Exploring the relationship between personality and chronic pain in adults with osteogenesis imperfecta: A cross-sectional study.

Despite the growing body of research on chronic pain in adults with osteogenesis imperfecta (OI), there is still a lack of comprehensive understanding of the influence of psychological factors on pain experienced by individuals with this condition. This study aims to delve into the correlation between personality traits and various aspects of pain, such as frequency, intensity, appraisal, and coping mechanisms, in a significant sample of adults with OI. Additionally, the investigation seeks to identify whether certain personality profiles may be more susceptible to chronic pain within this specific population. A descriptive cross-sectional study was conducted on a sample of 418 adults diagnosed with OI. Participants completed an online survey that assessed sociodemographic and clinical variables, pain parameters, personality traits, pain appraisal, and coping strategies. Subsequently, descriptive, correlational, cluster and comparative analyses were performed. Up to 83% of the participants reported experiencing pain on a regular basis. Regarding personality dimensions, moderate scores were obtained, with no significant differences compared to the general population. Neuroticism emerged as the trait showing the most robust relationships with the evaluated variables. It positively correlated with pain intensity, frequency, and the perception of pain as threatening (P < .001). Conversely, higher levels of extraversion were associated with a reduction in pain and its threatening perception (P < .001). Finally, the cluster analysis revealed a personality profile that showed greater vulnerability in pain adaptation, characterized by high levels of neuroticism and low levels of extraversion, agreeableness, and conscientiousness. Chronic pain is prevalent in adults with OI. Personality dimensions maintain a significant relationship with this pain, acting as vulnerability or protective factors. Consequently, specific personality profiles are associated with poorer adaptation. Understanding these profiles would allow for a deeper comprehension of the pain experience in adults with OI.

Chronic pain in adults with osteogenesis imperfecta and its relationship to appraisal, coping, and quality of life: A cross-sectional study.

Chronic pain is a common experience in osteogenesis imperfecta (OI). However, there are few studies on this topic, and none of them emerge from psychology as a discipline. The purpose of this work is to describe the frequency of chronic pain and its characteristics in a large sample of adults with OI, as well as its relationship with clinical, sociodemographic, psychological, and quality of life variables. A cross-sectional study was carried out in a sample of 418 adults with OI who answered a battery of online questionnaires. Sociodemographic and clinical variables, pain parameters, participants' appraisal of pain, coping strategies, interference in daily activities, and health-related quality of life were evaluated. A descriptive and correlational analysis was performed. Up to 83% of the sample reported experiencing pain frequently. Both the frequency and intensity of pain were related to the accumulation of fractures over the years (P < .05), but were independent of other variables like the severity of the pathology or the use of bisphosphonates. Higher threat appraisal of pain was associated with an increase in perceived pain intensity and its interference with daily activities, as well as a decrease in physical and mental health (P < .001). Chronic pain frequent condition in adults with OI, regardless of the severity of the pathology. It interferes with their usual activities and has an impact on their quality of life. The way in which participants appraise their pain also have an influence on its intensity and its consequences. Interventions aimed at training strategies for managing appraisals about pain could potentially improve adaptation to chronic pain.

Propiedades psicométricas del cuestionario de afrontamiento al estrés para pacientes oncológicos (CAEPO) / Psychometric properties of the coping to stress questionnaire for oncologic patients

Los objetivos del estudio fueron: 1) analizar la estructura factorial de la escala CAEPO mediante análisis factorial exploratorio y confirmatorio; 2) estimar la consistencia interna de los factores; 3) describir la distribución de los factores; 4) analizar las diferencias de medias de las estrategias de afrontamiento entre hombres y mujeres. El Cuestionario de Afrontamiento al Estrés para Pacientes Oncológicos (CAEPO) de González (2004) fue aplicado a 148 pacientes oncológicos. Se sugiere reducir la escala a 35 ítems. Se encontró una estructura de cuatro factores correlacionados con consistencias internas de adecuadas a altas. La distribución de los factores se ajustó a una curva normal y no se encontraron diferencias significativas entre hombre y mujeres. En futuras investigaciones, se sugiere su empleo en muestras clínicas de España y otros países hispanoparlantes

The goals of the study are: 1) to analyze the factorial structure of the Coping to Stress Questionnaire for Oncologic Patients instrument by the use of a factorial exploratory and confirmatory analysis; 2) to estímate the internal reliability of the factors; 3) to describe the distribution of the factors; 4) to analyze the mean differences of the coping strategies between men and women. The Coping to Stress Questionnaire for Oncologic Patients (González, 2004) was used for 148 oncologic patients. It is given suggestions to reduce the questionnaire to 35 items, It was found four correlationated factors estructure with internal reliability from adecuated to high. The factors distribution was adjusted to the normal curve and it was not found significative differences between men and women. In future investigation, it is suggested to use this questionnaire un clinic samples from Spain and others Spanish speaking countries

[Personality and coping in neuropathic chronic pain: a predictable divorce]. / Personalidad y afrontamiento en dolor crónico neuropático: un divorcio previsible.

