Endo referencer status dec16
Har (fil + print)
Astin, Sierpina, Forys & Clarridge, 2008; Carmody & Baer, 2008; Davidson et al., 2003; Evans,
Moalem-Taylor & Tracey, 2007; Grossman, Niemann, Schmidt & Walach, 2004; Rebecca S.
Hawkins & Hart, 2003; Jones, Jenkinson & Kennedy, 2004; Kapural, Narouze, Janicki & Mekhail,
2006; Kingston, Chadwick, Meron & Skinner, 2007; Laursen, Bajaj, Olesen, Delmar & ArendtNielsen, 2005; Lutz, Greischar, Rawlings, Ricard & Davidson, 2004; Morone & Greco, 2007; S.
Nunnink & Meana, 2007; Orme-Johnson, Schneider, Son, Nidich & Cho, 2006; Peveler, Edwards,
Daddow & Thomas, 1996; Sierpina, Astin & Giordano, 2007; Thomas, Moss-Morris & Faquhar,
2006
Sara bestilte fra AUB i uge 50
Batt & Severino, 1990; Bayer, Seibel & Seibel, 1990; Rebecca Sue Hawkins, 2000; Jacox, 1996;
Majchrowski, 2006; Mehling, Hamel, Acree, Byl & Hecht, 2005; S. E. Nunnink, 2007; Poulin,
2000; Silverton, 1991; Strauss, Didzus & Speidel, 1992; Yankauskas, 1990
1
Astin, John A., Sierpina, Victor S., Forys, Kelly & Clarridge, Brian. (2008). Integration of the
biopsychosocial model: Perspectives of medical students and residents. Academic Medicine,
83(1), 20-27.
Fil; Mappe
Har
Purpose: To examine residents' and medical students' attitudes toward the incorporation of
psychosocial factors in diagnosis and treatment and to identify barriers to the integration of
evidence-based, mind-body methods. Method: A random sample of third- and fourth-year
medical students and residents was drawn from the Masterfiles of the American Medical
Association. A total of 661 medical students and 550 residents completed a survey,
assessing attitudes toward the role of psychosocial factors and the clinical application of
behavioral/mind-body methods. Results: The response rate was 40%. Whereas a majority of
students and residents seem to recognize the need to address psychosocial factors, 30%-40%
believe that addressing such factors leads to minimal or no improvements in outcomes. The
majority of students and residents reports that their training in these areas was ineffective,
yet relatively few indicate interest in receiving further training. Females are more likely to
believe in the need to address psychosocial factors. Additional factors associated with
greater openness to addressing psychosocial factors include (1) the perception that training
in these areas was helpful, and (2) personal use of behavioral/mind-body methods to care for
one's own health. Conclusions: There is a need for more comprehensive training during
medical school and residency regarding both the role of psychosocial factors in health and
the application of evidence-based, behavioral/mind-body methods. The current health care
structure--particularly insufficient time and inadequate reimbursement for addressing
psychosocial factors--may be undermining efforts to improve patient care through
inconsistent or nonexistent application of the biopsychosocial model. (PsycINFO Database
Record (c) 2008 APA, all rights reserved)
Batt, Ronald E. & Severino, Mark F. (1990). Endometriosis: From menarche to menopause. In J. J.
Stangel (Ed.), Infertility surgery: A multimethod approach to female reproductive surgery.
(pp. 143-152): Appleton & Lange: East Norwalk.
Skaf
endometriosis is a common disease that may threaten the comfort, fertility, and health of women
anytime between menarche and menopause /// definition of endometriosis / Sampson's
paradigm / acquired and embryologic endometriosis /// history and physical examination /
pain / bleeding / infertility / family history / obstruction to menses / lateral cervical
displacement / nodules /// diagnosis / continuity of care /// treatment / age 10-25 years / age
25-40 years / age 40-60 years (PsycINFO Database Record (c) 2008 APA, all rights
reserved)
Bayer, Steven R., Seibel, Machelle M. & Seibel, Machelle M. (1990). Endometriosis:
Pathophysiology and treatment. In Infertility: A comprehensive text. (pp. 111-128):
Appleton & Lange: East Norwalk.
Skaf
endometriosis is one of the most prevalent diseases encountered in gynecology / although it was
previously thought to be confined to Caucasian women of older reproductive age, it is now
recognized that women of all ages and races are potentially at risk for this disease / its
symptoms are vast and varied, but infertility and dysmenorrhea are by far the most common
/// endometriosis can be diagnosed easily by laparoscopy, but its pathologenesis and
2
pathophysiology are poorly understood, and the treatment in many instances is controversial
/// pathology of infertility due to endometriosis / mechanical factors / peritoneal fluid
environment / immunologic aspects / endocrinologic aspects /// diagnosis /// treatment /
danazol, GnRH [gonadotropin-releasing hormone] analog / surgery / in-vitro fertilization
(PsycINFO Database Record (c) 2008 APA, all rights reserved)
Carmody, James & Baer, Ruth A. (2008). Relationships between mindfulness practice and levels of
mindfulness, medical and psychological symptoms and well-being in a mindfulness-based
stress reduction program. Journal of Behavioral Medicine, 31(1), 23-33.
