A5102741675- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Mindfulness and Compassion Interventions
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Pain Mechanisms and Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Attachment and Relationship Dynamics
- Pediatric Pain Management Techniques
- Child and Adolescent Psychosocial and Emotional Development
- Sleep and related disorders
- Heart Rate Variability and Autonomic Control
- Patient-Provider Communication in Healthcare
- Pain Management and Opioid Use
- Digital Mental Health Interventions
- Posttraumatic Stress Disorder Research
- Personality Disorders and Psychopathology
- Complementary and Alternative Medicine Studies
- Sleep and Work-Related Fatigue
- Family Support in Illness
- Psychosomatic Disorders and Their Treatments
- Sleep and Wakefulness Research
- Behavioral Health and Interventions
- Suicide and Self-Harm Studies
- Psychotherapy Techniques and Applications
- Resilience and Mental Health
Rush University Medical Center
2016-2025
University of St Andrews
2023
Rush University
2013-2020
The University of Queensland
2020
Institute of Behavioral Sciences
2019
Wayne State University
2016
Duke University
2013
Rosalind Franklin University of Medicine and Science
1998-2009
Carleton University
2007
Library and Archives Canada
2007
Poor sleep quality among people with chronic low back pain appears to be related worse pain, affect, poor physical function, and catastrophizing. The causal direction between remains an open question, however, as does whether exerts effects on differently across the course of day.This daily diary study examined lagged temporal associations prior night subsequent day function catastrophizing, reverse pain-related factors quality, time during which assessment was made moderated these...
Abstract Introduction: We previously conducted a 3-arm randomized trial (263 adults with chronic low back pain) which compared group-based (1) single-session pain relief skills intervention (Empowered Relief; ER); (2) 8-session cognitive behavioral therapy (CBT) for pain; and (3) health education class (HE). Results suggested non-inferiority of ER vs. CBT at 3 months post-treatment on an array outcomes. Methods: Here, we tested the durability treatment effects 6 post-treatment. examined...
Chronic pain is a common and costly experience. Cognitive behavioral therapies (CBT) are efficacious for an array of chronic conditions. However, the literature based primarily on urban (white) samples. It unknown whether CBT works in low-socioeconomic status (SES) minority nonminority groups. To address this question, we conducted randomized controlled trial within low-SES, rural population. Specifically, examined feasibility, tolerability, acceptability, efficacy group compared with...
Mechanisms underlying favorable outcomes of psychosocial interventions for chronic pain are unclear. Theory suggests changes in maladaptive cognitions represent therapeutic mechanisms specific to cognitive-behavioral therapy (CBT). We illustrate the importance examining whether treatments work either uniquely via specified by theory or common different treatments. Secondary data analysis was conducted examine effects reduction catastrophizing on following CBT and Pain Education. Generally,...
Abstract Objective This pilot trial compared the feasibility, tolerability, acceptability, and effects of group-delivered mindfulness meditation (MM), cognitive therapy (CT), mindfulness-based (MBCT) for chronic low back pain (CLBP). Setting University Queensland Psychology Clinic. Subjects Participants were N = 69 (intent-to-treat [ITT] sample) adults with CLBP. Design A pilot, assessor-blinded randomized controlled trial. Methods to treatments. The primary outcome was interference;...
This study evaluated whether tailored cognitive-behavioral therapy (TCBT) that incorporated preferences for learning specific cognitive and/or behavioral skills and used motivational enhancement strategies would improve treatment engagement participation compared with standard CBT (SCBT). We hypothesized participants receiving TCBT show a lower dropout rate, attend more sessions, report frequent intersession pain coping skill practice than those SCBT. also indices of adherence correlate pre-...
Many studies document efficacy of cognitive behavioral therapy (CBT) for chronic pain, but few have examined potential treatment mechanisms. In analyses data from a controlled trial, we whether changes in attitudes toward adopting pain self-management approach-CBT-specific mechanisms-and quality working alliance and patient expectations-general mechanisms-early were related to later-treatment outcomes.Our sample was composed 94 adults (primarily White; mean age: 55.3 years, SD = 11.7; 23%...
