Musculoskeletal pain Part 2 Flashcards
What are protective factors
Protective factors: factors which enhance coping and resilience and
decrease the likelihood that stress will have a negative outcome
What is the biopsychosocial approach to health and illness
Not only looks at biological aspects but also psychologically and socially
The interrelationship among biological changes, psychological impact and sociocultural context all need to be considered to understand the perception and response to pain
What is allodynia?
when an individual experiences non-painful stimuli as painful
What is hyperalgesia?
when an individual experiences painful stimuli as much more painful than it really is
central pain sensitization
more sensitive to senses
How is chronic pain related to stress
Chronic pain can be stressful physically and emotionally
can further amplify the experience of pain
Process of stress chronic pain to pain?
the activation of the HPA axis and the cortisol secretion within the endocrine system
pain activates the HPA axis and causes increased cortisol in the body.
cortisol causes increased inflammation and this leads to more pain
What can increase in cortisol do?
predispose insulin resistance that can lead to type two diabetes, obesity, chronic high blood pressure, and cardiovascular disease
causes increased inflammation and this leads to more pain
what does the coping decided depend on?
The coping strategies we employ can vary based on a perception of the situation and our personality
How is coping measured
Using COPE inventory questionnaire
How is coping broken down by the COPE inventory questionnaire
Problem focused coping
Emotional focused coping
Less useful/ disengagement
What are examples of Problem focused coping 5
Active coping Planning Suppression of competing activities Restraint coping Seeking of instrumental support
What are examples of Emotional focused coping 5
Positive re-interpretation Acceptance Denial Turning to religion Seeking to support emotional support
What are examples of Less useful/ disengagement
Focus on + venting of emotions
Behavioural disengagement
Mental disengagement
What are the main types of coping?
Adaptive coping
Maladaptive