We approach the problem about relationships between personality dimensions and the use of coping strategies in chronic pain patients. The most frequently used theoretical model in the area of stress and its relation to pain is the transactional model, taking into account that the incorporation of personality traits improves predictions via coping in the stress process. Following the Big Five model, the relationships between personality and coping strategies in patients with chronical neuropathic pain were established. The results showed slight relationships between the Big-Five dimensions and coping. A vulnerable personality profile in patients with chronic neuropathic pain was obtained, consisting of high neuroticism, low extraversion, openness to experience and responsibility, and moderate agreeableness.

Personalidad y afrontamiento en dolor crónico neuropático: un divorcio previsible / Personality and coping in neuropathic chronic pain: a predictable divorce

Se aborda la problemática referida a las relaciones existentes entre las dimensiones de personalidad y el empleo de las estrategias de afrontamiento en enfermos con dolor crónico. El modelo teórico más empleado en el ámbito del estrés y su relación con el dolor es el modelo transaccional, considerando que la inclusión de rasgos de personalidad mejoraría las predicciones mediante el afrontamiento en el proceso del estrés. Siguiendo el modelo de los cinco grandes se establecen las relaciones existentes entre las dimensiones de personalidad y las estrategias de afrontamiento en enfermos con dolor crónico de tipo neuropático. Los resultados arrojan relaciones débiles entre dichas dimensiones y el afrontamiento. Se obtiene un perfil de personalidad vulnerable en enfermos con dolor crónico neuropático consistente en alto neuroticismo, baja extraversión, apertura y responsabilidad y moderada amabilidad (AU)

We approach the problem about relationships between personality dimensions and the use of coping strategies in chronic pai patients. The most frequently used theoretical model in the area of stress and its relation to pain is the transactional model, taking into account that the incorporation of personality traits improves predictions via coping in the stress process. Following the Big Five model, the relationships between personality and coping strategies in patients with chronical neuropathic pain were established. The results showed slight relationships between the Big-Five dimensions and coping. A vulnerable personality profile in patients with chronic neuropathic pain was obtained, consisting of high neuroticism, low extraversion, openness to experience and responsibility, and moderate agreeableness (AU)

Satisfacción con la Información: Posible Variable Interviniente en el Estado de Ánimo de Cuidadores Primarios de Pacientes Críticos / Satisfaction with the Information as a Variable Mediating the Mood of Critical Patient Caregivers

La hospitalización de un familiar en una UCI afecta psicológica y socialmente tanto al paciente como a sus familiares, quienes suelen experimentar estrés, desorganización, sentimientos de desamparo, etc. Estas respuestas severas de ansiedad de los familiares en los momentos iniciales del ingreso en UCI predicen el posterior desarrollo de un TEP tras el alta hospitalaria, por lo que se considera necesario implantar medidas preventivas, resaltando la satisfacción con la información como un aspecto clave. OBJETIVO: Valoración del grado de satisfacción y necesidad de información en familiares de pacientes programados para una intervención quirúrgica que requerirán un ingreso en UCI, y su relación con la depresión y ansiedad. RESULTADOS: Un porcentaje de familiares presentaron niveles significativos de depresión y ansiedad. Su satisfacción con la información fue media, mientras que su necesidad de información fue elevada. Los “bajos en satisfacción con la información” mostraron niveles significativamente superiores de depresión y ansiedad que los “altos en satisfacción”. DISCUSIÓN: A partir de estos resultados se plantea la necesidad de una intervención psicológica destinada a la detección de alteraciones emocionales en los familiares, así como a la valoración de sus necesidades de información con el objetivo de adaptar los recursos a las mismas (AU)

When a relative is admitted to a hospital, both the patient and his/her family are psychologically and socially affected -experiencing stress, disorganization, helplessness, etc. Severe anxiety responses of relatives when the patient is admitted to ICU predict the later development of a PTSD and hence, it appears necessary to implement preventive measures -satisfaction with the information being one of the most outstanding ones. OBJECTIVE: Assessment of the level of satisfaction, the need for information in relatives of surgical patients who will later stay in ICU and its relationship with the depression and anxiety. RESULTS: A percentage of relatives showed significant levels of depression and anxiety. Their satisfaction with the information was medium whereas their need of information was high. The “low satisfaction with information” group showed higher significant levels of depression and anxiety than the “high satisfaction” group. DISCUSSION: Results highlight the need of psychological intervention in order to detect emotional disturbances of relatives, and to assess their needs of information –so that resources can be adapted to them (AU)