Fil; Mappe
Har
Relationships were investigated between home practice of mindfulness meditation exercises and
levels of mindfulness, medical and psychological symptoms, perceived stress, and
psychological well-being in a sample of 174 adults in a clinical Mindfulness-Based Stress
Reduction (MBSR) program. This is an 8-session group program for individuals dealing
with stress-related problems, illness, anxiety, and chronic pain. Participants completed
measures of mindfulness, perceived stress, symptoms, and well-being at pre- and postMBSR, and monitored their home practice time throughout the intervention. Results showed
increases in mindfulness and well-being, and decreases in stress and symptoms, from pre- to
post-MBSR. Time spent engaging in home practice of formal meditation exercises (body
scan, yoga, sitting meditation) was significantly related to extent of improvement in most
facets of mindfulness and several measures of symptoms and well-being. Increases in
mindfulness were found to mediate the relationships between formal mindfulness practice
and improvements in psychological functioning, suggesting that the practice of mindfulness
meditation leads to increases in mindfulness, which in turn leads to symptom reduction and
improved well-being. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Davidson, Richard J., Kabat-Zinn, Jon, Schumacher, Jessica, Rosenkranz, Melissa, Muller, Daniel,
Santorelli, Saki F., Urbanowski, Ferris, Harrington, Anne, Bonus, Katherine & Sheridan,
John F. (2003). Alterations in brain and immune function produced by mindfulness
meditation. Psychosomatic medicine, 65(4), 564-570.
Fil; Mappe
Har
Objective: The underlying changes in biological processes that are associated with reported changes
in mental and physical health in response to meditation have not been systematically
explored. We performed a randomized, controlled study on the effects on brain and immune
function of a well-known and widely used 8-week clinical training program in mindfulness
meditation applied in a work environment with healthy employees. Methods: We measured
brain electrical activity before and immediately after, and then 4 months after an 8-week
training program in mindfulness meditation. Twenty-five subjects were tested in the
meditation group. A wait-list control group (N=16) was tested at the same points in time as
the meditators. At the end of the 8-week period, subjects in both groups were vaccinated
with influenza vaccine. Results: We report for the first time significant increases in leftsided anterior activation, a pattern previously associated with positive affect, in the
meditators compared with the nonmeditators. We also found significant increases in
antibody titers to influenza vaccine among subjects in the meditation compared with those in
the wait-list control group. Finally, the magnitude of increase in left-sided activation
predicted the magnitude of antibody titer... (PsycINFO Database Record (c) 2008 APA, all
rights reserved)
3
Evans, Susan, Moalem-Taylor, Gila & Tracey, David J. (2007). Pain and endometriosis. Pain,
132(Suppl 1), S22-S25.
Fil; Mappe
Har
Endometriosis is the commonest cause of chronic pelvic pain in women. Management of pain in
women with endometriosis is currently insufficient for many women. Here we review the
involvement of the nervous system, immune cells and inflammatory response, and hormones
in endometriosis as well as current practice in pain management. We suggest that persistent
nociceptive input from endometrial tissues might lead not only to peripheral sensitisation,
but also to central sensitisation resulting in increased responsiveness of dorsal horn neurons
innervated by viscera and somatic tissues. It is concluded that it may be useful to regard the
pain of endometriosis as having a neuropathic component, even if a primary lesion or
dysfunction of the nervous system is not obvious. (PsycINFO Database Record (c) 2008
APA, all rights reserved)
Grossman, Paul, Niemann, Ludger, Schmidt, Stefan & Walach, Harald. (2004). Mindfulness-based
stress reduction and health benefits: A meta-analysis. Journal of psychosomatic research,
57(1), 35-43.
Fil; Mappe
Har
Objective: Mindfulness-based stress reduction (MBSR) is a structured group program that employs
mindfulness meditation to alleviate suffering associated with physical, psychosomatic and
psychiatric disorders. The program, nonreligious and nonesoteric, is based upon a systematic
procedure to develop enhanced awareness of moment-to-moment experience of perceptible
mental processes. The approach assumes that greater awareness will provide more veridical
perception, reduce negative affect and improve vitality and coping. In the last two decades, a
number of research reports appeared that seem to support many of these claims. We
performed a comprehensive review and meta-analysis of published and unpublished studies
of health-related studies related to MBSR. Methods: Sixty-four empirical studies were
found, but only 20 reports met criteria of acceptable quality or relevance to be included in
the meta-analysis. Reports were excluded due to (1) insufficient information about
interventions, (2) poor quantitative health evaluation, (3) inadequate statistical analysis, (4)
mindfulness not being the central component of intervention, or (5) the setting of
intervention or sample composition deviating too widely from the health-related MBSR
program. Acceptable studies covered a wide spectrum of clinical populations (e.g., pain,
cancer, heart disease, depression, and anxiety), as well as stressed nonclinical groups. Both
controlled and observational investigations were included. Standardized measures of
physical and mental well-being constituted the dependent variables of the analysis. Results:
Overall, both controlled and uncontrolled studies showed similar effect sizes of
approximately 0.5 (P < .0001) with homogeneity of distribution. Conclusion: Although
derived from a relatively small number of studies, these results suggest that MBSR may help
a broad range of individuals to cope with their clinical and nonclinical problems. (PsycINFO
Database Record (c) 2008 APA, all rights reserved)
Hawkins, Rebecca S. & Hart, Archibald D. (2003). The use of thermal biofeedback in the treatment
of pain associated with endometriosis: Preliminary findings. Applied Psychophysiology &
Biofeedback, 28(4), 279-289.
