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Life events stress and chronic pain

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Abstract

Stress in life has been found to play a role in triggering, maintaining and exacerbating chronic pain, yet, direct empirical evidence of the mechanism of such a role is limited. In the present study 120 non-selected chronic pain patients and an equal number of matched healthy normals were investigated with regard to life events stress. The investigation revealed that although, patients and controls did not differ in terms of number of events experienced during the last 1 year, however, patients reported significantly higher frequency of occurrence on a distinctive set of events belonging to personal, interpersonal and familial life and events related to change in eating and sleeping habits. Our results emphasize the importance of studying the life events beyond the simple count of number of event occurrence but to explore the specific events those cluster around pain disorders.

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References

  • Ajwani JK & Ajwani MK (1983). Relation of psychiatric symptoms with the history of headache in clinic visiting population. Indian Journal of Clinical Psychology, 10:107–112.

    Google Scholar 

  • Baum M (1990). Stress, intrusive imagery and chronic stress. Health Psychology, 9:653–675.

    Article  PubMed  Google Scholar 

  • DeMoja & Carmeto A (1995). Causality, Linearity, and circularity of relation between stressful life events and pain experience. Perceptual and Motor Skillls, 80(1):85–86.

    Google Scholar 

  • Drossman DA (2005). Chronic functional abdominal pain. International Foundation for Funtional Gastrointestinal Disorders, Inc. (IFFGD). Last updated February 1, 2005.

  • DSM-IV (1994). American psychiatric association: Diagnostic statistical manual of mental disorder (4th ed.). Washington: American Psychiatric Association.

    Google Scholar 

  • Ehlert U, Heim C & Hellhammer DH (1999). Chronic pelvic pain as a somatoform disorder. Psychotherapy and Psychosomatics, 68(2):87–94.

    Article  PubMed  Google Scholar 

  • Elliott AM, Smith BH, Penny KI, Smith WC & Chambers WA (1999). The epidemiology of chronic pain. The Lancet, 354.

  • Feuerstein M, Sult S & Houle M (1985). Environmental stressor and chronic low back pain: Life events, family and work environment. Pain, 22:295–307.

    Article  PubMed  Google Scholar 

  • Folkman S (2008). The case for positive emotion in the stress process. Anxiety, Stress and Coping, 21(1):3–14.

    Article  Google Scholar 

  • Francies K, Mark, L, Timothy, A & Thomas L, et al. (2001). Erratum: Pain and emotion. New research directions. Journal of Clinal Psychology, 57(12):1597.

    Article  Google Scholar 

  • Gatchel RJ (2004). Comorbidity of chronic pain and mental health: The bio-psychosocial perspective. American Psychologist, 59:792–794.

    Article  Google Scholar 

  • Gatchel RJ, Peng YB, Peters ML, Fuchs PN & Turk DC (2007). The bio-psychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133(4):581–624.

    Article  PubMed  Google Scholar 

  • Geisser ME, Roth RS, Bachman JE & Eckert TA (1996). The relationship between symptoms of post-traumatic stress disorder and pain, affective disturbance and disability among patients with accident and non-accident related pain. Pain, 66:207–214.

    Article  PubMed  Google Scholar 

  • Ghos SN & Puja (2004). The emotional vital signs in mgraine. Psychological Studies, 49(4):72–277.

    Google Scholar 

  • Ghosh SN & Puja (2004). The emotional vital signs in migraine, Psychological Studies, 49(4).

  • Ghosh SN (1999). Life events stress in patients with bronchial asthma and peptic ulcer. In DM Pestonjee, U Pareek & R Agarwal (Eds.), Studies in stress and its management (pp 219–226). New Delhi: Oxford and IBH.

    Google Scholar 

  • Hanson RW (2006). Chronic pain. In Ana V Nikcevic, Anderzej Kuczmierczyk & Michel Bruch (Eds.), Formulation and treatment in clinical health psychology. London: Routletdge.

    Google Scholar 

  • Hobfoll SE & Spielberger CD (1992). Family stress: Integration of theory and measurement. Journal of Family Psychology, 6:99–122.

