Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample
Abstract Introduction The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel...
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| Veröffentlicht in: | Military medicine 2019-01, Vol.184 (1-2), p.e148-e155 |
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| creator | Moreno, Jose L Nabity, Paul S Kanzler, Kathryn E Bryan, Craig J McGeary, Cindy A McGeary, Donald D |
| description | Abstract
Introduction
The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel.
Materials and Methods
Data were gathered as part of the Evaluation of Suicidality, Cognitions, and Pain Experience study, a DoD-funded cross-sectional assessment of chronic pain and emotional coping among a cohort of military members. The investigators examined data from 147 respondents with complete survey and pain assessment data.
Results
The sample was active duty, male (62.6%), in a relationship or married (83.0%), and had children (68.7%). The majority of the sample endorsed zero NLEs (72.0%); 23.8% endorsed one NLE, 4.2% endorsed two NLEs, and no one endorsed all three NLEs. A significantly higher proportion of participants endorsing one or more NLEs reported suicidal ideation compared to those who reported no NLEs (χ2(2) = 8.61, p = 0.014). A higher number of endorsed NLEs coincided with higher symptom severity related to psychosocial distress (depression, thwarted belongingness, perceived burdensomeness, PTSD, and suicide cognitions) and poor pain coping (rumination, helplessness, and less acceptance of chronic pain).
Conclusions
Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress. |
| doi_str_mv | 10.1093/milmed/usy259 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2130058439</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/milmed/usy259</oup_id><sourcerecordid>2177522625</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-f049f150a65cc5b79751fff29207ae21a27e8a6a124605a150d87370be04a0ba3</originalsourceid><addsrcrecordid>eNqFkU1LMzEUhYMoWqtLty8BNwpOvUkmk2YptX5A_QAV3A13ppm-kZlJTTJC_71TqghuXF04PJx77j2EHDEYMdDivLF1Y-bnXVhxqbfIgGkBScbE6zYZAPAsSUHJPbIfwhsAS_WY7ZI9AUJLAXJA_L1ZYLQfhs5sZej0w7Qx0JP72TSc0olro7dFF227oNHRx7Aq_7vaLWyJNb20IXoTwhl9RNueUWznaw0LW9u4oralSF9GTyN6txbQr-gTNsvaHJCdCutgDr_mkLxcTZ8nN8ns4fp2cjFLSqFFTCpIdcUkYCbLUhZKK8mqquKag0LDGXJlxpgh42kGEntyPlZCQWEgRShQDMnJxnfp3XtnQswbG0pT19ga14WcMwEgx2m_bUiOf6FvrvNtn66nlJKcZ1z2VLKhSu9C8KbKl942_WE5g3xdRr4pI9-U0fP_vly7Yi1_09_f_0nouuUfXp8di5Ng</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2177522625</pqid></control><display><type>article</type><title>Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Moreno, Jose L ; Nabity, Paul S ; Kanzler, Kathryn E ; Bryan, Craig J ; McGeary, Cindy A ; McGeary, Donald D</creator><creatorcontrib>Moreno, Jose L ; Nabity, Paul S ; Kanzler, Kathryn E ; Bryan, Craig J ; McGeary, Cindy A ; McGeary, Donald D</creatorcontrib><description>Abstract
Introduction
The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel.
Materials and Methods
Data were gathered as part of the Evaluation of Suicidality, Cognitions, and Pain Experience study, a DoD-funded cross-sectional assessment of chronic pain and emotional coping among a cohort of military members. The investigators examined data from 147 respondents with complete survey and pain assessment data.
Results
The sample was active duty, male (62.6%), in a relationship or married (83.0%), and had children (68.7%). The majority of the sample endorsed zero NLEs (72.0%); 23.8% endorsed one NLE, 4.2% endorsed two NLEs, and no one endorsed all three NLEs. A significantly higher proportion of participants endorsing one or more NLEs reported suicidal ideation compared to those who reported no NLEs (χ2(2) = 8.61, p = 0.014). A higher number of endorsed NLEs coincided with higher symptom severity related to psychosocial distress (depression, thwarted belongingness, perceived burdensomeness, PTSD, and suicide cognitions) and poor pain coping (rumination, helplessness, and less acceptance of chronic pain).