Fil; Mappe
Har
Endometriosis is a common gynecological disease that causes marked physical and emotional
distress in lives of women, resulting in dysmenorrhea, pain, or both throughout the
4
menstrual cycle in over 96% of cases. A multiple case study design (N=5) was employed to
investigate the use of thermal biofeedback in the treatment of pain associated with
endometriosis. The majority of participants (4 out of 5) were able to demonstrate mastery
over hand temperature through thermal biofeedback. Of those participants, significant
reductions in various aspects of pain were observed by the end of the study; one had a
significant increase in Life Control; two had reductions in Pain Severity; three had a
decrease in Affective Distress; and all 4 demonstrated reduction in Life Interference, as
measured by the West Haven-Yale Multidimensional Pain Inventory. This is a preliminary
study with a small sample size and without a control sample; hence, the results are
considered only as suggestive of the potential use of biofeedback therapy in alleviating pain
and associated symptomatology related to endometriosis. Further research is warranted.
(PsycINFO Database Record (c) 2008 APA, all rights reserved)
Hawkins, Rebecca Sue. (2000). The use of thermal biofeedback in the treatment of pain associated
with endometriosis: Preliminary findings. ProQuest Information & Learning: US.
Drop
Endometriosis (endo) is a common gynecological disease that affects between four and ten million
women in the U.S. alone and causes dysmenorrhea and/or pain throughout the menstrual
cycle in over 96% of cases. Neither the cause nor cure for endo is known, and no treatment
has proven to be effective for long-term treatment of pain; all current treatments entail
various risks, side effects, possible psychological ramifications, and inevitable reoccurrence
of the disease. The current study sought to investigate the possibility of treating pain
associated with endo, (dysmenorrhea and chronic pelvic pain) with thermal biofeedback
(hand warming), by hypothesizing that those who were able to master hand warming would
experience decreases in pain. The effect of hand warming on correlates of pain such as stress
and coping were also investigated. A multiple case study design (N = 5) was employed and
results indicated that four out of five study participants were able successfully to master
thermal biofeedback. While the present study was unable to confirm that successful
biofeedback treatment specifically decreased either dysmenorrhea or chronic pelvic pain,
correlates of overall pain as measured by the West Haven-Yale Multidimensional Pain
Inventory did show significant improvements for the majority of participants. Additionally,
three out of four participants demonstrated improvements in stress management abilities,
and of the three participants with above average levels of anxiety or depression, these
elevations fell within the average range during biofeedback treatment. The hypothesis that
learning thermal biofeedback would positively impact participants' perception of control and
subjective estimations of effective coping with pain and stress was supported by
overwhelmingly positive ratings on the Posttreatment Questionnaire as well as by verbal
reports from participants. This is a preliminary study of a small sample size; the results are
considered only as suggestive of the potential use of biofeedback therapy in alleviating pain
associated with endometriosis. (PsycINFO Database Record (c) 2008 APA, all rights
reserved)
Jacox, Cynthia Marlaine. (1996). Coping styles and psychological distress in women with
endometriosis. ProQuest Information & Learning: US.
Vent
This study examined the relationships between four types of coping variables and the psychological
distress experienced by 293 women who had been diagnosed as having endometriosis. The
Dealing With Illness Coping Inventory (Fawzy et al., 1990; Namir, Wolcott, Fawzy, &
5
Alumbaugh, 1987) was used to assess coping activities related to illness. Locus of control
was measured by the Multidimensional Health Locus of Control Scale (MHLC) (Wallston
& Wallston, 1981). Religious coping activities and perceived social support were also
assessed. Psychological distress was measured by the Profile of Mood States (POMS)
(McNair, Lorr, & Droppleman, 1992). Subjects were found to have significantly elevated
scores on every index of distress. The proposed factor structure of the Dealing With Illness
Coping Inventory was not replicated with this sample. Therefore, new coping scales were
constructed based on a factor analysis the study data. Psychological distress was found to be
positively correlated with the use of both passive and denial-avoidance coping methods, the
use of coping activities reflecting religious discontent, and having either a chance or
powerful others health locus of control. Perceived social support and having an internal
health locus of control achieved significant negative correlations with distress. The use of
passive coping efforts was found to account for the largest amount of the variance in
psychological distress. The use of problem-solving and positive reappraisal coping efforts,
perceived quality of social support, having either a chance or a powerful others locus of
control, and the use of denial-avoidance coping efforts were found to account for smaller,
yet significant amounts of the variance in distress. An exploratory analysis including four
illness-related variables revealed that state pain intensity and the length of time since
diagnosis were also able to account for a significant amount of the variance in distress. This
study substantiated the sig (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Jones, Georgina, Jenkinson, Crispin & Kennedy, Stephen. (2004). The impact of endometriosis
upon quality of life: A qualitative analysis. Journal of Psychosomatic Obstetrics &
Gynecology, 25(2), 123-133.