    Article  Google Scholar 

  • Holmes TH & Rahe RH (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11:213–218.

    Article  PubMed  Google Scholar 

  • Houdenhove HB & Luyten P (2005). Beyond dualism: The role of life stress in chronic pain. Letters to the Editor. Pain, 113: 238–247.

    Article  PubMed  Google Scholar 

  • Houdenhove V & Luyten P (2005). Pain beyond monism and dualism. Pain, 116(1–2):169–170.

    Google Scholar 

  • International Association for the Study of Pain (1986). Classification of Chronic Pain (Suppl 3), pp S1–S226.

  • Jermmot JB & Locke SE (1984). Psychological factors, immunologic mediation and human susceptibility to infectious diseases: How do we know? Psychological Bulletin, 95(1):78–108.

    Article  Google Scholar 

  • Kapoor M (2001). Mental health illness and therapy. In J Pandey (Ed.), Psychology in India revisited developments in the discipline. Volume 2: Personality and health psychology. New Delhi: Sage Publications.

    Google Scholar 

  • Kessler RC, Price RH & Wortman CB (1985). Social factors in psychopathology: Stress, social support and coping processes. Annual Review of Psychology, 36:531–572.

    Article  PubMed  Google Scholar 

  • Lampe A, Doering S, Rumpold G & Solder E, et al. (2003). Chronic pain syndromes and their relation to childhood abuse and stressful life events. Journal of Psychosomatic Research, 54(4):361–367.

    Article  PubMed  Google Scholar 

  • Lampe A, Sollner W, Krismer M, Rumpold G, Rumplmair WK, Ogon M & Rathner G (1998). The impact of stressful life events on exacerbation of chronic low-back pain. Journal of Psychosomatic Research, 44(5):555–563.

    Article  PubMed  Google Scholar 

  • Large RG (1980). The psychiatrist and the chronic pain patients, 172 antecedents. Pain, 253.

  • Lazarus RS & Folkman S (1984). Stress appraisal and coping. New York: Springer.

    Google Scholar 

  • Lester N, Lefebvre JC & Keefe FJ (1994). Pain in young adults.1. Relationship to gender and family history. Clinical Journal of Pain, 10:282–289.

    Article  PubMed  Google Scholar 

  • Linton S (2000). A review of psychological risk factors in back and neck pain. Spine, 25:1148–1156.

    Article  PubMed  Google Scholar 

  • Lipton RB, Silberstein SD & Stewart WF (1994). An update on the epidemiology of migraine. Headache, 34:319–328.

    Article  PubMed  Google Scholar 

  • Liyu S & Mark S (2006). Life stress, social support, coping and depressive symptom: A comparison between the general population and family caregivers. International Journal of social welfare,15(2):172–180.

    Article  Google Scholar 

  • Mason VL, Skevington SM & Osborn M (2004). Development of a pain and discomfort module for use with the WHOQOL — 100. Quality of Life Research, 31(6):1139–1152.

    Article  Google Scholar 

  • McAndrew FT, Akanda A, Turner S & Sharma Y (1998). A cross-cultural ranking of stressful life events in Germany, India, South Africa and United States. Journal of Cross Cultural Psychology, 29:717–727.

    Article  Google Scholar 

  • McDonough P & Walters V (2001). Gender and health: Reassessing patterns and explanations. Social Science and Medicine, 52:547–550.

    Article  PubMed  Google Scholar 

  • Merskey H & Bogduk N (Eds). (1994). Classification of chronic pain: Description of chronic pain yndromes and definition of pain terms (2nd ed.) Seattle: IASP press.

    Google Scholar 

  • Monsen K & Havik OE (2001). Psychological functioning and bodily conditions in patients with pain disorders associated with psychological factors. British Journal of Medical Psychology, 74:183–195.

    Article  Google Scholar 

  • Naidoo P & Pillay YG (1994). Correlations among general stress, family environment, psychological distress and pain experience (Special Issue). Perceptual and Motor Skills, 78(3):1291(6).

