individuals with High Experiential Avoidance and Anxiety Sensitivity

2015 ◽  
Vol 96 (10) ◽  
pp. e65-e66
Author(s):  
Swati Mehta ◽  
Shannon Janzen ◽  
Danielle Brittany Rice ◽  
Jonathan Serrato ◽  
Heather Getty ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance

Relationship between resilience and personality traits in paramedics

2018 ◽  
Vol 7 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Razieh Froutan ◽  
Reza Mazlom ◽  
Javad Malekzadeh ◽  
Amir Mirhaghi
Keyword(s):  
Personality Traits ◽  
Short Form ◽  
Field Research ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Medical Emergency ◽  
Cross Sectional ◽  
Content Type ◽  
Recruitment And Selection ◽  
The Relationship

Purpose Resilience can be of assistance to paramedics in order to maintain their own mental balance in stressful work environments. Since it is not well defined which personality traits are correlated with resilience in these personnel, the purpose of this paper is to explain the relationship between personality traits and levels of resilience. Design/methodology/approach This cross-sectional study was conducted on paramedics in Eastern Iran through field research. The study participants were selected by convenience sampling method. The data collection instruments included NEO-Five Factor Inventory-Short Form and Connor-Davidson Resilience Scale. The data obtained were also analyzed using descriptive and inferential statistics (correlation and regression analysis) through the SPSS 16.0 software. Findings A total of 252 paramedics with a mean age of 28.9±5.1 years participated in this study. The personality traits of neuroticism (r=−0.24), openness to experience (r=−0.22), and agreeableness (r=−0.18) were significantly correlated with resilience. In contrast, extraversion (r=0.26) and conscientiousness (r=0.32) were in a significant relationship with resilience. In this respect, the given personality traits could account for 31.5 percent of changes in resilience. Research limitations/implications It was concluded that the paramedics with lower scores of neuroticism had higher levels of resilience and they could similarly show better compliance with their work conditions in stressful situations and consequently maintain their mental health. Practical implications It is recommended to conduct psychological examinations of personality traits in recruitment and selection stages of medical emergency personnel and to implement psychological interventions for those medical emergency staff with the personality trait of neuroticism. Social implications Resilient paramedics may also perceive less stress and it may be negatively associated with burnout. Originality/value The study examined the relationship between personality traits and resiliency in order to clarifying recruitment criteria in emergency medical services.

Acceptance Mediates the Relationship Between Tinnitus-Related Cognitions and Anxiety Sensitivity

2015 ◽  
Vol 24 (2) ◽  
pp. 235-242 ◽  
Author(s):  
John Moring ◽  
Anne Bowen ◽  
Jenifer Thomas ◽  
Jeremy Joseph
Keyword(s):  
Emotional Distress ◽  
Anxiety Sensitivity ◽  
Emotional Responses ◽  
Hierarchical Regression ◽  
Sensitivity Index ◽  
Negative Cognitions ◽  
Acceptance And Action Questionnaire ◽  
Bodily Sensations ◽  
The Relationship ◽  
Online Measures

Purpose Negative cognitions related to tinnitus sensation have been previously shown to affect the level of emotional distress. Anxiety sensitivity is another psychological factor that influences individuals to more closely monitor their own bodily sensations, resulting in increased negative cognitions and negative emotional responses among tinnitus patients. However, increasing acceptance of tinnitus sensation may attenuate emotional distress. The goal of this research was to investigate the relationship between negative tinnitus-related cognitions, acceptance, and anxiety sensitivity. Method Two hundred sixty-seven participants completed online measures of the Tinnitus Handicap Inventory (Newman, Jacobson, & Spitzer, 1996), Acceptance and Action Questionnaire (Hayes, Follette, & Linehan, 2004), and the Anxiety Sensitivity Index–3 (Taylor et al., 2007). Results Hierarchical regression analyses indicated that acceptance fully mediated the relationship between negative tinnitus-related cognitions and anxiety sensitivity. Conclusions On the basis of these results, it is suggested that practitioners improve acceptance of tinnitus sensation, duration, and intensity. More research is warranted on the clinical techniques to improve acceptance.

scholarly journals The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Heather Thompson-Brenner ◽  
Simar Singh ◽  
Taylor Gardner ◽  
Gayle E. Brooks ◽  
Melanie T. Smith ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Multilevel Models ◽  
Sensitivity Index ◽  
Evidence Based ◽  
Long Term Study ◽  
Significant Difference

