OBJECTIVE: Previous research has shown high prevalence rates of depression in multiple sclerosis patients seen specialty clinics. The relationships among depressive symptoms and severity, duration, course are controversial. METHOD: A survey was mailed to members the Multiple Sclerosis Association King County (Wash.). Of 1,374 eligible participants, 739 returned survey, a response rate 53.8%. Data about demographic characteristics, employment, duration were collected. Severity determined by...

Research among persons with cancer pain suggests that the association between intensity and interference is non-linear. That is, begins to have a serious impact on functioning when it reaches certain threshold level (about 5 0--10 scales). Often, second can be identified which, once reached, shows an even greater proportional negative functioning. This finding supports potential clinical utility of classifying as mild, moderate, severe based quality life, research specific cutoffs (mild:...

This study describes the sensations and pain reported by persons with unilateral lower extremity amputations. Participants (n = 92) were recruited from two hospitals to complete Prosthesis Evaluation Questionnaire which included questions about amputation related pain. Using a visual analog scale, participants frequency, intensity, bothersomeness of phantom limb, residual back nonpainful limb sensations. A survey medication use for each category also was included. Statistical analyses...

Purpose: To evaluate the utility of a biopsychosocial model to predict long-term adjustment lower-limb amputation and phantom limb pain (PLP).Method: One month after amputation, 70 participants completed measures PLP intensity, cognitions (catastrophizing, perceived control over pain), coping (pain-contingent rest), social environment (social support, solicitous responding), functioning (pain interference, depressive symptoms). The were administered again at 1- 2-years post-amputation....

Biopsychosocial models of chronic pain hypothesize a role for psychological and environmental factors in adjustment to pain. To test the utility such understanding phantom limb pain, 61 persons with recent amputations were administered measures average intensity, interference, depression, coping use, cognitions appraisals, social variables 1 month post-amputation, depression again 5 months later. Multiple regression analyses showed that psychosocial predictors made statistically significant...

Biopsychosocial models of chronic pain that recognize psychological and environmental factors as important aspects adjustment to have been proposed for understanding related suffering in persons with multiple sclerosis (MS), but such not empirically tested. The objective this study was test a model by evaluating the associations several psychosocial variables (i.e., pain-related catastrophizing, perceived social support, beliefs, coping) intensity, interference functioning, functioning MS,...

To determine the feasibility, acceptability, and efficacy of a computer-based positive psychology intervention in individuals with physical disability chronic pain.Individuals spinal cord injury, multiple sclerosis, neuromuscular disease, or postpolio syndrome pain were randomly assigned to control condition. Participants group instructed practice 4 personalized exercises. write about life details for 8 weeks. completed online well-being pain-related questionnaires at baseline,...

Resilience may mitigate impact of secondary symptoms such as pain and fatigue on quality life in persons aging with disability. This study examined resilience a large sample individuals disabling medical conditions by validating the Connor-Davidson Scale, obtaining descriptive information about evaluating mediator among key using structural equation modeling. Results indicated that measure's psychometric properties were adequate this sample. was lowest participants who middle-aged or...

Abstract Fifteen adults with multiple sclerosis were given 16 sessions of treatment for chronic pain that included 4 each different modules: (a) an education control intervention; (b) self-hypnosis training (HYP); (c) cognitive restructuring (CR); and (d) a combined hypnosis-cognitive intervention (CR–HYP). The findings supported the greater beneficial effects HYP, relative to CR, on average intensity. CR–HYP appeared have than CR HYP alone. Future research examining efficacy combines is...

Physical activity represents a promising treatment for major depressive disorder (MDD) in people with multiple sclerosis (MS). We conducted single-blind, two-arm randomized controlled trial comparing 12-week physical counseling intervention delivered primarily by telephone (n = 44) to wait-list control group (N 48).Ninety-two adults MS and MDD or dysthymia (M(age) 48 years; 86% female, 92% White) completed an in-person baseline assessment were involving motivational-interviewing-based...

Over a quarter million individuals in the United States have multiple sclerosis (MS). Chronic pain and depression are disproportionately high this population. The purpose of study was to examine relationship between chronic MS potentially meditational effects anxiety, fatigue, sleep.We used cross-sectional data from self-reported instruments measuring symptoms quality life indicators study. We structural equation modeling model direct indirect on sample 1,245 community-dwelling with MS. Pain...

Introduction: This study examined the prevalence, intensity, interference, and biopsychosocial correlates of pain in a large community-based sample persons with multiple sclerosis (MS). Methods: Mail surveys were returned by 442 members King C ounty (WA) MS Association. Average pain-related activity depressive symptoms severity assessed. Results: Forty-four percent reported persistent, bothersome three months prior to completing survey. Participants an average intensity rating 5.2 (SD =2.3)...

To determine the prevalence of traumatic brain injury (TBI) among inmates in a county jail population.Cross-sectional, observational study.A standardized interview was used to TBI 69 randomly selected inmates. examine cognitive and emotional differences between subjects with without recent TBI, neuropsychological tests structured psychiatric diagnostic interviews were conducted 50 (the first 25 prior year).Sixty (87.0%) reported over their lifetime; (36.2%) year. The latter group had...