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Lifestyle and Psychological Issues

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Chronic Pain

Part of the book series: Current Clinical Practice ((CCP))

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Key Chapter Points:

  • Obesity, nicotine use, sleep disturbance, and psychological distress have all been linked to increased pain occurrence and severity.

  • Nicotine use and sleep deprivation have been linked to reduce response to analgesic effects from pain medications.

  • Weight reduction effectively reduces chronic pain complaints.

  • Insomnia affects half of chronic pain patients and is linked to increased pain-related disability and depression.

  • About half of chronic pain patients treated at specialty clinics and 25% treated through primary care have depression. Anxiety similarly affects about half of chronic pain patients treated at specialty clinics. Psychological distress predicts the development and persistence of chronic pain.

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References

  1. Rosemann T, Laux G, Kuehlein T. Osteoarthritis and functional disability: results of a cross sectional study among primary care patients in Germany. BMC Musculoskeletal Disord 2007;8:79

    Article  Google Scholar 

  2. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006;295:1549–1555

    Article  CAS  PubMed  Google Scholar 

  3. Centers for Disease Control. State-specific prevalence of obesity among adults – United States, 2005. MMWR 2006;55:985–988

    Google Scholar 

  4. Field AE, Coakley EH, Must A, et al. Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Arch Int Med 2001;161:1581–1586

    Article  CAS  Google Scholar 

  5. Miranda H, Viikari-Juntura E, Martikanien R, Takala EP, Riihimaki H. A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med 2001;58:528–534

    Article  CAS  PubMed  Google Scholar 

  6. Jinks C, Jordan K, Croft P. Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain 2002;100:55–64

    Article  PubMed  Google Scholar 

  7. Webb R, Brammah T, Lunt M, Urwin M, Allison T, Symmons D. Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 2003;28:1195–1202

    Article  PubMed  Google Scholar 

  8. Lake JK, Power C, Cole TJ. Back pain and obesity in the 1958 British birth cohort: cause or effect? J Clin Epidemiol 2000;53:245–250

    Article  CAS  PubMed  Google Scholar 

  9. Fransen M, Woodward M, Norton R, et al. Risk factors associated with the transition from acute to chronic occupational back pain. Spine 2002;27:92–98

    Article  PubMed  Google Scholar 

  10. Marcus DA. Obesity and the impact of chronic pain. Clin J Pain 2004;20:186–191

    Article  PubMed  Google Scholar 

  11. Rosemann T, Grol R, Hermann K, Wensing M, Szecsenyi J. Association between obesity, quality of life, physical activity and health service utilization in primary care patients with osteoarthritis. Int J Behav Nutr Phys Activity 2008;5:4

    Article  Google Scholar 

  12. Sharma L, Lou C, Cahue S, Dunlop DD. The mechanism of the effect of obesity in knee oste-oarthritis: the mediating role of malalignment. Arthritis Rheum 2000;43:568–575

    Article  CAS  PubMed  Google Scholar 

  13. Bastard JP, Jardel C, Bruckett E, et al. Elevated levels of interleukin 6 are reduced in serum and subcutaneous adipose tissue of obese women after weight loss. J Clin Endocrinol Metab 2000;85:3338–3342

    Article  CAS  PubMed  Google Scholar 

  14. Winkler G, Salamon F, Harmos G, et al. Elevated serum tumor necrosis factor-alpha concentrations and bioactivity in Type 2 diabetes and patients with android type obesity. Diabetes Res Clin Pract 1998;42:169–174

    Article  CAS  PubMed  Google Scholar 

  15. Sullivan M, Karlsson J, Sjostrom L, et al. Swedish obese subjects (SOS)-an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined. Int J Obes Relat Metab Disord 1993;17:503–512

    CAS  PubMed  Google Scholar 

  16. Goldstein LT, Goldsmith SJ, Anger K, Leon AC. Psychiatric symptoms in clients presenting for commercial weight reduction treatment. Int J Eat Disord 1996;20:191–197