Background: Chronic pain is common and challenging to treat. Although cognitive behavioral therapy (CBT) efficacious, its benefit in disadvantaged populations largely unknown. Objective: To evaluate the efficacy of literacy-adapted simplified group CBT versus education (EDU) usual care. Design: Randomized controlled trial. (ClinicalTrials.gov: NCT01967342) Setting: Community health centers serving low-income patients Alabama. Patients: Adults (aged 19 71 years) with mixed chronic pain....
Objectives: Sleep disturbance and chronic pain are related. The present study evaluated both direct indirect (mediated) pathways through which sleep might be related to intensity function. Methods: In total, 87 individuals (64% female) with low back but not using opioids daily completed questionnaires assessing their disturbance, intensity, function, depression, anxiety, positive affect, catastrophizing. Results: Greater was associated greater worse emotional distress, lower higher levels of...
Chronic spinal (back/neck) pain is common and costly. Psychosocial treatments are available but have modest effects. Knowledge of treatment mechanisms (mediators moderators) can be used to enhance efficacy. Trials that directly compare different needed determine which treatment-specific, shared across treatments, contribute the most outcomes. We will conduct a 4-arm randomized, controlled clinical trial main effects, mediators, moderators three therapies: Cognitive-Behavioral Therapy,...
Short sleep duration has been associated with higher current BMI and subsequent weight gain. However, most prior longitudinal studies are limited by reliance on self-reported duration, none accounted for the potential confounding effect of sleep-disordered breathing. The associations change were examined among 310 midlife women in Study Women's Health Across Nation (SWAN) Sleep (2003-2005).Sleep was assessed approximately one month concurrent wrist actigraphy diaries. presence severity...
Mindfulness-based psychotherapies are associated with reductions in depression and anxiety. However, few studies address whether mindfulness-based approaches may benefit individuals posttraumatic stress symptoms. The current pilot study explored group reduction therapy reduced symptoms, depression, negative trauma-related appraisals 9 adult participants who reported trauma exposure or depression. Participants completed 8 sessions of treatment, as well pretreatment, midtreatment,...
The objective of this study was to determine the degree which patient anger arousal and behavioral regulation (expression, inhibition) occurring in course daily life related pain function as rated by patients their spouses.Married couples (N = 105) (one spouse with chronic low back pain) completed electronic diaries, assessments 5 times/day for 14 days. Patients items on own state anger, expression inhibition, pain-related factors. Spouses observations Hierarchical linear modeling used test...
Chronic musculoskeletal pain can strain marriages, perhaps even to the point of engendering spouse criticism and hostility directed toward patients. Such negative responses may have detrimental effects on patient well-being. While results cross-sectional studies support this notion, we extended these efforts by introducing expressed emotion (EE) interpersonal theoretical perspectives, using electronic diary methods capture both reports in a prospective design. Patients with chronic low back...
Abstract Trials of cognitive therapy (CT), mindfulness-based stress reduction (MBSR), and behavior (BT) suggest that all 3 treatments produce reductions in pain improvements physical function, mood, sleep disturbance people with chronic conditions. Fewer studies have compared the relative efficacies these treatments. In this randomized controlled study, we CT, MBSR, BT, treatment as usual (TAU) a sample low back (N = 521). Eight individual sessions were administered weekly assessments...
Evidence for links between anger inhibition or suppression and chronic pain severity is based mostly on studies with correlation designs. Following from ironic process theory, we proposed that attempts to suppress angry thoughts during provocation would increase subsequent intensity among low back (CLBP) patients, do so through paradoxically enhanced accessibility of anger.CLBP patients (N = 58) were assigned nonsuppression conditions while performing a computer maze task harassing...
Abstract Chronic pain is associated with elevated negative emotions, and resources needed to adaptively regulate these emotions can be depleted during prolonged pain. Studies of links between pain, function, in people chronic however, have focused almost exclusively on relationships among mean levels factors. Indexes that may reflect aspects emotion regulation typically not been analyzed. We propose 1 index variability over time as opposed average time. The sample was 105 low back their...