The Coping Strategies Questionnaire–Revised (CSQ-R) (Riley & Robinson, 1997) is one such measure in need of validation in Veteran populations. The CSQ-R assesses an individual’s use of cognitive and behavioral pain coping strategies. This measure, and its original version (CSQ) (Rosenstiel & Keefe, 1983) are the most widely used measures of coping in the chronic pain literature (Piotrowski, 2007) and have been used to assess coping with a wide range of pain-related conditions including osteoarthritis, rheumatoid arthritis, fibromyalgia, cancer pain, whiplash, phantom limb pain, sickle cell disease, and headache pain (Beckham, Keefe, Caldwell, & Roodman, 1991; Buenaver, Edwards, Smith, Gramling, & Haythornthwaite, 2008; Gil, Abrams, Phillips, …show more content…
In the original CSQ validation, Rosensteil and Keefe selected 48 items for inclusion in the scale, assessing 6 cognitive strategies (Diverting attention, Reinterpreting pain sensations, Coping self-statements, Ignoring pain sensations, Praying or hoping, and Catastrophizing) and 2 behavioral strategies (Increasing activity level, Increasing pain behavior). The original psychometric assessment—conducted on a relatively small sample (N = 61) of male and female patients with chronic low back pain—revealed relationships among the coping strategies that clustered into 3 factors: “Cognitive coping and suppression,” “Helplessness,” and “Diverting attention and praying.” However, a subsequent series of studies called into question the validity of the original factor structure (e.g., Keefe et al., 1987; Swartzman et al., 1994; Tuttle, Shutty, & DeGood, 1991). Among these was a study by Riley and Robinson (1997), the findings of which suggested that a 6-factor solution provided a better fit to the data. These authors consequently recommended the use of the CSQ-R, which includes 27 of the original 48 items organized in 6 subscales: Praying, Ignoring pain sensations, Distancing from pain, Catastrophizing, Coping self-statements, and Distractions. A subsequent study by Utne and colleagues (Utne, Miaskowski, Bjordal, Cooper, et al., 2009) comparing the 3 and 6-factor structures was unable to reproduce the 3-factor structure but found that the 6-factor solution fit the data well. However, the solutions generated by Utne and colleagues and by Riley and Robinson were limited by the fact that many item residuals were correlated without theoretical backing. Despite the acceptance and widespread clinical use of
The relationship discovered in the articles written by Denneson, et., al (2011) and Fletcher, et., al (2016) discuss how the Department of Veterans Affair is studying the significance of using complementary alternative medicine to effectively control chronic noncancerous pain versus the continuous use of opioids. Massage therapy was the most preferred and effective method for management of pain. In the article written by Fletcher, et., al (2016), about 60 percent of the outpatient was taking opioids for management of chronic pain.
Brown, M. D. (2010). Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies. Disability & Rehabilitation, 32(20), 1645-1657
The Development of an Integrated Treatment for Veterans with Comorbid Chronic Pain and Post Traumatic Stress Disorder: Theoretical Framework
Behavioral counseling supports women so they don’t have to quit alone. The counselor may ask, What is the reason why you started smoking?. A typical response would be “ smoking calms me down” or “I feel more comfortable in social situations with a cigarette in my hand”. Address each concern with the correct response, such as, breathing inhaling and exhaling creates a calming stress relief or slowly eliminate the social situation that would trigger a craving. Essentially, looking at the counseling session as an onion, peeling back the layers to find out, why, where are the triggers and how can I help you along this journey of becoming
It is a challenge to manage pain in older adults. The course of action, effect and
Overcoming adversity is a challenge that everyone has to face. Some good examples of people who overcame adversity are the Boston Marathon runners, John J. Pinder, and Malala Yousafzai. They all had challenges to face, but they never gave up. Overcoming adversity is going to be hard, but the ending will be worthwhile, that’s why patience is needed to overcome adversity. Life is like a roller coaster, full of ups, downs, inside outs, sometimes you may start out slow, but as you go along, you speed up, in adversity, it may take some time to think about how to overcome it, but you’ get the hang of it and will eventually overcome it. Malala was faced with a lot of problems and challenges, but she pulled through and overcame adversity.