    Article  CAS  PubMed  Google Scholar 

  17. Becker ES, Margraf J, Turke V, et al. Obesity and mental illness in a representative sample of young women. Int J Obes Relat Metab Disord 2001;25 suppl 1:S5–S9

    Article  PubMed  Google Scholar 

  18. Jackson AS, Stanforth PR, Gagnon J, et al. The effect of sex, age, and race on estimating percentage body fat from body mass index: The Heritage Family Study. Int J Obes Relat Metab Disord 2002;26:789–796

    Article  CAS  PubMed  Google Scholar 

  19. Zhou BF. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults – study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci 2002;15:83–96

    PubMed  Google Scholar 

  20. Peltonen M, Lindroos AK, Torgerson JS. Musculoskeletal pain in the obese: a comparison with a general population and long-term changes after conventional and surgical obesity treatment. Pain 2003;104:549–557

    Article  PubMed  Google Scholar 

  21. Evers Larsson U. Influence of weight loss on pain, perceived disability and observed functional limitations in obese women. Int J Obes Relat Metab Disord 2003;11

    Google Scholar 

  22. Huang M, Chen C, Chen T, Weng M, Wang W, Wang Y. The effects of weight reduction on the rehabilitation of patients with knee osteoarthritis and obesity. Arthritis Care Res 2000;13:398–405

    Article  CAS  PubMed  Google Scholar 

  23. Melissas J, Volakakis E, Hadjipavlou A. Low-back pain in morbidly obese patients and the effect of weight loss following surgery. Obes Surg 2003;13:389–393

    Article  PubMed  Google Scholar 

  24. McInnis KJ. Exercise and obesity. Coron Artery Dis 2000;11:111–116

    Article  CAS  PubMed  Google Scholar 

  25. Hulens M, Vansant G, Lysens R, et al. Exercise capacity in lean versus obese women. Scand J Med Sci Sports 2001;11:305–309

    Article  CAS  PubMed  Google Scholar 

  26. Fontaine KR, Haaz S, Bartlett SJ. Are overweight and obese adults with arthritis being advised to lose weight? J CLin Rheumatol 2007;13:12–15

    Article  PubMed  Google Scholar 

  27. Teixeira PJ, Going SB, Houtkooper LB, et al. Weight loss readiness in middle-aged women: psychological predictors of success for behavioral weight reduction. J Behav Med 2002;25:499–523

    Article  PubMed  Google Scholar 

  28. Tang NY, Wright KJ, Salkovskis PM. Prevalence and correlates of clinical insomnia co-occurring with chronic back pain. J Sleep Res 2007;16:85–95

    Article  PubMed  Google Scholar 

  29. Naughton F, Ashworth P, Skevington SM. Does sleep quality predict pain-related disability in chronic pain patients? The mediating roles of depression and pain severity. Pain 2007;127:243–252

    Article  PubMed  Google Scholar 

  30. Taylor DJ, Mallory LJ, Lichstein KL, et al. Comorbidity of chronic insomnia with medical problems. Sleep 2007;30:213–218

    PubMed  Google Scholar 

  31. Nascimento DC, Andersen ML, Hipólide DC, Nobrega JN, Tufik S. Pain hypersensitivity induced by paradoxical sleep deprivation is not due to altered binding to brain μ-opioid receptors. Behav Brain Res 2007;178:216–220

    Article  CAS  PubMed  Google Scholar 

  32. Smith MT, Edwards RR, McCann UD, Haythronthwaite JA. The effects of sleep deprivation on pain inhibition and spontaneous pain in women. Sleep 2007;30:494–505

    PubMed  Google Scholar 

  33. Boardman HF, Thomas E, Millson DS, Croft PR. Psychological, sleep, lifestyle, and comor-bid associations with headache. Headache 2005;45:657–669