Fil; Mappe
Har
Objective: to explore and describe the impact of endometriosis upon quality of life. Setting:
Nuffield Department of Obstetrics and Gynaecology, University of Oxford. Design:
qualitative study. Sample: twenty-four women with a laparoscopic diagnosis of
endometriosis. Methods: face to face, individual, in-depth interviews. Results: analysis of
the data revealed 75 descriptive categories. Pain, physical functioning, role performance,
social functioning, emotional well-being, relationship with the medical profession,
treatment, sexual intercourse, energy and vitality, employment and infertility were found to
be a particular concern for women with endometriosis. Physical appearance, lack of control
and powerlessness, feelings of social isolation and concerns that their daughters might
develop endometriosis were new areas found to be negatively affected by the condition.
Conclusions: the impact of endometriosis-associated symptoms upon quality of life is
multidimensional and more complex than just negatively affecting psychosocial parameters.
Conducting in-depth interviews to explore the subjective experiences of patients with
endometriosis enabled the diverse areas of quality of life to be identified. Adopting a
qualitative methodology is essential for item generation on disease specific health status
questionnaires. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Kapural, Leonardo, Narouze, Samer N., Janicki, Thomas I. & Mekhail, Nagy. (2006). Spinal cord
stimulation is an effective treatment for the chronic intractable visceral pelvic pain. Pain
Medicine, 7(5), 440-443.
Fil; Mappe
Har
Objective: Recent studies have demonstrated significant involvement of dorsal column pathways in
transmission of visceral pelvic pain. Spinal cord stimulation (SCS) suppresses visceral
6
response to colon distension in an animal model and therefore may be an effective therapy
for chronic pelvic pain of visceral origin. We are reporting on the value of neurostimulation
for chronic visceral pelvic pain in six female patients with the diagnosis of long-standing
pelvic pain (history of endometriosis, multiple surgical explorations, and dyspareunia).
Design and Settings: Case-series report. All patients received repeated hypogastric blocks
(in an average of 5.3 blocks) with a significant pain relief for a period ranging from 1 to 6
weeks. Three received neurolytic hypogastric block with the pain relief of 3, 8, and 12
months, respectively. Following psychological evaluation and clearance by our
Multidisciplinary Committee on Implantable Devices, they all underwent SCS trial for 7-14
days. All patients received SCS systems with dual leads (Compact or Quad leads, Medtronic
Inc., Minneapolis, MN, USA). Results: The average follow-up was 30.6 months. Median
visual analog scale pain score decreased from 8 to 3. All patients had more than 50% of the
pain relief. Pain Disability Index changed from an average of 57.7 ± 12 to 19.5 ± 7. Opiate
use decreased from an average 22.5 mg to 6.6 mg of morphine sulfate milligram equivalents
per day. Conclusion: It appears that SCS may have a significant therapeutic potential for
treatment of visceral pelvic pain. (PsycINFO Database Record (c) 2008 APA, all rights
reserved)
Kingston, Jessica, Chadwick, Paul, Meron, Daniel & Skinner, T. Chas. (2007). A pilot randomized
control trial investigating the effect of mindfulness practice on pain tolerance, psychological
well-being, and physiological activity. Journal of psychosomatic research, 62(3), 297-300.
Fil; Mappe
Har
Objective: To investigate the effect of mindfulness training on pain tolerance, psychological wellbeing, physiological activity, and the acquisition of mindfulness skills. Methods: Forty-two
asymptomatic University students participated in a randomized, single-blind, active control
pilot study. Participants in the experimental condition were offered six (1-h) mindfulness
sessions; control participants were offered two (1-h) Guided Visual Imagery sessions. Both
groups were provided with practice CDs and encouraged to practice daily. Pre-post pain
tolerance (cold pressor test), mood, blood pressure, pulse, and mindfulness skills were
obtained. Results: Pain tolerance significantly increased in the mindfulness condition only.
There was a strong trend indicating that mindfulness skills increased in the mindfulness
condition, but this was not related to improved pain tolerance. Diastolic blood pressure
significantly decreased in both conditions. Conclusion: Mindfulness training did increase
pain tolerance, but this was not related to the acquisition of mindfulness skills. (PsycINFO
Database Record (c) 2008 APA, all rights reserved)
Laursen, Birgitte S., Bajaj, Priti, Olesen, Anders S., Delmar, Charlotte & Arendt-Nielsen, Lars.
