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  1. Article ; Online: Psychologic distress and QOL in medical staff after a disaster: A longitudinal 4-year study.

    Yabuki, Shoji / Takatsuki, Kozue / Ouchi, Kazuo

    Fukushima journal of medical science

    2022  Volume 68, Issue 1, Page(s) 25–35

    Abstract: Aiming to improve post-disaster care of medical staff, we conducted an early and ongoing assessment of post-disaster psychologic distress and quality of life (QOL) in one center of a disaster-response hospital. Twelve days after the Great East Japan ... ...

    Abstract Aiming to improve post-disaster care of medical staff, we conducted an early and ongoing assessment of post-disaster psychologic distress and quality of life (QOL) in one center of a disaster-response hospital. Twelve days after the Great East Japan Earthquake, as the Fukushima Daiichi Nuclear Power Plant crisis was unfolding, we began a survey to examine the physical and mental state of medical staff to assess their motivation toward work. Surveys were administered in March 2011 (Survey 1), March 2012 (Survey 2), March 2013 (Survey 3), March 2014 (Survey 4), and March 2015 (Survey 5). Participants completed the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), EuroQol (EQ-5D), and MOS Short-Form 36-item Health Survey (SF-36). Although BDI scores significantly improved over time following Survey 1, participants in their 30s had significantly higher Survey 2 scores than those in their 40s/50s, and significantly higher Survey 3 scores than those in their 20s. STAI scores significantly improved over time following Survey 1. However, participants in their 30s had significantly higher Survey 3 scores than those in their 20s. EQ-5D scores did not significantly vary among survey time points or age groups. SF-36 physical functioning, role physical, social functioning, role emotional, and mental health subscale scores significantly improved over time. In conclusion, post-disaster longitudinal changes, including recovery period, differed among age groups. Thus, age should be taken into account in longitudinal evaluations of psychologic distress and QOL in medical staff after a disaster and, as more recent events suggest, during a pandemic.
    MeSH term(s) Disasters ; Earthquakes ; Fukushima Nuclear Accident ; Humans ; Japan ; Medical Staff ; Quality of Life
    Language English
    Publishing date 2022-02-08
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 958255-1
    ISSN 2185-4610 ; 0016-2590
    ISSN (online) 2185-4610
    ISSN 0016-2590
    DOI 10.5387/fms.2021-19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 200: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Characteristics of patients who dropped out after multidisciplinary pain management in Japan: A prospective cohort study.

    Takahashi, Naoto / Takatsuki, Kozue / Kasahara, Satoshi / Yabuki, Shoji

    Journal of back and musculoskeletal rehabilitation

    2021  Volume 35, Issue 4, Page(s) 793–802

    Abstract: Background: Because regular visits to distant hospitals may be a burden to patients, both in terms of time and cost, some patients with chronic musculoskeletal pain may discontinue multidisciplinary pain treatment, unable to maintain motivation to ... ...

    Abstract Background: Because regular visits to distant hospitals may be a burden to patients, both in terms of time and cost, some patients with chronic musculoskeletal pain may discontinue multidisciplinary pain treatment, unable to maintain motivation to attend.
    Objective: To evaluate and compare the pre-program characteristics of patients who dropped out and patients who continued treatment, thereby clarifying the characteristics of patients at risk of dropping out.
    Methods: A multidisciplinary pain management treatment program was implemented for patients at the Pain Management Center, Hoshi General Hospital. From April 2015 to March 2018, 23 patients participated in the program. Twelve of the 23 patients lived outside the prefecture where the hospital is located. Of these 12 patients, five completed the program, while seven did not. We compared the dropout and continuation groups in terms of patient characteristics, pain severity, pain-related psychosocial factors, and quality of life.
    Results: We found significant differences (p< 0.05) in median age, Japanese Orthopaedic Association Back Pain Evaluation Questionnaire walking ability dysfunction score, and Roland-Morris Disability Questionnaire score.
    Conclusions: The characteristics of patients who dropped out were older age, walking ability dysfunction, and low quality of life associated with low back pain.
    MeSH term(s) Disability Evaluation ; Humans ; Japan ; Low Back Pain ; Pain Management ; Prospective Studies ; Quality of Life ; Surveys and Questionnaires
    Language English
    Publishing date 2021-12-27
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1184721-9
    ISSN 1878-6324 ; 1053-8127
    ISSN (online) 1878-6324
    ISSN 1053-8127
    DOI 10.3233/BMR-200292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4580: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Psychometric Properties of the Multidimensional Pain Inventory: Japanese Language Version (MPI-J).

