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  1. Article ; Online: Investigating mental defeat in individuals with chronic pain: Protocol for a longitudinal experience sampling study.

    Gillett, Jenna L / Karadag, Paige / Themelis, Kristy / Li, Yu-Mei / Lemola, Sakari / Balasubramanian, Shyam / Singh, Swaran Preet / Tang, Nicole K Y

    BMJ open

    2023  Volume 13, Issue 2, Page(s) e066577

    Abstract: Introduction: Previous qualitative and cross-sectional research has identified a strong sense of mental defeat in people with chronic pain who also experience the greatest levels of distress and disability. This study will adopt a longitudinal ... ...

    Abstract Introduction: Previous qualitative and cross-sectional research has identified a strong sense of mental defeat in people with chronic pain who also experience the greatest levels of distress and disability. This study will adopt a longitudinal experience sampling design to examine the within-person link between the sense of mental defeat and distress and disability associated with chronic pain.
    Methods and analysis: We aim to recruit 198 participants (aged 18-65 years) with chronic pain, to complete two waves of experience sampling over 1 week, 6 months apart (time 1 and time 2). During each wave of experience sampling, the participants are asked to complete three short online surveys per day, to provide in-the-moment ratings of mental defeat, pain, medication usage, physical and social activity, stress, mood, self-compassion, and attention using visual analogue scales. Sleep and physical activity will be measured using a daily diary as well as with wrist actigraphy worn continuously by participants throughout each wave. Linear mixed models and Gaussian graphical models will be fit to the data to: (1) examine the within-person, day-to-day association of mental defeat with outcomes (ie, pain, physical/social activity, medication use and sleep), (2) examine the dynamic temporal and contemporaneous networks of mental defeat with all outcomes and the hypothesised mechanisms of outcomes (ie, perceived stress, mood, attention and self-compassion).
    Ethics and dissemination: The current protocol has been approved by the Health Research Authority and West Midlands-Solihull Research Ethics Committee (Reference Number: 17/WM0053). The study is being conducted in adherence with the Declaration of Helsinki, Warwick Standard Operating Procedures and applicable UK legislation.
    MeSH term(s) Humans ; Chronic Pain/complications ; Cross-Sectional Studies ; Ecological Momentary Assessment ; Surveys and Questionnaires ; Exercise
    Language English
    Publishing date 2023-02-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-066577
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mental Defeat and Suicidality in Chronic Pain: A Prospective Analysis.

    Themelis, Kristy / Gillett, Jenna L / Karadag, Paige / Cheatle, Martin D / Giordano, Nicholas A / Balasubramanian, Shyam / Singh, Swaran P / Tang, Nicole Ky

    The journal of pain

    2023  Volume 24, Issue 11, Page(s) 2079–2092

    Abstract: Living with chronic pain has been identified as a significant risk factor for suicide. Qualitative and cross-sectional studies have reported an association between mental defeat and suicidal thoughts and behavior in patients with chronic pain. In this ... ...

    Abstract Living with chronic pain has been identified as a significant risk factor for suicide. Qualitative and cross-sectional studies have reported an association between mental defeat and suicidal thoughts and behavior in patients with chronic pain. In this prospective cohort study, we hypothesized that higher levels of mental defeat would be associated with increased suicide risk at a 6-month follow-up. A total of 524 patients with chronic pain completed online questionnaires measuring variables related to suicide risk, mental defeat, sociodemographic, psychological, pain, activity, and health variables. At 6 months, 70.8% (n = 371) of respondents completed the questionnaires again. Weighted univariate and multivariable regression models were run to predict suicide risk at 6 months. The clinical suicide risk cutoff was met by 38.55% of the participants at baseline and 36.66% at 6 months. Multivariable modeling revealed that mental defeat, depression, perceived stress, head pain, and active smoking status significantly increased the odds of reporting higher suicide risk, while older age reduced the odds. Receiver operating characteristic (ROC) analysis showed that assessment of mental defeat, perceived stress, and depression is effective in discriminating between 'low' and 'high' suicide risk. Awareness of the prospective links from mental defeat, depression, perceived stress, head pain, and active smoking status to increased suicide risk in patients with chronic pain may offer a novel avenue for assessment and preventative intervention. PERSPECTIVE: Results from this prospective cohort study suggest that mental defeat is a significant predictor of increased suicide risk among patients with chronic pain, along with depression, perceived stress, head pain, and active smoking status. These findings offer a novel avenue for assessment and preventative intervention before risk escalates.
    MeSH term(s) Humans ; Suicidal Ideation ; Suicide/psychology ; Chronic Pain/epidemiology ; Chronic Pain/psychology ; Prospective Studies ; Cross-Sectional Studies ; Risk Factors ; Headache
    Language English
    Publishing date 2023-06-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2018789-0
    ISSN 1528-8447 ; 1526-5900
    ISSN (online) 1528-8447
    ISSN 1526-5900
    DOI 10.1016/j.jpain.2023.06.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5237: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Psychological outcomes of MRSA isolation in spinal cord injury rehabilitation.

