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24-09-2020

Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities

Auteurs: Emre Umucu, Antonio Reyes, Paul Carrola, Thenral Mangadu, Beatrice Lee, Jessica M. Brooks, Karen L. Fortuna, Diana Villegas, Chung-Yi Chiu, Carolina Valencia

Gepubliceerd in: Quality of Life Research | Uitgave 2/2021

Abstract

Purpose

The purpose of this study was to examine the intermediary role of physical health quality of life and ability to participate social roles and activities in the relationship between pain intensity and mental health quality of life in veterans with mental illnesses.

Methods

This is a cross-sectional correlational design study. Our participants are 156 veterans with self-reported mental illness (M_age = 37.85; SD_age = 10.74). Descriptive, correlation, and mediation analyses were conducted for the current study.

Results

Pain intensity was negatively correlated with physical health QOL, ability to participate in social roles and activities, and mental health QOL. Physical health QOL and ability to participate in social roles and activities were positively associated with mental health QOL, respectively. Physical health QOL was positively correlated with a ability to participate in social roles and activities. Study results indicate that the effect of pain intensity on mental health QOL can be explained by physical health QOL and ability to participate.

Conclusions

Specific recommendations for practitioners include implementing treatment goals that simultaneously focus on physical health and ability to participate in social roles and activities for clients who present with both physical pain and low mental health QOL.

vorige artikel A multicenter cross-sectional study of the quality of life and iron chelation treatment satisfaction of patients with transfusion-dependent β-thalassemia, in routine care settings in Western Greece

volgende artikel Quality of life among patients with epilepsy in Nigeria: predictors and barriers to routine clinical use of QOLIE-31

Vogt, D., Fox, A. B., & Di Leone, B. A. L. (2014). Mental health beliefs and their relationship with treatment seeking among U.S. OEF/OIF Veterans. Journal of Traumatic Stress, 27(3), 307–313. https://doi.org/10.1002/jts.21919. CrossRefPubMed

U.S. Department of Veterans Affairs. (2020). VA mental health services. Retrieved August 8, 2020, from https://www.va.gov/health-care/health-needs-conditions/mental-health/.

Riley, W. T., Rothrock, N., Bruce, B., Christodolou, C., Cook, K., Hahn, E. A., et al. (2010). Patient-reported outcomes measurement information system (PROMIS) domain names and definitions revisions: further evaluation of content validity in IRT-derived item banks. Quality of Life Research, 19(9), 1311–1321. https://doi.org/10.1007/s11136-010-9694-5. CrossRefPubMedPubMedCentral

Umucu, E., Villegas, D., Viramontes, R., Jung, H., & Lee, B. (2020). Measuring grit in veterans with mental illnesses: Examining the model structure of grit. Psychiatric Rehabilitation Journal. https://doi.org/10.1037/prj0000420. CrossRefPubMed

Umucu, E. (2020). Examining the structure of the PERMA theory of well-being in veterans with mental illnesses. Rehabilitation Counseling Bulletin. https://doi.org/10.1177/0034355220957093. CrossRef

Higgins, D. M., Kerns, R. D., Brandt, C. A., Haskell, S. G., Bathulapalli, H., Gilliam, W., et al. (2014). Persistent pain and comorbidity among operation enduring freedom/operation Iraqi Freedom/Operation New Dawn Veterans. Pain Medicine, 15(5), 782–790. https://doi.org/10.1111/pme.12388. CrossRefPubMed

Nahin, R. L. (2017). Severe pain in veterans: The effect of age and sex, and comparisons with the general population. The Journal of Pain, 18(3), 247–254. https://doi.org/10.1016/j.jpain.2016.10.021. CrossRefPubMed

Goulet, J. L., Kerns, R. D., Bair, M., Becker, W. C., Brennan, P., Burgess, D. J., et al. (2016). The musculoskeletal diagnosis cohort: Examining pain and pain care among veterans. Pain, 157(8), 1696–1703. https://doi.org/10.1097/j.pain.0000000000000567. CrossRefPubMedPubMedCentral

Kang, H. K., Mahan, C. M., Lee, K. Y., Magee, C. A., & Murphy, F. M. (2000). Illnesses among united states veterans of the gulf war: A population-based survey of 30,000 veterans. Journal of Occupational and Environmental Medicine, 42(5), 491–501. CrossRef

10.