Background: The Renfrew Unified Treatment for Eating Disorders and Comorbidity (UT) is a transdiagnostic, emotion-focused treatment adapted for use in residential group treatment. This study examined the effect of UT implementation across five years of treatment delivery.Methods: Data were collected by questionnaire at admission, discharge (DC), and 6-month follow-up (6MFU). Patient outcomes were measured by the Eating Disorder Examination-Questionnaire, Center for Epidemiologic Studies-Depression Scale, Brief Experiential Avoidance Questionnaire (BEAQ), Anxiety Sensitivity Index, and Southampton Mindfulness Scale. Data were analyzed for N = 345 patients treated with treatment-as-usual (TAU), and N = 2,763 treated with the UT in subsequent years.Results: Results from multilevel models demonstrated a significant interaction between implementation status (TAU vs. UT) and time, both linear and quadratic, for the depression, experiential avoidance, anxiety sensitivity, and mindfulness variables. Patients treated with the UT showed more improvement in these variables on average, as well as more rebound between DC and 6MFU. Results from multilevel models examining eating disorder outcome showed no significant difference between the TAU and UT for the full sample, but a significant three-way interaction indicated that the UT produced more improvement in the EDE-Q relative to the TAU particularly for patients who entered treatment with high levels of experiential avoidance (BEAQ score).Conclusion: This long-term study of a transdiagnostic, evidence-based treatment in residential care for eating disorders and comorbidity suggests implementation was associated with beneficial effects on depression and emotion function outcomes, as well as eating disorder severity for patients with high levels of baseline emotion regulation problems. These effects did not appear to diminish in the 5 years following initial implementation.

scholarly journals Percutaneous 60-day peripheral nerve stimulation implant provides sustained relief of chronic pain following amputation: 12-month follow-up of a randomized, double-blind, placebo-controlled trial

2019 ◽  
Vol 45 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Christopher A Gilmore ◽  
Brian M Ilfeld ◽  
Joshua M Rosenow ◽  
Sean Li ◽  
Mehul J Desai ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Short Form ◽  
Peripheral Nerve Stimulation ◽  
Pain Interference ◽  
Phantom Limb ◽  
Group 2 ◽  
Group 1

IntroductionPeripheral nerve stimulation (PNS) has historically been used to treat chronic pain, but generally requires implantation of a permanent system for sustained relief. A recent study found that a 60-day PNS treatment decreases post-amputation pain, and the current work investigates longer-term outcomes out to 12 months in the same cohort.MethodsAs previously reported, 28 traumatic lower extremity amputees with residual and/or phantom limb pain were randomized to receive 8 weeks of PNS (group 1) or 4 weeks of placebo followed by a crossover 4 weeks of PNS (group 2). Percutaneous leads were implanted under ultrasound guidance targeting the femoral and sciatic nerves. During follow-up, changes in average pain and pain interference were assessed using the Brief Pain Inventory–Short Form and comparing with baseline.ResultsSignificantly more participants in group 1 reported ≥50% reductions in average weekly pain at 12 months (67%, 6/9) compared with group 2 at the end of the placebo period (0%, 0/14, p=0.001). Similarly, 56% (5/9) of participants in group 1 reported ≥50% reductions in pain interference at 12 months, compared with 2/13 (15%, p=0.074) in group 2 at crossover. Reductions in depression were also statistically significantly greater at 12 months in group 1 compared with group 2 at crossover.ConclusionsThis work suggests that percutaneous PNS delivered over a 60-day period may provide significant carry-over effects including pain relief, potentially avoiding the need for a permanently implanted system while enabling improved function in patients with chronic pain.Trial registration numberNCT01996254.

Not the exercise type? Personality traits and anxiety sensitivity as predictors of objectively measured physical activity and sedentary time

2020 ◽  
pp. 135910532090624 ◽  
Author(s):  
Bridget A Hearon ◽  
Thomas J Harrison
Keyword(s):  
Physical Activity ◽  
Personality Traits ◽  
Anxiety Sensitivity ◽  
Sedentary Time ◽  
Objective Measurement ◽  
Moderate Intensity ◽  
Sensitivity Index ◽  
Neo Personality Inventory ◽  
Exercise Type ◽  
Objectively Measured

Personality traits have been investigated as predictors of sedentary behavior, while both personality traits and anxiety sensitivity have been investigated as predictors of physical activity; however, few studies employed objective measurement of these behaviors. The current study recruited 64 young adults who completed the Anxiety Sensitivity Index–3 and NEO-Personality Inventory-3, then wore accelerometers for 1 week. Results revealed that agreeableness and anxiety sensitivity were inversely associated with moderate intensity or greater physical activity; however, none of the investigated constructs predicted sedentary time. These results highlight the importance of objective measurement when studying these behaviors and clinical implications for the identification of individuals at risk for physical activity avoidance.

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