    Gillett, Jenna L / Duff, Jane / Eaton, Rebecca / Finlay, Katherine

    Spinal cord series and cases

    2020  Volume 6, Issue 1, Page(s) 63

    Abstract: Study design: Retrospective secondary analysis with a quantitative, matched-pairs design. Patients isolated due to methicillin-Resistant Staphylococcus aureus (MRSA) were matched with controls without MRSA infection admitted to a multi-bedded ward, ... ...

    Abstract Study design: Retrospective secondary analysis with a quantitative, matched-pairs design. Patients isolated due to methicillin-Resistant Staphylococcus aureus (MRSA) were matched with controls without MRSA infection admitted to a multi-bedded ward, based on: gender, injury level, injury severity (AIS grade), age at the time of injury and year of admission.
    Objectives: Determine the implications of MRSA-related infection isolation on spinal cord injury patients' anxiety, depression, appraisals of disability, perceived manageability and pain intensity. Hypotheses predicted patients who were isolated due to MRSA during inpatient stay would demonstrate poorer psychological health outcomes at discharge in comparison with non-isolated matched controls.
    Setting: National Spinal Injuries Centre, England, UK.
    Methods: Secondary analyses were conducted on pre-existing data based on patients' first admission for primary rehabilitation. Psychometric scales were used to measure outcome variables. Assessments were repeated at the time of admission and discharge.
    Results: Nonparametric longitudinal analyses using the nparLD package in R were conducted. Relative treatment effects demonstrated that there were no significant differences between groups across all outcome measures. There was a significant effect of time (admission vs discharge) on perceived manageability and pain intensity, indicating improved outcomes at discharge. There was no difference in the overall length of stay between the isolated and non-isolated groups.
    Conclusions: Isolation experienced by rehabilitation inpatients with spinal cord injury with MRSA had no effect on a series of psychological outcomes. Engaging with rehabilitation had a positive impact in reducing pain unpleasantness and increasing perceived manageability of spinal cord injury, irrespective of infection isolation.
    MeSH term(s) Activities of Daily Living/psychology ; Humans ; Inpatients ; Length of Stay/statistics & numerical data ; Male ; Methicillin-Resistant Staphylococcus aureus/pathogenicity ; Outcome Assessment, Health Care ; Patient Discharge/statistics & numerical data ; Retrospective Studies ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/psychology ; Spinal Cord Injuries/rehabilitation
    Keywords covid19
    Language English
    Publishing date 2020-07-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2058-6124
    ISSN (online) 2058-6124
    DOI 10.1038/s41394-020-0313-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Adaptations to mindfulness-based interventions for neurological impairment: The SMALL PROMPTS approach.

    Finlay, Katherine A / Hearn, Jasmine H / Gillett, Jenna L / Ratwatte, Priyanjali / Morton-Bye, Joanne / Chater, Angel M

    Rehabilitation psychology

    2022  Volume 67, Issue 3, Page(s) 391–404

    Abstract: Purpose/objective: Standardized mindfulness-based interventions (MBIs), used for the management of physical and psychological symptoms associated with neurological impairment/injury (NI), have been problematized as lacking accessibility due to their ... ...

