The Perception of Being a Burden in Acute and Chronic Pain Patients Is Associated with Affirmation of Different Types of Suicidality

Abstract Objectives. The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence o...

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Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2016-03, Vol.17 (3), p.530-538
Hauptverfasser: Fishbain, David A., Bruns, Daniel, Bruns, Alexander, Gao, Jinrun, Lewis, John E., Meyer, Laura J., Disorbio, John Mark
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container_end_page 538
container_issue 3
container_start_page 530
container_title Pain medicine (Malden, Mass.)
container_volume 17
creator Fishbain, David A.
Bruns, Daniel
Bruns, Alexander
Gao, Jinrun
Lewis, John E.
Meyer, Laura J.
Disorbio, John Mark
description Abstract Objectives. The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence of suicide plan, history of suicide attempts, and preference for death over being disabled) in CPPs and acute pain patients (APPs). Methods. Affirmation of SPB was statistically compared between community nonpatients without pain (CNPWP), APPs, and CPPs. APPs and CPPs who had affirmed any of the five types of suicidality were compared statistically for affirmation of SPB. Hierarchical regression analysis was utilized to determine the significance of SPB in predicting each of the five types of suicidality in APPs and CPPs controlling for age, gender, race, education status, and two types of measures of depression (current depression and vegetative depression). Results. APPs and CPPs were statistically more likely to affirm SPB than CNPWPs and CPPs were more likely than APPs to do so. There were no differences between APPs and CPPs in affirming SPB in APPs and CPPs who had affirmed any of the five types of suicidality. In CPPs, SPB predicted each type of suicidality in a significant fashion utilizing both types of depression measures. For APPs, SPB predicted each type of suicidality in a significant fashion except for history of suicide attempt controlling for vegetative depression. Conclusions. SPB is associated with the vast majority of different types of suicidality in APPs and CPPs.
doi_str_mv 10.1111/pme.12889
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The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence of suicide plan, history of suicide attempts, and preference for death over being disabled) in CPPs and acute pain patients (APPs). Methods. Affirmation of SPB was statistically compared between community nonpatients without pain (CNPWP), APPs, and CPPs. APPs and CPPs who had affirmed any of the five types of suicidality were compared statistically for affirmation of SPB. Hierarchical regression analysis was utilized to determine the significance of SPB in predicting each of the five types of suicidality in APPs and CPPs controlling for age, gender, race, education status, and two types of measures of depression (current depression and vegetative depression). Results. APPs and CPPs were statistically more likely to affirm SPB than CNPWPs and CPPs were more likely than APPs to do so. There were no differences between APPs and CPPs in affirming SPB in APPs and CPPs who had affirmed any of the five types of suicidality. In CPPs, SPB predicted each type of suicidality in a significant fashion utilizing both types of depression measures. For APPs, SPB predicted each type of suicidality in a significant fashion except for history of suicide attempt controlling for vegetative depression. Conclusions. SPB is associated with the vast majority of different types of suicidality in APPs and CPPs.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1111/pme.12889</identifier><identifier>PMID: 26332796</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acute Pain - diagnosis ; Acute Pain - psychology ; Adolescent ; Adult ; Chronic pain ; Chronic Pain - diagnosis ; Chronic Pain - psychology ; Cost of Illness ; Female ; Humans ; Male ; Mental depression ; Middle Aged ; Pain ; Perception ; Self Concept ; Suicidal Ideation ; Suicide ; Suicides &amp; suicide attempts ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Pain medicine (Malden, Mass.), 2016-03, Vol.17 (3), p.530-538</ispartof><rights>2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2015</rights><rights>2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright © 2015 American Academy of Pain Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-79e1a75d40e20b5b23b2a93a1e6218d154c52a2d33ebb4db9789c77d594c97123</citedby><cites>FETCH-LOGICAL-c410t-79e1a75d40e20b5b23b2a93a1e6218d154c52a2d33ebb4db9789c77d594c97123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26332796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fishbain, David A.</creatorcontrib><creatorcontrib>Bruns, Daniel</creatorcontrib><creatorcontrib>Bruns, Alexander</creatorcontrib><creatorcontrib>Gao, Jinrun</creatorcontrib><creatorcontrib>Lewis, John E.</creatorcontrib><creatorcontrib>Meyer, Laura J.</creatorcontrib><creatorcontrib>Disorbio, John Mark</creatorcontrib><title>The Perception of Being a Burden in Acute and Chronic Pain Patients Is Associated with Affirmation of Different Types of Suicidality</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objectives. The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence of suicide plan, history of suicide attempts, and preference for death over being disabled) in CPPs and acute pain patients (APPs). Methods. Affirmation of SPB was statistically compared between community nonpatients without pain (CNPWP), APPs, and CPPs. APPs and CPPs who had affirmed any of the five types of suicidality were compared statistically for affirmation of SPB. Hierarchical regression analysis was utilized to determine the significance of SPB in predicting each of the five types of suicidality in APPs and CPPs controlling for age, gender, race, education status, and two types of measures of depression (current depression and vegetative depression). Results. APPs and CPPs were statistically more likely to affirm SPB than CNPWPs and CPPs were more likely than APPs to do so. There were no differences between APPs and CPPs in affirming SPB in APPs and CPPs who had affirmed any of the five types of suicidality. In CPPs, SPB predicted each type of suicidality in a significant fashion utilizing both types of depression measures. For APPs, SPB predicted each type of suicidality in a significant fashion except for history of suicide attempt controlling for vegetative depression. Conclusions. 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The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence of suicide plan, history of suicide attempts, and preference for death over being disabled) in CPPs and acute pain patients (APPs). Methods. Affirmation of SPB was statistically compared between community nonpatients without pain (CNPWP), APPs, and CPPs. APPs and CPPs who had affirmed any of the five types of suicidality were compared statistically for affirmation of SPB. Hierarchical regression analysis was utilized to determine the significance of SPB in predicting each of the five types of suicidality in APPs and CPPs controlling for age, gender, race, education status, and two types of measures of depression (current depression and vegetative depression). Results. APPs and CPPs were statistically more likely to affirm SPB than CNPWPs and CPPs were more likely than APPs to do so. There were no differences between APPs and CPPs in affirming SPB in APPs and CPPs who had affirmed any of the five types of suicidality. In CPPs, SPB predicted each type of suicidality in a significant fashion utilizing both types of depression measures. For APPs, SPB predicted each type of suicidality in a significant fashion except for history of suicide attempt controlling for vegetative depression. Conclusions. SPB is associated with the vast majority of different types of suicidality in APPs and CPPs.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>26332796</pmid><doi>10.1111/pme.12889</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute Pain - diagnosis
Acute Pain - psychology
Adolescent
Adult
Chronic pain
Chronic Pain - diagnosis
Chronic Pain - psychology
Cost of Illness
Female
Humans
Male
Mental depression
Middle Aged
Pain
Perception
Self Concept
Suicidal Ideation
Suicide
Suicides & suicide attempts
Surveys and Questionnaires
Young Adult
title The Perception of Being a Burden in Acute and Chronic Pain Patients Is Associated with Affirmation of Different Types of Suicidality
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