Frank, J. W., Carey, E., Nolan, C., Kerns, R. D., Sandbrink, F., Gallagher, R., et al. (2018). Increased nonopioid chronic pain treatment in the Veterans Health Administration, 2010–2016. Pain Medicine, 20(5), 869–877. https://doi.org/10.1093/pm/pny149. CrossRef

11.

Morasco, B. J., Duckart, J. P., Carr, T. P., Deyo, R. A., & Dobscha, S. K. (2010). Clinical characteristics of veterans prescribed high doses of opioid medications for chronic non-cancer pain. Pain, 151(3), 625–632. https://doi.org/10.1016/j.pain.2010.08.002. CrossRefPubMedPubMedCentral

12.

Matthias, M. S., Kukla, M., McGuire, A. B., & Bair, M. J. (2016). How do patients with chronic pain benefit from a peer-supported pain self-management intervention? A qualitative investigation. Pain Medicine, 17(12), 2247–2255. https://doi.org/10.1093/pm/pnw138. CrossRefPubMed

13.

Plagge, J. M., Lu, M. W., Lovejoy, T. I., Karl, A. I., & Dobscha, S. K. (2013). Treatment of comorbid pain and PTSD in returning Veterans: A collaborative approach utilizing behavioral activation. Pain Medicine, 14(8), 1164–1172. https://doi.org/10.1111/pme.12155. CrossRefPubMed

14.

Von Korff, M., & Simon, G. (1996). The Relationship Between Pain and Depression. British Journal of Psychiatry, 168(S30), 101–108. https://doi.org/10.1192/S0007125000298474. CrossRef

15.

Naylor, J. C., Wagner, H. R., Johnston, C., Elbogen, E. E., Brancu, M., Marx, C. E., et al. (2019). Pain intensity and pain interference in male and female Iraq/Afghanistan-era Veterans. Women's Health Issues, 29, S24–S31. https://doi.org/10.1016/j.whi.2019.04.015. CrossRefPubMed

16.

Poundja, J., Fikretoglu, D., Guay, S., & Brunet, A. (2007). Validation of the French version of the brief pain inventory in Canadian veterans suffering from traumatic stress. Journal of Pain and Symptom Management, 33(6), 720–726. https://doi.org/10.1016/j.jpainsymman.2006.09.031. CrossRefPubMed

17.

Boakye, M., Moore, R., Kong, M., Skirboll, S. L., & Arrigo, R. T. (2013). Health-related quality-of-life status in Veterans with spinal disorders. Quality of Life Research, 22(1), 45–52. https://doi.org/10.1007/s11136-012-0121-y. CrossRefPubMed

18.

Kazis, L. E., Miller, D. R., Clark, J., Skinner, K., Lee, A., Rogers, W., et al. (1998). Health-Related quality of life in patients served by the Department of Veterans Affairs: Results from the Veterans Health Study. Archives of Internal Medicine, 158(6), 626–632. https://doi.org/10.1001/archinte.158.6.626. CrossRefPubMed

19.

Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684. https://doi.org/10.1037/0003-066X.59.8.676. CrossRef

20.

Kessler, R. C., & McLeod, J. D. (1985). Social support and mental health in community samples. In S. Cohen & S. L. Syme (Eds.), Social support and health (pp. 219–240). San Diego, CA: Academic Press.

21.

Ren, X. S., Skinner, K., Lee, A., & Kazis, L. (1999). Social support, social selection and self-assessed health status: results from the veterans health study in the United States. Social Science & Medicine, 48(12), 1721–1734. https://doi.org/10.1016/S0277-9536(99)00069-6. CrossRef

22.