    Abstract Purpose/objective: Standardized mindfulness-based interventions (MBIs), used for the management of physical and psychological symptoms associated with neurological impairment/injury (NI), have been problematized as lacking accessibility due to their focus on sensory presence and mindful walking. Research is needed to generate formalized recommendations regarding how MBIs may be best adapted to enhance their suitability for people with NI.
    Research method/design: A two-phase qualitative study was completed. First, semistructured interviews were undertaken with eight accredited mindfulness teachers with NI. Interviews reviewed the adaptations participants made in their personal and teaching practice, using thematic analysis, and generated recommendations for adaptations to MBIs specific to people with NI. Second, using the DELPHI method, the adapted practice recommendations were reviewed and revised via three rounds, following cognitive interviews with an expert panel (
    Results: Ten core areas for adaptation are proposed and validated, acting as SMALL PROMPTS which can be used to adapt mindfulness-based teaching techniques to the specific requirements of people with NI: (a) Skin/bladder/bowel management; (b) mindful Movement; (c) Accessible training; (d) Language Leadership; (e) Permissive pRactice; (f) Optimizing timelines; (g) Management of posture; (h) inclusion of Pacing; (i) Teaching from experience; and (j) body Scanning.
    Conclusion/implications: Mindfulness is a highly applicable approach for people with sensory loss, however significant, specific adaptations are required to improve inclusivity and accessibility. The SMALL PROMPTS adaptations increase the accessibility, applicability, and utility of MBIs for populations living with NI, enhancing effective management of physical and psychological wellbeing, and optimizing MBI delivery. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
    MeSH term(s) Humans ; Mindfulness/methods ; Qualitative Research
    Language English
    Publishing date 2022-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224747-1
    ISSN 1939-1544 ; 0090-5550
    ISSN (online) 1939-1544
    ISSN 0090-5550
    DOI 10.1037/rep0000455
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1934: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  5. Article: Investigating mental defeat in individuals with chronic pain

    Gillett, Jenna L. / Karadag, Paige / Themelis, Kristy / Li, Yu-Mei / Lemola, Sakari / Balasubramanian, Shyam / Singh, Swaran Preet / Tang, Nicole K. Y.

    BMJ Open

    Protocol for a longitudinal experience sampling study

    2023  

    Abstract: Introduction: Previous qualitative and cross-sectional research has identified a strong sense of mental defeat in people with chronic pain who also experience the greatest levels of distress and disability. This study will adopt a longitudinal experience ...

    Title translation Untersuchung der psychischen Niederlage bei Menschen mit chronischen Schmerzen: Protokoll für eine Längsschnittstudie mit Erfahrungswerten (DeepL)
    Abstract Introduction: Previous qualitative and cross-sectional research has identified a strong sense of mental defeat in people with chronic pain who also experience the greatest levels of distress and disability. This study will adopt a longitudinal experience sampling design to examine the within-person link between the sense of mental defeat and distress and disability associated with chronic pain. Methods and analysis: We aim to recruit 198 participants (aged 18-65 years) with chronic pain, to complete two waves of experience sampling over 1 week, 6 months apart (time 1 and time 2). During each wave of experience sampling, the participants are asked to complete three short online surveys per day, to provide in-the-moment ratings of mental defeat, pain, medication usage, physical and social activity, stress, mood, self-compassion, and attention using visual analogue scales. Sleep and physical activity will be measured using a daily diary as well as with wrist actigraphy worn continuously by participants throughout each wave. Linear mixed models and Gaussian graphical models will be fit to the data to: (1) examine the within-person, day-to-day association of mental defeat with outcomes (ie, pain, physical/social activity, medication use and sleep), (2) examine the dynamic temporal and contemporaneous networks of mental defeat with all outcomes and the hypothesised mechanisms of outcomes (ie, perceived stress, mood, attention and self-compassion). Ethics and dissemination: The current protocol has been approved by the Health Research Authority and West Midlands-Solihull Research Ethics Committee (Reference Number: 17/WM0053). The study is being conducted in adherence with the Declaration of Helsinki, Warwick Standard Operating Procedures and applicable UK legislation.
    Keywords Attention ; Aufmerksamkeit ; Behinderungen ; Chronic Pain ; Chronischer Schmerz ; Disabilities ; Distress ; Drug Therapy ; Ecological Momentary Assessment ; Emotional States ; Emotionale Belastung ; Emotionale Zustände ; Körperliche Aktivität ; Medikamentöse Therapie ; Physical Activity ; Schlaf ; Selbstmitgefühl ; Self-Compassion ; Sleep
    Language English
    Document type Article
    DOI 10.1136/bmjopen-2022-066577
    Database PSYNDEX

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