(2005). Health related quality of life and quantitative pain measurement in females with
chronic non-malignant pain. European Journal of Pain, 9(3), 267-275.
Fil; Mappe
Har
The aim of the present study was to assess, compare, and correlate the pain response to an
experimental pain stimulus (hyperalgesia to pressure pain threshold (PPT) measured from
different body sites), the pain intensity (VAS) of the habitual pain, and quality of life
parameters (SF-36) in groups of females with chronic non-malignant pain syndromes. Forty
female pain patients with fibromyalgia/whiplash (n = 10), endometriosis (n = 10), low back
pain (n - 10), or rheumatoid arthritis (n = 10), as well as 41 age-matched healthy female
controls participated in the study. The fibromyalgia/whiplash patients scored significantly
higher (p < 0.04) VAS ratings (median rating = 7.0) than the endometriosis (6.0), low back
7
pain (6.0), and rheumatoid arthritis (3.5) patients. All fours patient groups had significantly
lower PPTs at all sites as compared with controls. The fibromyalgia/whiplash patients
experienced the highest influence of pain on their overall health status, particularly vitality,
social function, emotional problems, and mental health. A significant negative correlation
was found between VAS rating and quality of life (p < 0.04). Significant correlation (p <
0.05) was found between pressure hyperalgesia measured at lowest PPT sites and the
impairment of SF-36 physical function as well as mental health parameters. This study
demonstrates significant generalised pressure hyperalgesia in four groups of chronic pain
patients, correlations between degree of pressure hyperalgesia and impairment of some
quality of life parameters, and increased pain intensity of the ongoing pain is associated with
decreased quality of life. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Lutz, Antoine, Greischar, Lawrence L., Rawlings, Nancy B., Ricard, Matthieu & Davidson, Richard
J. (2004). Long-term meditators self-induce high-amplitude gamma synchrony during
mental practice. Proceedings of the National Academy of Sciences of the United States of
America, 101(46), 16369-16373.
Fil; Mappe
Har
Practitioners understand “meditation,― or mental training, to be a process of familiarization
with one's own mental life leading to long-lasting changes in cognition and emotion. Little is
known about this process and its impact on the brain. Here we find that long-term Buddhist
practitioners self-induce sustained electroencephalographic high-amplitude gamma-band
oscillations and phase-synchrony during meditation. These electroencephalogram patterns
differ from those of controls, in particular over lateral frontoparietal electrodes. In addition,
the ratio of gamma-band activity (25-42 Hz) to slow oscillatory activity (4-13 Hz) is initially
higher in the resting baseline before meditation for the practitioners than the controls over
medial frontoparietal electrodes. This difference increases sharply during meditation over
most of the scalp electrodes and remains higher than the initial baseline in the
postmeditation baseline. These data suggest that mental training involves temporal
integrative mechanisms and may induce short-term and long-term neural changes.
Majchrowski, Maria H. (2006). Experience, coping, and meaning in endometriosis: A
biopsychosocial model. Unpublished Dissertation/Thesis, ProQuest Information & Learning:
US.
Vent
A small sample of Caucasian women, age 32-46 with endometriosis participated in semi-structured
interviews and were given measures (McGill Pain Questionnaire, Center for Epidemiology
Studies Depression Scale, West Haven-Yale Multidimensional Pain Inventory, and
Vanderbilt Multidimensional Pain Coping Inventory). Participants had 14-18 years of
education and had been experiencing pain from endometriosis for 11-31 years. Their
endometriosis went undiagnosed between 6-20 years. Participants experience, coping
strategies, psychological meaning of having endometriosis were of interest. Thirty-five
themes in 10 descriptive categories emerged from the qualitative data analysis. The results
of the present study are important for the mental health clinician and physician to be aware
of when treating women with this disease. The amount of severe life interference and the
meaning of having endometriosis to the woman; how long the woman has gone without a
correct diagnosis; the duration of having dealt with things like pain and infertility; the
adequacy of their medical treatment; coping strategies, emotions, and social support are all
important to psychological well-being and overall health. Chronic pain, severe bleeding, and
8
infertility caused the most life interference and psychological distress for these women.
(PsycINFO Database Record (c) 2008 APA, all rights reserved)
Mehling, Wolf E., Hamel, Kathryn A., Acree, Michael, Byl, Nancy & Hecht, Frederick M. (2005).
Randomized, controlled trial of breath therapy for patients with chronic low-back pain.
Alternative Therapies in Health and Medicine, 11(4), 44.
Skaf
Patients suffering from chronic low back pain (cLBP) are often unsatisfied with conventional
medical case and seek alternative therapies. Mehling et al assess the effect of breath therapy
on cLBP. After discussing the results, they conclude that patients suffering from cLBP
improved significantly with breath therapy. In addition, changes in standard low back pain
measures of pain and disability were comparable to those resulting from high-quality,
extended physical therapy. CONTEXT: Patients suffering from chronic low back pain
(cLBP) are often unsatisfied with conventional medical care and seek alternative therapies.