Elizabeth Rippentrop, A., Altmaier, E. M., Chen, J. J., Found, E. M., & Keffala, V. J. (2005). The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population. Pain, 116(3), 311–321. https://doi.org/10.1016/j.pain.2005.05.008. CrossRefPubMed

23.

Schnurr, P. P., Hayes, A. F., Lunney, C. A., McFall, M., & Uddo, M. (2006). Longitudinal analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 74(4), 707–713. https://doi.org/10.1037/0022-006X.74.4.707. CrossRefPubMed

24.

Avluk, O. C., Gurcay, E., Gurcay, A. G., Karaahmet, O. Z., Tamkan, U., & Cakci, A. (2014). Effects of chronic pain on function, depression, and sleep among patients with traumatic spinal cord injury. Annals of Saudi Medicine, 34(3), 211–216. https://doi.org/10.5144/0256-4947.2014.211. CrossRefPubMedPubMedCentral

25.

Cadogan, M. P., Edelen, M. O., Lorenz, K. A., Jones, M., Yosef, J., Hascall, T., et al. (2008). The relationship of reported pain severity to perceived effect on function of nursing home residents. The Journals of Gerontology: Series A, 63(9), 969–973. https://doi.org/10.1093/gerona/63.9.969. CrossRef

26.

van Seventer, R., Serpell, M., Bach, F. W., Morlion, B., Zlateva, G., Bushmakin, A. G., et al. (2011). Relationships between changes in pain severity and other patient-reported outcomes: An analysis in patients with posttraumatic peripheral neuropathic pain. Health and Quality of Life Outcomes, 9, 17. https://doi.org/10.1186/1477-7525-9-17. CrossRefPubMedPubMedCentral

27.

Goodman, J. K., Cryder, C. E., & Cheema, A. (2013). Data collection in a flat world: The strengths and weaknesses of Mechanical Turk samples. Journal of Behavioral Decision Making, 26(3), 213–224. https://doi.org/10.1002/bdm.1753. CrossRef

28.

Rand, D. G. (2012). The promise of Mechanical Turk: How online labor markets can help theorists run behavioral experiments. Journal of Theoretical Biology, 299, 172–179. https://doi.org/10.1016/j.jtbi.2011.03.004. CrossRefPubMed

29.

Amtmann, D., Cook, K. F., Jensen, M. P., Chen, W.-H., Choi, S., Revicki, D., et al. (2010). Development of a PROMIS item bank to measure pain interference. Pain, 150(1), 173–182. https://doi.org/10.1016/j.pain.2010.04.025. CrossRefPubMedPubMedCentral

30.

Cleeland, C. S., & Ryan, K. M. (1994). Pain assessment: Global use of the Brief Pain Inventory. Annals, Academy of Medicine, Singapore, 23(2), 129–138.

31.

Jensen, M. P. (2010). Measurement of pain. In S. M. Fishman, J. C. Ballantyne, & J. P. Rathmell (Eds.), Bonica’s management of pain (pp. 251–270). Philadelphia, PA: Williams & Wilkins.

32.

Hays, R. D., Schalet, B. D., Spritzer, K. L., & Cella, D. (2017). Two-item PROMIS ^® global physical and mental health scales. Journal of Patient-Reported Outcomes, 1(1), 2. https://doi.org/10.1186/s41687-017-0003-8. CrossRefPubMedPubMedCentral

33.

Hahn, E. A., DeWalt, D. A., Bode, R. K., Garcia, S. F., DeVellis, R. F., Correia, H., et al. (2014). New English and Spanish social health measures will facilitate evaluating health determinants. Health Psychology, 33(5), 490–499. https://doi.org/10.1037/hea0000055. CrossRefPubMedPubMedCentral

34.

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.

35.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879. CrossRef

36.