    Article  PubMed  Google Scholar 

  34. Kelman L, Rains JC. Headache and sleep: examination of sleep patterns and complaints in a large clinical sample of migraineurs. Headache 2005;45:904–910

    Article  PubMed  Google Scholar 

  35. Gori S, Morelli N, Maestri M, et al. Sleep quality, chronotypes and preferential timing of attacks in migraine without aura. J Headache Pain 2005;6:258–260

    Article  PubMed  Google Scholar 

  36. Marcus DA. Chronic headache: the importance of trigger identification. Headache & Pain 2003;14:139–144

    Google Scholar 

  37. Peres MP, Zukerman E, da Cunha Tanuri F, Moreira FR, Cipolla-Neto J. Melatonin, 3 mg, is effective for migraine prevention. Neurology 2004;63:757

    CAS  PubMed  Google Scholar 

  38. Josiah DT, Vincler MA. Impact of chronic nicotine on the development and maintenance of hypersensitivity in the rat. Psychopharmacology (Berl) 2006:188:152–161

    Article  CAS  Google Scholar 

  39. John U, Hanke M, Meyer C, et al. Tobacco smoking in relation to pain in a national general population survey. Pre Med 2006;43:477–481

    Article  Google Scholar 

  40. Hozawa A, Houston T, Steffes MW, et al. The association of cigarette smoking with self-reported disease before middle age: the Coronary Artery Risk Development in Young Adults (CARDIA) study. Pre Med 2006;42:193–199

    Article  Google Scholar 

  41. Christian P, West KP, Katz J, et al. Cigarette smoking during pregnancy in rural Nepal. Risk factors and effects of beta-carotene and vitamin A supplementation. Eur J Clin Nutr 2004;58:204–211

    Article  CAS  PubMed  Google Scholar 

  42. John U, Alte D, Hanke M, et al. Tobacco smoking in relation to analgesic drug use in a national adult population sample. Drug Alcohol Depend 2006;85:49–55

    Article  PubMed  Google Scholar 

  43. Ackerman WE, Ahmad M. Effect of cigarette smoking on serum hydrocodone levels in chronic pain patients. J Ark Med Soc 2007;104:19–21

    PubMed  Google Scholar 

  44. Musich S, Faruzzi SD, Lu C, et al. Pattern of medical charges after quitting smoking among those with and without arthritis, allergies, or back pain. Am J Health Promot 2003;18:133–142

    Article  PubMed  Google Scholar 

  45. Sachs-Ericsson N, Kendall-Tackett K, Hernandez A. Childhood abuse, chronic pain, and depression in the National Comorbidity Survey. Child Abuse Neglect 2007;31:531–547

    Article  Google Scholar 

  46. Bailey BE, Freedenfeld RN, Kiser RS, Gatchel RJ. Lifetime physical and sexual abuse in chronic pain patients: psychosocial correlates and treatment outcomes. Disabil Rehabil 2003;25:331–342

    Article  CAS  PubMed  Google Scholar 

  47. Brown J, Berenson K, Cohen P. Documented and self-reported child abuse and adult pain in a community sample. Clin J Pain 2005;21:374–377

    Article  PubMed  Google Scholar 

  48. Walsh CA, Jamieson E, MacMillan H, Boyle M. Child abuse and chronic pain in a community survey of women. J Interpersonal Violence 2007;22:1536–1554

    Article  Google Scholar 

  49. Olfson M, Shea S, Feder A, et al. Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice. Arch Fam Med 2000;9:876–883

    Article  CAS  PubMed  Google Scholar 

  50. Kroenke K, Spitzer RL, Williams JW, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidty, and detection. Ann Intern Med 2007;146:317–325