Background & Purpose : Research regarding chronic low back suggests that cognitive and behavioral factors are highly influential in the development of chronic pain and prolonged disability. The Fear Avoidance Model of Musculoskeletal Pain provides a cognitive and behavioral explanation for why and how a sub-group of acute low back pain sufferers develop a chronic pain problem. The model demonstrates that a patient’s cognitions and beliefs about their pain facilitates emotional responses of fear, anxiety and catastrophization and poor coping strategies of movement avoidance and diminished activity participation which contribute to poor outcomes. Motor control deficits and disuse syndrome are common impairments. Information patient’s obtain from medical professionals often influence these beliefs. Physical therapists need to assess for these maladaptive beliefs and integrate these factors into their clinical reasoning and provide effective interventions for such. In addition to an active treatment
Research from O’Brien et al. (2010) a fifty percent reduction in pain can be seen by some patients as a successful treatment while others deem it a failure. To help combat her pain Charlotte is on a cocktail of medications, she also combats her pain by working closely with her physiotherapist who would help her with exercising, massage her and bring her to the hydro pool. A possible intervention for to Charlotte to deal with her pain more effectively is working with her psychologist. Her psychologist may devise a treatment plan in which she could learn new coping skills and better ways to deal
Resiliency is an important factor to assess because it can allow the student to maintain or regain equilibrium when a traumatic event or life stressor occurs (Erford, 2015). As Myers, Willse, and Villalba (2011) point out, wellness is an important factor and focusing on students’ strengths can support other areas of well-being. Hema is not in immediate danger and is at relatively low risk for other issues due to this crisis, such as suicide, the counselor would implement several different methods to increase her strengths to overcome the crisis. In order to support Hema, the counselor would use a strengths-based approach to foster her ability to identify and utilize her own strengths to overcome her current situation. A strengths-based approach
Functional status was measured by COPM scores and HAQ while the level of coping was measured by AIMS2. HAQ and COPM results indicated EG (mean ∆HAQ= -0.27, SD=0.49) had significantly greater improvement in functional status than CG (mean ∆HAQ=-0.17, SD=0.51), when compared to their own baseline, p= 0.04. In COPM, results showed EG (mean ∆COPM satisfaction= 4.08, SD=2.41; mean ∆COPM performance= 3.10, SD= 2.01) had significantly greater satisfaction (p=0.001) and functional level (p=0.001) in occupational performance than CG (mean ∆COPM satisfaction= 0.25, SD=2.16; mean ∆COPM performance= -0.28, SD= 1.44) when compared to baseline. AIMS2 pain subscale score showed EG (mean ∆AIMS2 pain= -2.31, SD=1.74) also had significantly better pain coping skills (p=0.03) than CG (mean ∆HAQ=--0.27, SD=0.49). In conclusion, this study showed a joint protection program led by occupational therapy improved the RA patients’ occupational function and participation. It showed the importance of including both individual and group sessions since individualized goal-setting ensured OT’s client-centered practice while group sessions provided social interaction to RA
Strategies for coping with traumatic stress: There are several specific ways of psychological coping. One of the most common coping methods for reducing stress and a sense of chaos is to reinterpret the traumatic event, perhaps by trying to find some positive aspect to it. This strategy allows the person to find meaning in an otherwise meaningless catastrophe. Another strategy is to reinterpret the role one played in the trauma itself. The coping strategy of self-blame is commonly used by victims, even when their role in the trauma was minimal, as a means of restoring order and predictability to the world. The third common coping mechanism is engaging in some action that reduces the likelihood of a similar event, actively pursuing rehabilitation,
Crisis intervention models as many aspects in how it can help an individual or group cope with crisis. However, I have chosen to focus on two crisis intervention models, which are telephone crisis counselling (TCC) and critical incident stress management (CISM). Telephone crisis counselling is a hotline where an individual can seek support, by means of the telephone. CISM is a combination of several components, “Large group, small group, family, and individual intervention approach to engage participants who historically are viewed as intervention resistant,” (Castellano & Plionis, 2006, p. 332).
This study set out to determine if specific group Cognitive Behavior Therapy, in conjunction with a multimodal treatment regime of physical therapy (physiotherapy) medical treatment, occupational therapy, activity (activation) and patient motivation to change lifestyle and coping, could improve pain apart from changes in general psychosomatic complaints. Their literature review indicated that chronic pain does respond to these types of treatment, but they were unable to verify specific causal effects of the reviewed research. The study demonstrated an improvement for the intervention group both in the Visual Analogue Pain Scale (VAS-pain) and the Fear Avoidance Beliefs Questionnaire (FABQS) indicating a positive correlation between the addition of group CBT to a multimodal treatment approach for chronic low back pain and patient improvement.
Stress is part of our lives. We live with it, deal with it, and above all worry about it. Our way of life, the area in which we live, the economy, and our jobs can cause a great deal of stress. Not everyone deals with the same level of stress and there are several factors that can impact our lives and cause us to have higher or lower stress levels. We can have stress caused by Cataclysmic events which according to Feldman (2009) are events that can affect many people at the same time and are “disasters such as tornado and plane crashes, as well as terrorist attacks”. (p418). Other factors are personal stressors and can be caused by events such as a divorce, death or a loved one or the loss of a job. (Feldman, 2009). The
Discuss Richard Lazarus and Susan Folkman’s and stress and coping paradigm and in view of this paradigm explain age and individual difference in the experience and handling of stress