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Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis

This study aims to determine the prevalence of, and factors associated with, the “absence of psychiatric disorders” (APD) and “complete mental health” (CMH) among individuals with arthritis who report disabling chronic pain. There are three aspects of CMH: a) APD; b) happiness and/or life satisfacti...

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Autores principales: Fuller-Thomson, Esme, Marshall, Denise J., Moses, Matthew, Abudiab, Sally
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10566723/
https://www.ncbi.nlm.nih.gov/pubmed/37819867
http://dx.doi.org/10.1371/journal.pone.0291722
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author Fuller-Thomson, Esme
Marshall, Denise J.
Moses, Matthew
Abudiab, Sally
author_facet Fuller-Thomson, Esme
Marshall, Denise J.
Moses, Matthew
Abudiab, Sally
author_sort Fuller-Thomson, Esme
collection PubMed
description This study aims to determine the prevalence of, and factors associated with, the “absence of psychiatric disorders” (APD) and “complete mental health” (CMH) among individuals with arthritis who report disabling chronic pain. There are three aspects of CMH: a) APD; b) happiness and/or life satisfaction in the past month on a daily or almost daily basis, and c) high levels of psychological and social well-being. A secondary analysis of a nationally representative sample (n = 620) of individuals with arthritis who report chronic and debilitating pain was conducted. Data were drawn from the Canadian Community Health Survey-Mental Health. The results of this study indicate that many people with arthritis who are living with disabling chronic pain are free of psychiatric disorders (76%) and are in CMH (56%). Factors associated with higher odds of APD and CMH among the sample include having a confidant, being free from insomnia, and having no lifetime history of major depressive disorder and/or generalized anxiety disorder. White respondents were almost 3-fold more likely to be in a state of CMH compared to racialized individuals. Respondents in the top 50% of household incomes were almost 4-fold more likely to be APD compared to the lowest 10%. In conclusion, many individuals with arthritis have excellent mental health despite disabling pain. Clinicians should be attuned to the mental health of their patients, with particular focus on those who may be more vulnerable to adverse mental health outcomes, such as racialized individuals, those in impoverished households, and those who lack social support.
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spelling pubmed-105667232023-10-12 Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis Fuller-Thomson, Esme Marshall, Denise J. Moses, Matthew Abudiab, Sally PLoS One Research Article This study aims to determine the prevalence of, and factors associated with, the “absence of psychiatric disorders” (APD) and “complete mental health” (CMH) among individuals with arthritis who report disabling chronic pain. There are three aspects of CMH: a) APD; b) happiness and/or life satisfaction in the past month on a daily or almost daily basis, and c) high levels of psychological and social well-being. A secondary analysis of a nationally representative sample (n = 620) of individuals with arthritis who report chronic and debilitating pain was conducted. Data were drawn from the Canadian Community Health Survey-Mental Health. The results of this study indicate that many people with arthritis who are living with disabling chronic pain are free of psychiatric disorders (76%) and are in CMH (56%). Factors associated with higher odds of APD and CMH among the sample include having a confidant, being free from insomnia, and having no lifetime history of major depressive disorder and/or generalized anxiety disorder. White respondents were almost 3-fold more likely to be in a state of CMH compared to racialized individuals. Respondents in the top 50% of household incomes were almost 4-fold more likely to be APD compared to the lowest 10%. In conclusion, many individuals with arthritis have excellent mental health despite disabling pain. Clinicians should be attuned to the mental health of their patients, with particular focus on those who may be more vulnerable to adverse mental health outcomes, such as racialized individuals, those in impoverished households, and those who lack social support. Public Library of Science 2023-10-11 /pmc/articles/PMC10566723/ /pubmed/37819867 http://dx.doi.org/10.1371/journal.pone.0291722 Text en © 2023 Fuller-Thomson et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Fuller-Thomson, Esme
Marshall, Denise J.
Moses, Matthew
Abudiab, Sally
Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title_full Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title_fullStr Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title_full_unstemmed Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title_short Flourishing mental health despite disabling chronic pain: Findings from a nationally representative sample of Canadians with arthritis
title_sort flourishing mental health despite disabling chronic pain: findings from a nationally representative sample of canadians with arthritis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10566723/
https://www.ncbi.nlm.nih.gov/pubmed/37819867
http://dx.doi.org/10.1371/journal.pone.0291722
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