    PubMed  Google Scholar 

  51. Aigner M, Bach M. Clinical utility of DSM-IV pain disorder. Compr Psychiatry 1999;40: 353–357

    Article  CAS  PubMed  Google Scholar 

  52. McWilliams LA, Cox BJ, Enns MW. Mood and anxiety disorders associated with chronic pain: an examination in a nationally representative sample. Pain 2003;106:127–133

    Article  PubMed  Google Scholar 

  53. Gureje O, Simon GE, von Korff M. A corss-national study of the course of persistent pain in primary care. Pain 2001;92:195–200

    Article  CAS  PubMed  Google Scholar 

  54. Goldberg RT, Pachas WN, Keith D. Relationship between traumatic events in childhood and chronic pain. Disabil Rehabil 1999;21:23–30

    Article  CAS  PubMed  Google Scholar 

  55. Kopec JA, Sayre EC, Esdaile JM. Predictors of back pain in a general population cohort. Spine 2003;29:70–78

    Article  Google Scholar 

  56. Nahit ES, Hunt IM, Lunt M, Dunn G, Silman AJ, Macfarlane GJ. Effects of psychosocial and individual psychological factors on the onset of musculoskeletal pain: common and site-specific effects. Ann Rheum Dis 2003;62:755–760

    Article  CAS  PubMed  Google Scholar 

  57. Marcus DA. Gender differences in chronic pain in a treatment-seeking population. J Gend Specif Med 2003;6:19–24

    PubMed  Google Scholar 

  58. Pacak K, Palkovits M, Yadid G, Kvetnansky R, Kopin IJ, Goldstein DS. Heterogeneous neu-rochemical responses to different stressors: a test of Selye's doctrine of nonspecificity. Am J Physiol 1998;275:R1247–R1255

    CAS  PubMed  Google Scholar 

  59. Wood PB. Stress and dopamine: implications for the pathophysiology of chronic widespread pain. Med Hypotheses 2004;62:420–424

    Article  CAS  PubMed  Google Scholar 

  60. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity. A literature review. Arch Intern Med 2003;163:2433–2445

    Article  PubMed  Google Scholar 

  61. Currie SR, Wang J. Chronic back pain and major depression in the general Canadian population. Pain 2004;107:54–60

    Article  PubMed  Google Scholar 

  62. Suter PB. Employment and litigation: improved by work, assisted by verdict. Pain 2002;100:249–257

    Article  PubMed  Google Scholar 

  63. Blyth FM, March LM, Nicholas MK, Cousins MJ. Chronic pain, work performance and litigation. Pain 2003;103:41–47

    Article  PubMed  Google Scholar 

  64. Holroyd KA, France JC, Cordingley GE. Enhancing the effectiveness of relaxation-thermal biofeedback training with propranolol hydrochloride. J Consult Clin Psychol 1995;63:327–330

    Article  CAS  PubMed  Google Scholar 

  65. Evers AW, Kraaimaat FW, van Riel PL, de Jong AJ. Tailored cognitive-behavioral therapy in early rheumatoid arthritis for patients at risk: a randomized controlled trial. Pain 2002;100:141–153

    Article  PubMed  Google Scholar 

  66. Nielson WR, Weir R. Biopsychosocial approaches to the treatment of chronic pain. Clin J Pain 2001;17(suppl):S114–S127

    Article  CAS  PubMed  Google Scholar 

  67. Astin JA. Mind-body therapies for the management of pain. Clin J Pain 2004;20:27–32

    Article  PubMed  Google Scholar 

  68. Bandura A, O'Leary A, Taylor CG, Gauthier J, Gossard D. Perceived self-efficacy and pain control: opioid and nonopioid mechanisms. J Pers Soc Psychol 1987;53:563–571

    Article  CAS  PubMed  Google Scholar 

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Marcus, D.A. (2009). Lifestyle and Psychological Issues. In: Chronic Pain. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-60327-465-4_18

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  • DOI: https://doi.org/10.1007/978-1-60327-465-4_18

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-464-7

  • Online ISBN: 978-1-60327-465-4

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