    Google Scholar 

  • Noble B, Clark D, Meldrum M, Have H, Seymour J, Winslow & M Paz S (2005). The measurement of pain, 1945–2000. Journal of Pain and Symptom Management, 29(1).

  • Robbinson JO & Alverz JH (1990). Life events and family history in children with recurrent abdominal pain. Journal of Psychosomatic Research, 34:171–181.

    Article  Google Scholar 

  • Rydén O, Lindal E, Udén A & Hansson SB (1985). Differentiation of back pain patients using a pain questionnaire. Scandinavian Journal of Rehabilitation Medicine, 17(4):155–161.

    PubMed  Google Scholar 

  • Sengupta S & Kumar D (2005). German Journal of Psychiatry. http://www.uni.goettingen.de.

  • Sharma S, Ghosh SN & Sharma M (2004). Life events stress, emotional vital signs and peptic ulcer. Psychological Studies, 49(2)3:167–176.

    Google Scholar 

  • Steven JC (2001). Occupational psychological factors increase risk for back pain. A systematic review. Journal of Occupational Rehabilitation, 11(1):53–66.

    Article  Google Scholar 

  • Toomey TC, Seville JL, Abashian, SW, Finkel AG & Mann JD (1994). Circumstances of chronic pain onset: Relationship of pain description and psychological distress. Miami Beach (FL): American Pain Society, A-76.

    Google Scholar 

  • Turk DC (1994). Perspectives on chronic pain. The role of psychological factors. Current Directions in Psychological Science, 3(2):45–48.

    Article  Google Scholar 

  • Turk DC & Okifuji A (1999). Assessment of patients’ reporting of pain: An integrated perspective. Lancet, 353:1784–1788.

    Article  PubMed  Google Scholar 

  • Turk DC, Kerns RD & Rosenberg R (1992). Effects of marital interaction on chronic pain and disability: Examining the downside of social support. Rehabilitation Psychology, 37:259–274.

    Article  Google Scholar 

  • Turyk ME, Hernandez E, Rosalind W, Freels S, Selzak J Contraras A, Piorkowaski J & Persky VW (2008). Stressful life events and asthma in adolescents. Pediatric Allergy and Immunology, 19(3):255–263.

    Article  PubMed  Google Scholar 

  • Verhaak PF, Kerssens JJ, Dekker J, Sorbi MJ & Bensing JM (1998). Prevalance of chronic benign pain disorder among adults: A review of the literature. Pain, 77:231–239.

    Article  PubMed  Google Scholar 

  • Verma VK, Chaturvedi SK, Malhotra A & Chari P (1991). Psychiatric symptoms in patients with non-organic chronic intractable pain. Indian Journal of Medical Research (B), 94:60–63.

    Google Scholar 

  • Waring EM, Mohamed SN, Boyd DB & Weiz G (1978). Chronic pain and the family: A review. Presented at the 2nd World Congress of the International Association for the Study of Pain, Montreal.

  • Weisberg JN & Valliancourt PD (1999). Personality factors and disorders in chronic pain. Seminars in Clinical Neuropsychiatry, 4(3):155–166.

    PubMed  Google Scholar 

  • Wentz K, Lindberg C & Hallberg L (2004). Psychological functioning in women with fibromyalgia a grounded theory study. Health Care Women International, 25:702–729.

    Article  Google Scholar 

  • Ziabell B (2005). Stress and arthritis. Adapted from the pamphlet originally prepared for the Arthritis Foundation. Last updated Tuesday, January 04, 2005.

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Authors and Affiliations

  1. Department of Psychology, Himachal Pradesh University, Shimla, 171005, India

    S. N. Ghosh & Taruna Sharma

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  1. S. N. Ghosh
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  2. Taruna Sharma
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Correspondence to S. N. Ghosh.

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Ghosh, S.N., Sharma, T. Life events stress and chronic pain. Psychol Stud 55, 46–51 (2010). https://doi.org/10.1007/s12646-010-0005-6

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