    Kasahara, Satoshi / Takahashi, Naoto / Matsudaira, Ko / Oka, Hiroyuki / Takatsuki, Kozue / Yabuki, Shoji

    Pain physician

    2022  Volume 25, Issue 1, Page(s) E105–E112

    Abstract: Background: Many self-report scales have been developed. Among them, are those clinically useful scales for quantifying chronic pain (such as the Numeric Rating Scale), which are useful for determining the effectiveness of treatment, and multifaceted ... ...

    Abstract Background: Many self-report scales have been developed. Among them, are those clinically useful scales for quantifying chronic pain (such as the Numeric Rating Scale), which are useful for determining the effectiveness of treatment, and multifaceted and comprehensive pain assessment scales that are used to determine therapeutic strategies. The representative measure of the latter is the West Haven Yale Multidimensional Pain Inventory (WHY-MPI), which constitutes a system for classifying patients with chronic pain termed the multiaxial assessment of pain (MAP), proposed by Turk and Rudy.
    Objectives: This study aimed to evaluate the psychometric characteristics of the Japanese version of the MPI (MPI-J).
    Study design: Cross-sectional study.
    Setting: Specialized Pain Management Center at Hoshi General Hospital.
    Methods: We assessed the reliability and validity of the MPI-J in 100 Japanese patients with chronic musculoskeletal pain. Internal consistency was assessed using Cronbach's α coefficient for reliability. Regarding the convergent and discriminant validities, we examined the intercorrelations among the 9 subscales of the MPI-J, and the MPI-J intercorrelation was compared with the other language versions. Regarding criterion-related validity, the correlation coefficients between the MPI-J and some variables such as pain, mood, and quality of life were examined.
    Results: The subscales of the MPI-J demonstrated acceptable reliability coefficients (0.75-0.95). Regarding the intercorrelation between the MPI-J variables and criterion-related validity, previous study results of versions in other languages were also confirmed in this study.
    Limitations: This study has some limitations. First, in this study, the analyses performed did not take into consideration the presence or absence of a diagnosis of neuropathic pain. Second, our study sample size was small, and the subjects were intractable cases referred to our pain center due to difficulty in treatment at many medical institutions. Therefore, the results of this study should be interpreted as a survey at a specialized medical institution where many intractable cases are referred. Third, it should be noted that a stronger association between the items of each scale may have been shown because the study was conducted on intractable cases than if it was conducted in general outpatient clinics.
    Conclusion: The study findings support the applicability of the MPI-J as a clinical assessment scale in Japanese patients with chronic musculoskeletal pain.
    MeSH term(s) Chronic Pain/diagnosis ; Cross-Sectional Studies ; Humans ; Japan ; Language ; Psychometrics ; Quality of Life ; Reproducibility of Results
    Language English
    Publishing date 2022-01-20
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2146393-1
    ISSN 2150-1149 ; 1533-3159
    ISSN (online) 2150-1149
    ISSN 1533-3159
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5930: Show issues Location:
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  4. Article: Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: a cohort study.

    Takahashi, Naoto / Takatsuki, Kozue / Kasahara, Satoshi / Yabuki, Shoji

    Journal of pain research

    2019  Volume 12, Page(s) 2563–2576

    Abstract: Introduction: Multidisciplinary pain management is a useful method for treating chronic musculoskeletal pain. Currently, few facilities in Japan offer multidisciplinary pain treatment, especially in the inpatient setting. We implemented a ... ...