Flor, H., Fydrich, T., & Turk, D. C. (1992). Efficacy of multidisciplinary pain treatment centers: A meta-analytic review. Pain, 49(2), 221–230. https://doi.org/10.1016/0304-3959(92)90145-2. CrossRefPubMed

37.

Gunreben-Stempfle, B., Grießinger, N., Lang, E., Muehlhans, B., Sittl, R., & Ulrich, K. (2009). Effectiveness of an intensive multidisciplinary headache treatment program. Headache: The Journal of Head and Face Pain, 49(7), 990–1000. https://doi.org/10.1111/j.1526-4610.2009.01448.x. CrossRef

38.

Håland Haldorsen, E. M., Grasdal, A. L., Skouen, J. S., Risa, A. E., Kronholm, K., & Ursin, H. (2002). Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain. Pain, 95(1), 49–63. https://doi.org/10.1016/S0304-3959(01)00374-8. CrossRef

39.

Scascighini, L., Toma, V., Dober-Spielmann, S., & Sprott, H. (2008). Multidisciplinary treatment for chronic pain: A systematic review of interventions and outcomes. Rheumatology, 47(5), 670–678. https://doi.org/10.1093/rheumatology/ken021. CrossRefPubMed

40.

Skouen, J. S., Grasdal, A. L., Haldorsen, E. M. H., & Ursin, H. (2002). Relative cost-effectiveness of extensive and light multidisciplinary treatment programs versus treatment as usual for patients with chronic low back pain on long-term sick leave: Randomized controlled study. Spine, 27(9), 901–909. CrossRef

41.

Bair, M. J., Ang, D., Wu, J., Outcalt, S. D., Sargent, C., Kempf, C., et al. (2015). Evaluation of stepped care for chronic pain (ESCAPE) in veterans of the Iraq and Afghanistan conflicts: A randomized clinical trial. JAMA Internal Medicine, 175(5), 682–689. https://doi.org/10.1001/jamainternmed.2015.97. CrossRefPubMed

42.

Harding, K., Day, M. A., Ehde, D. M., Wood, A. E., McCall, A., & Williams, R. (2018). Mental and physical health correlates of pain treatment utilization among Veterans with chronic pain: A cross-sectional study. Military Medicine, 184(3–4), e127–e134. https://doi.org/10.1093/milmed/usy235. CrossRefPubMedCentral

43.

Lenz, A. S., Dell'Aquila, J., & Balkin, R. S. (2018). Effectiveness of integrated primary and behavioral healthcare. Journal of Mental Health Counseling, 40(3), 249–265. https://doi.org/10.17744/mehc.40.3.06. CrossRef

44.

Myers, J. E., Sweeney, T. J., & Witmer, J. M. (2000). The wheel of wellness counseling for wellness: A holistic model for treatment planning. Journal of Counseling & Development, 78(3), 251–266. https://doi.org/10.1002/j.1556-6676.2000.tb01906.x. CrossRef

45.

Kerns, R. D., Brandt, C. A., & Peduzzi, P. (2019). NIH-DoD-VA pain management collaboratory. Pain Medicine, 20(12), 2336–2345. https://doi.org/10.1093/pm/pnz186. CrossRefPubMed

46.

Shim, R., & Rust, G. (2013). Primary care, behavioral health, and public health: Partners in reducing mental health stigma. American Journal of Public Health, 103(5), 774–776. https://doi.org/10.2105/ajph.2013.301214. CrossRefPubMedPubMedCentral

47.

Hunt, M. G., Cuddeback, G. S., Bromley, E., Bradford, D. W., & Hoff, R. A. (2019). Changing rates of mental health disorders among Veterans treated in the VHA during troop drawdown, 2007–2013. Community Mental Health Journal, 55(7), 1120–1124. https://doi.org/10.1007/s10597-019-00437-1. CrossRefPubMed

48.