Many mind-body techniques are said to help patients with low back pain by enhancing body
awareness, which includes proprioception deficit in cLBP, but have not been rigorously
studied in cLBP. Breath therapy is a western mind-body therapy integrating body awareness,
breathing, meditation, and movement. Preliminary data suggest benefits from breath therapy
for proprioception and low back pain. OBJECTIVE: To assess the effect of breath therapy
on cLBP. DESIGN: Randomized, controlled trial. SETTING: Academic medical center.
PARTICIPANTS: Thirty-six patients with cLBP. INTERVENTIONS: Six to eight weeks
(12 sessions) of breath therapy versus physical therapy. MAIN OUTCOME MEASURES:
Pain by visual analog scale (VAS), function by Roland Scale, overall health by Short Form
36 (SF-36) at baseline, six to eight weeks, and six months. Balance as a potential surrogate
for proprioception and body-awareness measured at the beginning and end of treatment.
RESULTS: Pre- to post-intervention, patients in both groups improved in pain (VAS: -2.7
with breath therapy, -2.4 with physical therapy; SF-36: +14.9 with breath therapy and +21.0
with physical therapy). Breath therapy recipients improved in function (Roland: -4.8) and in
the physical and emotional role (SF-36: +15.5 and 14.3). Physical therapy recipients
improved in vitality (SF-36: +15.0). Average improvements were not different between
groups. At six to eight weeks, results showed a trend favoring breath therapy; at six-months,
a trend favoring physical therapy. Balance measures showed no improvements and no
correlations with other outcomes. CONCLUSIONS: Patients suffering from cLBP improved
significantly with breath therapy. Changes in standard low back pain measures of pain and
disability were comparable to those resulting from high-quality, extended physical therapy.
Breath therapy was safe. Qualitative data suggested improved coping skills and new insight
into the effect of stress on the body as a result of breath therapy. Balance measures did not
seem to be valid measures of clinical change in patients' cLBP.
Morone, Natalia E. & Greco, Carol M. (2007). Mind-body interventions for chronic pain in older
adults: A structured review. Pain Medicine, 8(4), 359-375.
Fil; Mappe
Har
Study Design: We conducted a structured review of eight mind-body interventions for older adults
with chronic nonmalignant pain. Objectives: To evaluate the feasibility, safety, and evidence
for pain reduction in older adults with chronic nonmalignant pain in the following mindbody therapies: biofeedback, progressive muscle relaxation, meditation, guided imagery,
hypnosis, tai chi, qi gong, and yoga. Methods: Relevant studies in the MEDLINE,
PsycINFO, AMED, and CINAHL databases were located. A manual search of references
9
from retrieved articles was also conducted. Of 381 articles retrieved through search
strategies, 20 trials that included older adults with chronic pain were reviewed. Results:
Fourteen articles included participants aged 50 years and above, while only two of these
focused specifically on persons aged = 65 years. An additional six articles included persons
aged = 50 years. Fourteen articles were controlled trials. There is some support for the
efficacy of progressive muscle relaxation plus guided imagery for osteoarthritis pain. There
is limited support for meditation and tai chi for improving function or coping in older adults
with low back pain or osteoarthritis. In an uncontrolled biofeedback trial that stratified by
age group, both older and younger adults had significant reductions in pain following the
intervention. Several studies included older adults, but did not analyze benefits by age. Tai
chi, yoga, hypnosis, and progressive muscle relaxation were significantly associated with
pain reduction in these studies. Conclusion: The eight mind-body interventions reviewed are
feasible in an older population. They are likely safe, but many of the therapies included
modifications tailored for older adults. There is not yet sufficient evidence to conclude that
these eight mind-body interventions reduce chronic nonmalignant pain in older adults.
Further research should focus on larger, clinical trials of mind-body interventions to answer
this question. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Nunnink, Sarah E. (2007). Remembering the pain: Psychosocial factors related to endometriotic
pain and its recall. Unpublished Dissertation/Thesis, ProQuest Information & Learning: US.
Drop
Endometriosis is a chronic and debilitating disease, affecting women of childbearing years in a
variety of ways, including infertility, dyspareunia, dysmenorrhea, and chronic pelvic pain.
Diagnosis and treatment planning are guided primarily by retrospective pain recall,
regardless of the fact that (1) there is only a tenuous relationship between pain reports and
physical pathology and (2) the accuracy of pain recall has never been assessed in this
population. The current study investigated the accuracy of endometriotic pain recall over a
30-day period, as well as potential psychological mediators to pain recall accuracy,
including general psychological wellbeing, distress specific to infertility, passive and active
coping, and pain present at time of recall. Contrary to expectations, findings indicated that
women were relatively accurate in their recall of pain. Only passive coping and pain present
at recall were predictive of accuracy, with greater passive coping and lower pain at recall
predictive of higher recalled than recorded pain. Study implications are discussed, including:
(1) report of pain over a 30-day duration appears credible for the majority of endometriotic
patients and (2) women exhibiting greater passive coping may benefit from psychological
treatment in addition to medical intervention. (PsycINFO Database Record (c) 2008 APA,
all rights reserved)
Nunnink, Sarah & Meana, Marta. (2007). Remembering the pain: Accuracy of pain recall in
endometriosis. Journal of Psychosomatic Obstetrics & Gynecology, 28(4), 201-208.
