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Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope

INTRODUCTION: Over recent years, there has been growing interest in the role of positive, psychological resources that promote resilience and optimal functioning in chronic pain. Although multiple factors comprise resilience, hope is a strength-based motivational state known to contribute to positiv...

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Autores principales: Bartley, Emily J., LaGattuta, Natalie R., Robinson, Michael E., Fillingim, Roger B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6455683/
https://www.ncbi.nlm.nih.gov/pubmed/31041425
http://dx.doi.org/10.1097/PR9.0000000000000726
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author Bartley, Emily J.
LaGattuta, Natalie R.
Robinson, Michael E.
Fillingim, Roger B.
author_facet Bartley, Emily J.
LaGattuta, Natalie R.
Robinson, Michael E.
Fillingim, Roger B.
author_sort Bartley, Emily J.
collection PubMed
description INTRODUCTION: Over recent years, there has been growing interest in the role of positive, psychological resources that promote resilience and optimal functioning in chronic pain. Although multiple factors comprise resilience, hope is a strength-based motivational state known to contribute to positive psychosocial adjustment and adaptive pain coping. Emerging evidence supports the viability of therapeutic approaches that foster resilience; however, interventions designed to target hope in the context of pain have been remarkably understudied. OBJECTIVES: The objectives of this pilot study were to test the feasibility and preliminary efficacy of a resilience-oriented hope intervention for clinical pain, as well as psychosocial outcomes and experimental pain sensitivity in individuals with orofacial pain. METHODS: Twenty-nine participants with temporomandibular disorder were randomized to a 3-session intervention intended to increase hope or a control intervention (EDU) involving education about pain and stress. Before and after the intervention, participants attended 2 laboratory sessions whereby they completed psychosocial questionnaires and sensitivity to heat, cold, and pressure pain was assessed. Hope was measured using the Adult State Hope Scale. RESULTS: Compared with EDU, the Hope group exhibited an increase in state hope, lower heat pain sensitivity, higher pressure pain thresholds at the temporomandibular joint, and reductions in pain catastrophizing. CONCLUSION: Although preliminary, results suggest that a resilience-based hope intervention may be beneficial in reducing pain sensitivity and catastrophizing and could serve as a target for pain management.
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spelling pubmed-64556832019-04-30 Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope Bartley, Emily J. LaGattuta, Natalie R. Robinson, Michael E. Fillingim, Roger B. Pain Rep Headache and Orofacial INTRODUCTION: Over recent years, there has been growing interest in the role of positive, psychological resources that promote resilience and optimal functioning in chronic pain. Although multiple factors comprise resilience, hope is a strength-based motivational state known to contribute to positive psychosocial adjustment and adaptive pain coping. Emerging evidence supports the viability of therapeutic approaches that foster resilience; however, interventions designed to target hope in the context of pain have been remarkably understudied. OBJECTIVES: The objectives of this pilot study were to test the feasibility and preliminary efficacy of a resilience-oriented hope intervention for clinical pain, as well as psychosocial outcomes and experimental pain sensitivity in individuals with orofacial pain. METHODS: Twenty-nine participants with temporomandibular disorder were randomized to a 3-session intervention intended to increase hope or a control intervention (EDU) involving education about pain and stress. Before and after the intervention, participants attended 2 laboratory sessions whereby they completed psychosocial questionnaires and sensitivity to heat, cold, and pressure pain was assessed. Hope was measured using the Adult State Hope Scale. RESULTS: Compared with EDU, the Hope group exhibited an increase in state hope, lower heat pain sensitivity, higher pressure pain thresholds at the temporomandibular joint, and reductions in pain catastrophizing. CONCLUSION: Although preliminary, results suggest that a resilience-based hope intervention may be beneficial in reducing pain sensitivity and catastrophizing and could serve as a target for pain management. Wolters Kluwer 2019-03-25 /pmc/articles/PMC6455683/ /pubmed/31041425 http://dx.doi.org/10.1097/PR9.0000000000000726 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Headache and Orofacial
Bartley, Emily J.
LaGattuta, Natalie R.
Robinson, Michael E.
Fillingim, Roger B.
Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title_full Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title_fullStr Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title_full_unstemmed Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title_short Optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
title_sort optimizing resilience in orofacial pain: a randomized controlled pilot study on hope
topic Headache and Orofacial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6455683/
https://www.ncbi.nlm.nih.gov/pubmed/31041425
http://dx.doi.org/10.1097/PR9.0000000000000726
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