ABSTRACT Introduction This study reports rates of comorbid chronic pain and post-traumatic stress disorder (PTSD) among U.S. military veterans psychiatric comorbidities those with both PTSD. Materials Methods utilized National Veterans Affairs (VA) administrative data to identify all treated for or PTSD in 2023. Multivariable logistic regression models determined the likelihood each comorbidity relative only separately only, after adjusting demographic variables other comorbidities. Results...

Pediatric diabetes is linked with adverse medical outcomes, the risks of which increase poor or intermittent adherence (Diabetes Control and Complications Trial Research Group, 1994). Further, during adolescence, management tends to deteriorate (Anderson & Laffel, 1996; Bryden et al., 2001; Insabella, Grey, Knafl, Tamborlane, 2007; La Greca, Follansbee, Skyler, 1990). This paper proposes that cognitive fusion experiential avoidance negatively influence behaviors in adolescents. To date, no...

Abstract Introduction Opioid prescribing is heterogenous across the US, where 3- to 5-fold variation has been observed states or other geographical units. Residents of rural areas appear be at greater risk for opioid misuse, mortality, and high-risk prescribing. The Veterans Health Administration (VHA) provides a unique setting examining regional rural–urban differences in prescribing, as complement contrast extant literature. objective this study was characterize examine between urban...

Objectives: (1) Validate thresholds for minimal, low, moderate, and high fear of movement on the 11-item Tampa Scale Kinesiophobia (TSK-11), (2) Establish a patient-driven minimal clinically important difference (MCID) Achilles tendinopathy (AT) symptoms pain with heel raises tendon stiffness. Methods: Four hundred forty-two adults chronic AT responded to an online survey, including psychosocial questionnaires symptom-related questions (severity willingness complete hops). subgroups (Minimal...

To determine whether higher rates of opioid prescribing among rural Veterans in the Health Administration (VHA), previously observed through 2016, persisted 2023. National VHA administrative data were used to contrast between urban and for annual veteran cohorts from 2016 The primary metric was per capita volume expressed as morphine milligram equivalents (MME). Prescribing metrics contrasted using Wilcoxon signed rank tests odds-ratios. Per 35% (1275 MME) than (943 2016. While overall...

This study examined whether depression and anxiety differentially relate to fatigue, sleep disturbance, pain catastrophizing, fear of movement, severity in women with fibromyalgia. Baseline data from the Fibromyalgia Activity Study Transcutaneous Electrical Nerve Stimulation were analyzed. Of 191 participants, 50 percent reported high and/or (17% anxiety, 9% depression, 24% both). Fatigue impairment associated ( p < 0.05). Pain severity, movement Possible implications for underlying...

Opioid analgesics may be initiated following surgical and medical hospitalization or in ambulatory settings; rates of subsequent long‐term opioid (LTO) use have not been directly compared. This retrospective cohort study the Veterans Health Administration (VHA) included all patients receiving a new outpatient prescription from VHA provider fiscal year 2011. If was filled within 2 days hospital discharge, initiation considered discharge prescription. LTO defined as an episode continuous...

Abstract Background Women are more likely to experience multiple overlapping pain conditions (MOPCs) relative men. Post‐traumatic stress disorder can negatively impact the severity and trajectory of chronic its treatment. Specific associations between gender, post‐traumatic (PTSD), MOPCs require further examination. Methods A cohort all Veterans in 2021 who met criteria for one or 12 types was created using national Health Administration administrative data. were defined as number which each...

Chest pain can be a frightening experience that leads many to seek medical evaluation. The symptom results in costly health care utilisation. Over half of patients referred for cardiac evaluations chest do not obtain definitive explanations their symptoms; these cases are described as non-cardiac (NCCP). Some with NCCP reassured after being informed is origin and repeated Co-morbid anxiety mood disorders often coexist associated current study examined pain, general anxiety, interoceptive...

The current study aimed to examine the relationships between movement and resting pain intensity, pain-related distress, psychological distress in participants scheduled for total knee arthroplasty (TKA). This examined impact of anxiety, depression, catastrophizing on relationship intensity distress. Data analyzed (N = 346) were collected at baseline as part a larger Randomized Controlled Trial investigating efficacy TENS TKA (TANK Study). Participants provided demographic information,...

Abstract Objective Oncologic breast surgeries carry a risk for persistent postsurgical pain. This study was randomized pilot and feasibility of single‐session Acceptance Commitment Therapy (ACT) intervention compared with treatment as usual among women undergoing surgery cancer or ductal carcinoma in situ. Methods Participants were recruited via letter invitation follow‐up phone call from single site the United States 2015 to 2017. at pain, based on young age (<50), preexisting chronic...

Abstract Purpose The current study aimed to identify differences in Veterans Affairs (VA) chronic pain care for Black, Asian, and Hispanic Americans, compared non‐Hispanic White examine the intersection of race rurality. Methods Using national administrative data, all veterans who presented VA 2018 were included. Demographic comorbidity variables built from data health utilization 2019 data. Multivariate log‐binomial regression models examined between racialized groups, interactions with...

Transcutaneous electrical nerve stimulation (TENS) is a non-pharmacological intervention clinically used for pain relief. The importance of utilizing the adequate intensity well documented; however, clinical methods to achieve highest possible are not established.Our primary aim was determine if exposure full range levels stimulation, from sensory threshold noxious, would result in higher final intensities. A secondary explored association pain, disease severity, and psychological variables...

Despite being high health care utilizers, many women Veterans perceive their pain condition to be poorly understood by providers, which can a strong demotivator for seeking care. We set out understand the priorities rural-dwelling have using chronic pain, and interviewed participants about experiences with (and seeking) pain. Self-Determination Theory identifies three sources of motivation (autonomy, competence, relatedness), all were represented through two themes that reflect rural...

The current study aimed to pilot the PePS intervention, based on principles of cognitive behavioral therapy (CBT), determine feasibility and preliminary efficacy for preventing chronic pain long-term opioid use.Surgery can precipitate development both use. CBT reduce distress improve functioning among patients with pain. Adapting target acute management in postoperative period may impact longer-term outcomes.This was a mixed-methods randomized controlled trial mixed surgical sample...

Objectives: Although the majority of patients undergoing total knee arthroplasty (TKA) report substantial improvement in pain and function, a significant subset experience persistent postsurgical dysfunction. Better understanding longitudinal postoperative course is needed, including association between patient status following physical rehabilitation at 6-weeks post-TKA, to 6-months outcomes. This study aims described TKA examine variables associated with change functioning post-TKA....

The patient-reported outcomes measurement information system (PROMIS) offers standardized assessment measures of clinically relevant outcomes. This study evaluated the reliability and validity select PROMIS with U.S. military veterans following orthopedic surgery. Data for current were collected as part a pilot randomized control trial assessing efficacy 1-day Acceptance Commitment Therapy workshop on persistent postsurgical pain in at-risk undergoing Sixty-seven participants completed...