Fil; Mappe
Har
Endometriosis diagnosis and treatment planning are guided primarily by retrospective pain recall,
despite the facts that (1) there is only a tenuous relationship between pain reports and
physical pathology, and (2) the accuracy of pain recall has never been assessed in this
population. The current study investigated the accuracy of endometriotic pain recall for pain
experienced over a 30-day period, as well as potential psychological mediators of pain recall
accuracy, including psychological wellbeing, distress specific to infertility, passive and
active coping, and pain present at time of recall in 100 women with endometriosis. Findings
10
indicated that women were relatively accurate in their recall of pain. Only passive coping
and pain present at recall were predictive of accuracy, with greater passive coping and lower
pain at recall predictive of overestimation of past pain. Study implications are discussed,
including: (1) report of pain over a 30-day duration appears credible for the majority of
patients with endometriosis and (2) women exhibiting greater passive coping may benefit
from psychological treatment in addition to medical intervention. (PsycINFO Database
Record (c) 2008 APA, all rights reserved)
Orme-Johnson, David W., Schneider, Robert H., Son, Young D., Nidich, Sanford & Cho, ZangHee. (2006). Neuroimaging of meditation's effect on brain reactivity to pain. Neuroreport:
For Rapid Communication of Neuroscience Research, 17(12), 1359-1363.
Fil; Mappe
Har
Some meditation techniques reduce pain, but there have been no studies on how meditation affects
the brain's response to pain. Functional magnetic resonance imaging of the response to
thermally induced pain applied outside the meditation period found that long-term
practitioners of the Transcendental Meditation technique showed 40-50% fewer voxels
responding to pain in the thalamus and total brain than in healthy matched controls
interested in learning the technique. After the controls learned the technique and practiced it
for 5 months, their response decreased by 40-50% in the thalamus, prefrontal cortex, total
brain, and marginally in the anterior cingulate cortex. The results suggest that the
Transcendental Meditation technique longitudinally reduces the affective/motivational
dimension of the brain's response to pain. (PsycINFO Database Record (c) 2008 APA, all
rights reserved)
Peveler, Robert, Edwards, Jacqueline, Daddow, Justin & Thomas, Eric. (1996). Psychosocial
factors and chronic pelvic pain: A comparison of women with endometriosis and with
unexplained pain. Journal of psychosomatic research, 40(3), 305-315.
Fil; Mappe
Har
Compared pain severity, mood symptoms, personality characteristics, and social adjustment in 51
women (mean age 30.6 yrs) with unexplained pain and in 40 women (mean age 32.2 yrs)
with endometriosis. Ss with endometriosis were more likely to come from upper
socioeconomic groups. No differences in mood symptoms or personality characteristics
were identified, but Ss with endometriosis had somewhat more severe pain and greater
social dysfunction than Ss with unexplained pain. Mood disorder and social dysfunction
appear to be at least as important in Ss with proven endometriosis as in Ss with unexplained
pain. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Poulin, Elaine Marie. (2000). Living with endometriosis: Women's experiences with disease
stressors, coping, and medical support. Unpublished Dissertation/Thesis, ProQuest
Information & Learning: US.
Vent
This primary purpose of this study was to explore women's experiences with endometriosis.
Participants used a free-response methodology to create a 100-item measure of disease
stressors. The intensity of these items were rated by 137 subjects and then sorted into groups
in any way that made sense to that participant. Through the use of multidimensional scaling
and hierarchical cluster analyses, a "Concept Map" of six stress clusters emerged from the
participants' sorts: (1) Medical Community , (2) Public Perception, (3) Physical Symptoms,
(4) Emotional Symptoms, (5) Work/Financial, and (6) Family/Fertility. The nature and
11
relationship of these stress clusters are discussed in detail. The relationships of medical
support and coping to the various stressor clusters was analyzed using hierarchical multiple
regression analyses. Medical support was assessed through an 8-item measure, which
inquired into the participants' relationships with current and past medical professionals.
Medical support was shown to significantly contribute to the unique variance of several
stress clusters. Specifically, a relationship with one's health care provider characterized by
collaboration, openness, and trust was associated with an overall decrease in perceived
intensity of the stressor items. The coping strategies (problem-focused coping, emotionfocused coping, self-distraction, self-blame, and denial) were significant predictors of
selected outcome variables to varying degrees. Self-blame emerged as the most powerful
predictor of perceived stress, followed by self distraction, and to a much lesser degree,
denial. Problem-focused and emotion-focused coping were less significant predictors of
outcome than previous research has predicted. Results from this study indicate that
endometriosis has a far-reaching effect on numerous aspects of the patient's life.