    Abstract Introduction: Multidisciplinary pain management is a useful method for treating chronic musculoskeletal pain. Currently, few facilities in Japan offer multidisciplinary pain treatment, especially in the inpatient setting. We implemented a multidisciplinary pain management program based on International Association for the Study of Pain recommendations. This study described our initial efforts in implementing the program, and reported 3- and 6-month follow-up results.
    Materials and methods: Our pain management team included orthopedic surgeons, psychiatrists, nurses, physical therapists, clinical psychologists, pharmacists, and nutritionists. The 3-week inpatient pain management program comprised exercise therapy, psychotherapy, and patient education. We evaluated patients using the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), Pain Disability-Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Self-Efficacy Questionnaire (PSEQ), EuroQol Five Dimensions (EQ-5D), and physical examinations (flexibility, muscle endurance, walking ability, and physical fitness). Statistical analyses were performed using paired
    Results: Data for 23 patients were analyzed before and immediately after the program. Statistically significant improvements were seen in BPI, PCS, PDAS, HADS, PSEQ, EQ-5D, flexibility, muscle endurance, walking ability, and physical fitness. Eight patients were also assessed 3 and 6 months after the program. PCS (rumination and helplessness) scores and flexibility showed significant improvement at 3 and 6 months. Significant improvement was seen in PDAS and HADS (anxiety) scores and muscle endurance at 6 months, and in PSEQ scores immediately and at 3 and 6 months.
    Conclusion: Our inpatient pain management program can improve patients' physical function and ability to cope with chronic musculoskeletal pain, which supports improved quality of life. Our program is currently being expanded to better assist patients with chronic musculoskeletal pain.
    Language English
    Publishing date 2019-08-21
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2495284-9
    ISSN 1178-7090
    ISSN 1178-7090
    DOI 10.2147/JPR.S212205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Headache in Patients with Cervical Spondylotic Myelopathy.

    Yabuki, Shoji / Takatsuki, Kozue / Otani, Koji / Nikaido, Takuya / Watanabe, Kazuyuki / Kato, Kinshi / Kobayashi, Hiroshi / Handa, Jun-Ichi / Konno, Shinichi

    Pain research & management

    2020  Volume 2020, Page(s) 8856088

    Abstract: Purpose: The anatomical mechanisms of cervicogenic headache caused by upper cervical lesions have been reported. However, the pathomechanisms of headache caused by lower cervical spine disorders remain unknown. The purpose of the current study was to ... ...

    Abstract Purpose: The anatomical mechanisms of cervicogenic headache caused by upper cervical lesions have been reported. However, the pathomechanisms of headache caused by lower cervical spine disorders remain unknown. The purpose of the current study was to clarify the prevalence and pathogenesis of headaches in patients with cervical spondylotic myelopathy (CSM).
    Methods: In this retrospective study, a questionnaire regarding preoperative and postoperative symptoms was sent to 147 patients with CSM who were surgically treated in our hospital during the previous 10 years. All of the surgical procedures were decompression surgeries between the C3 and C7 levels. Data from 74 patients (50.3%) were available for analysis. Subjects were divided into four groups according to the presence or absence of preoperative and postoperative headache. The severity of pain, severity of neuropathic pain symptoms, depression, severity of myelopathy, and quality of life (QOL) were also evaluated using questionnaires. The scores of these questionnaires were then compared between the four groups. Kruskal-Wallis tests with Dunn-Bonferroni
    Results: Of the patients with CSM, 31% had headaches preoperatively, and 43% of these headaches disappeared postoperatively. Type 4 (preoperative headache-positive/postoperative headache-positive) patients had more severe pain and neuropathic pain symptoms and lower QOL scores compared with type 1 (preoperative headache-negative/postoperative headache-negative) patients.
    Conclusions: Approximately one-third of all patients with CSM had headaches preoperatively. Headache in patients with CSM may be neuropathic pain. A proportion of headaches in patients with CSM can be treated by decompression surgery.
    MeSH term(s) Adult ; Aged ; Cervical Vertebrae/surgery ; Female ; Headache/diagnosis ; Headache/epidemiology ; Headache/surgery ; Humans ; Male ; Middle Aged ; Pain Measurement/methods ; Quality of Life/psychology ; Retrospective Studies ; Spinal Cord Diseases/diagnosis ; Spinal Cord Diseases/epidemiology ; Spinal Cord Diseases/surgery ; Spondylosis/diagnosis ; Spondylosis/epidemiology ; Spondylosis/surgery ; Surveys and Questionnaires ; Treatment Outcome
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041085-2
    ISSN 1918-1523 ; 1203-6765
    ISSN (online) 1918-1523
    ISSN 1203-6765
    DOI 10.1155/2020/8856088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5498: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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