Outcalt, S., Kroenke, K., Krebs, E., Chumbler, N., Wu, J., Yu, Z., et al. (2015). Chronic pain and comorbid mental health conditions: independent associations of posttraumatic stress disorder and depression with pain, disability, and quality of life. Journal of Behavioral Medicine, 38(3), 535–543. https://doi.org/10.1007/s10865-015-9628-3. CrossRefPubMed

49.

Yoon, J., Bruckner, T. A., & Brown, T. T. (2013). The association between client characteristics and recovery in California’s Comprehensive Community Mental Health Programs. American Journal of Public Health, 103(10), e89–e95. https://doi.org/10.2105/ajph.2013.301233. CrossRefPubMedPubMedCentral

50.

Schmit, M. K., Watson, J. C., & Fernandez, M. A. (2018). Examining the effectiveness of integrated behavioral and primary health care treatment. Journal of Counseling & Development, 96(1), 3–14. https://doi.org/10.1002/jcad.12173. CrossRef

51.

Müller, R., Landmann, G., Bechir, M., Hinrichs, T., Arnet, U., Jordan, X., et al. (2017). Chronic pain, depression and quality of life in individuals with spinal cord injury: Mediating role of participation. Journal of Rehabilitation Medicine, 49, 489–496. CrossRef

52.

Nguyen, U.-S. D. T., Perneger, T., Franklin, P. D., Barea, C., Hoffmeyer, P., & Lübbeke, A. (2019). Improvement in mental health following total hip arthroplasty: the role of pain and function. BMC Musculoskeletal Disorders, 20(1), 307. https://doi.org/10.1186/s12891-019-2669-y. CrossRefPubMedPubMedCentral

53.

Fujii, T., Oka, H., Katsuhira, J., Tonosu, J., Kasahara, S., Tanaka, S., et al. (2018). Association between somatic symptom burden and health-related quality of life in people with chronic low back pain. PLoS ONE, 13(2), e0193208. https://doi.org/10.1371/journal.pone.0193208. CrossRefPubMedPubMedCentral

54.

Börsbo, B., Peolsson, M., & Gerdle, B. (2009). The complex interplay between pain intensity, depression, anxiety and catastrophising with respect to quality of life and disability. Disability and Rehabilitation, 31(19), 1605–1613. https://doi.org/10.1080/09638280903110079. CrossRefPubMed

55.

Shelton, C. J., Kim, A., Hassan, A. M., Bhat, A., Barnello, J., & Castro, C. A. (2020). System-wide implementation of telehealth to support military Veterans and their families in response to COVID-19: A paradigm shift. Journal of Military, Veteran and Family Health,. https://doi.org/10.3138/jmvfh.CO19-003. CrossRef

56.

James Riegler, L., Raj, S. P., Moscato, E. L., Narad, M. E., Kincaid, A., & Wade, S. L. (2020). Pilot trial of a telepsychotherapy parenting skills intervention for veteran families: Implications for managing parenting stress during COVID-19. Journal of Psychotherapy Integration, 30(2), 290–303. https://doi.org/10.1037/int0000220. CrossRef

57.

Marini, C. M., Pless Kaiser, A., Smith, B. N., & Fiori, K. L. (2020). Aging veterans’ mental health and well-being in the context of COVID-19: The importance of social ties during physical distancing. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S217–S219. https://doi.org/10.1037/tra0000736. CrossRef

58.

U.S. Department of Veterans Affairs (2016). Profile of veterans: 2014 data from the American Community Survey. Retrieved August 8, 2020, from https://www.va.gov/vetdata/docs/SpecialReports/Profile_of_Veterans_2014.pdf.

Titel: Pain intensity and mental health quality of life in veterans with mental illnesses: the intermediary role of physical health and the ability to participate in activities
Auteurs: Emre Umucu
Antonio Reyes
Paul Carrola
Thenral Mangadu
Beatrice Lee
Jessica M. Brooks
Karen L. Fortuna
Diana Villegas
Chung-Yi Chiu
Carolina Valencia
Publicatiedatum: 24-09-2020
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 2/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02642-y

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