Additionally, since stress from the illness was associated with one's relationship with the
medical system, attention needs to be paid to ensure that communication between the health
care provider and patient is open and meets the patient's needs. Self-blame is also important
to examine further as it emerged as a strong predictor of stress related to endometriosis.
Interpretation of these findings, limitations, and directions for future research are also
discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Sierpina, Victor, Astin, John & Giordano, James. (2007). Mind-body therapies for headache.
American Family Physician, 76(10), 1518-1522.
Fil; Mappe
Har
Headache is one of the most common and enigmatic problems encountered by family physicians.
Headache is not a singular entity, and different pathologic mechanisms are involved in
distinct types of headache. Most types of headache involve dysfunction of peripheral or
central nociceptive mechanisms. Mind-body therapies such as biofeedback, cognitive
behavior therapy, hypnosis, meditation, and relaxation training can affect neural substrates
and have been shown to be effective treatments for various types of headache. Metaanalyses of randomized controlled trials show that the use of mind-body therapies, alone or
in combination, significantly reduces symptoms of migraine, tension, and mixed-type
headaches. Side effects generally are minimal and transient. [ABSTRACT FROM
AUTHOR]; Copyright of American Family Physician is the property of American Academy
of Family Physicians and its content may not be copied or emailed to multiple sites or
posted to a listserv without the copyright holder's express written permission. However,
users may print, download, or email articles for individual use. This abstract may be
abridged. No warranty is given about the accuracy of the copy. Users should refer to the
original published version of the material for the full abstract. (Copyright applies to all
Abstracts)
Silverton, Rona S. (1991). Psychosocial adjustment and coping strategies of women with
endometriosis. Unpublished Dissertation/Thesis, ProQuest Information & Learning: US.
Vent
Strauss, Bernhard, Didzus, Annette & Speidel, Hubert. (1992). Eine untersuchung zur
psychosomatik der endometriose. [a study concerning the psychosomatics of
endometriosis.]. Psychotherapie Psychosomatik Medizinische Psychologie, 42(7), 242-252.
12
Skaf
Studied psychosomatic factors in endometriosis to test the hypothesis that women with
endometriosis (END) have different psychological profiles than do women with other forms
of infertility. Human Ss: 32 female West German adults (mean age 30 yrs) (EMD). 18
female West German adults (mean age 29 yrs) (tubular and/or ovarian sterility). Ss
completed interviews and questionnaires assessing sociodemographic characteristics,
personality characteristics, somatic complaints, anxiety, body-image, attitudes toward
menstruation, psychosexual development, family variables, and desire to have a child.
Intergroup differences were analyzed. Tests used: The Freiburg Personality Inventory by J.
Fahrenberg et al (1985), the Giessen Subjective Complaints List by E. Brähler and J. W.
Scheer (1983), the Questionnaire for Evaluating One's Own Body by B. Strau[s and H.
Appelt (1983), and German versions of the State-Trait Anxiety Inventory by C. D.
Spielberger (1970) and the Menstrual Attitude Questionnaire. (English abstract) (PsycINFO
Database Record (c) 2008 APA, all rights reserved)
Thomas, Ethne, Moss-Morris, Rona & Faquhar, Cindy. (2006). Coping with emotions and abuse
history in women with chronic pelvic pain. Journal of psychosomatic research, 60(1), 109112.
Fil; Mappe
Har
Objective: The purpose of this study was to investigate whether past abuse and the tendency to
repress or suppress unwanted thoughts and emotions contribute to the experience of pain in
patients with chronic pelvic pain (CPP). Methods: A group of CPP patients without
endometriosis and a group with endometriosis were compared with a pain-free control
group. Participants completed measures of pain, emotional repression, suppression of
unwanted thoughts and emotions, and past abuse history. Results: Both CPP groups were
more likely to be emotional suppressors when compared with the control group and reported
significantly higher levels of thought suppression and abuse. Endometriosis patients were
also more likely to be repressors of emotions when compared with controls. Suppression but
not repression was related to higher levels of abuse and pain. Conclusion: Suppression of
unwanted thoughts and emotions and past abuse distinguishes CPP patients from healthy
controls. Assisting patients to express distressing emotions may impact on pain levels.
(PsycINFO Database Record (c) 2008 APA, all rights reserved)
Yankauskas, Ellen. (1990). Primary female syndromes: An update. New York state journal of
medicine, 90(6), 295-302.
Skaf
Describes advances in diagnosis and treatment of some primary female syndromes, including
premenstrual syndrome (PMS), a cluster of physical and emotional changes that affects
women on a cyclic, premenstrual basis. Psychological changes in PMS reflect a spectrum of
exaggerated moods including depression, lethargy, anxiety, irritability, and aggressiveness.
Findings of studies (e.g., D. R. Rubinow and P. J. Schmidt, 1987) analyzing psychosocial
factors in PMS, the effects of stress, and the interactions of psychiatric disorders and the
menstrual cycle are examined. Other syndromes discussed are dysmenorrhea, endometriosis,
adenomyosis, and chronic pelvic pain. (PsycINFO Database Record (c) 2008 APA, all rights
reserved)
13