Conclusions
Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.1093/milmed/usy259</identifier><identifier>PMID: 30395305</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adaptation, Psychological ; Adult ; Analysis of Variance ; Armed forces ; Back pain ; Chronic Pain - etiology ; Chronic Pain - psychology ; Compensation ; Coping ; Cross-Sectional Studies ; Disabled Persons - psychology ; Employment ; Female ; Gender ; Humans ; Life Change Events ; Litigation ; Male ; Military personnel ; Military service ; Physical fitness ; Psychometrics - instrumentation ; Psychometrics - methods ; Rehabilitation ; Risk factors ; Self Report ; Statistics, Nonparametric ; Stress, Psychological - etiology ; Stress, Psychological - psychology ; Suicide - prevention & control ; Suicide - psychology ; Suicides & suicide attempts ; Surveys and Questionnaires ; United States ; Veterans</subject><ispartof>Military medicine, 2019-01, Vol.184 (1-2), p.e148-e155</ispartof><rights>Association of Military Surgeons of the United States 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018</rights><rights>Copyright Oxford University Press Jan/Feb 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-f049f150a65cc5b79751fff29207ae21a27e8a6a124605a150d87370be04a0ba3</citedby><cites>FETCH-LOGICAL-c393t-f049f150a65cc5b79751fff29207ae21a27e8a6a124605a150d87370be04a0ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30395305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreno, Jose L</creatorcontrib><creatorcontrib>Nabity, Paul S</creatorcontrib><creatorcontrib>Kanzler, Kathryn E</creatorcontrib><creatorcontrib>Bryan, Craig J</creatorcontrib><creatorcontrib>McGeary, Cindy A</creatorcontrib><creatorcontrib>McGeary, Donald D</creatorcontrib><title>Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>Abstract
Introduction
The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel.
Materials and Methods
Data were gathered as part of the Evaluation of Suicidality, Cognitions, and Pain Experience study, a DoD-funded cross-sectional assessment of chronic pain and emotional coping among a cohort of military members. The investigators examined data from 147 respondents with complete survey and pain assessment data.
Results
The sample was active duty, male (62.6%), in a relationship or married (83.0%), and had children (68.7%). The majority of the sample endorsed zero NLEs (72.0%); 23.8% endorsed one NLE, 4.2% endorsed two NLEs, and no one endorsed all three NLEs. A significantly higher proportion of participants endorsing one or more NLEs reported suicidal ideation compared to those who reported no NLEs (χ2(2) = 8.61, p = 0.014). A higher number of endorsed NLEs coincided with higher symptom severity related to psychosocial distress (depression, thwarted belongingness, perceived burdensomeness, PTSD, and suicide cognitions) and poor pain coping (rumination, helplessness, and less acceptance of chronic pain).
Conclusions
Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Armed forces</subject><subject>Back pain</subject><subject>Chronic Pain - etiology</subject><subject>Chronic Pain - psychology</subject><subject>Compensation</subject><subject>Coping</subject><subject>Cross-Sectional Studies</subject><subject>Disabled Persons - psychology</subject><subject>Employment</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Life Change Events</subject><subject>Litigation</subject><subject>Male</subject><subject>Military personnel</subject><subject>Military service</subject><subject>Physical fitness</subject><subject>Psychometrics - instrumentation</subject><subject>Psychometrics - methods</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Self Report</subject><subject>Statistics, Nonparametric</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - psychology</subject><subject>Suicide - prevention & control</subject><subject>Suicide - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Veterans</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1LMzEUhYMoWqtLty8BNwpOvUkmk2YptX5A_QAV3A13ppm-kZlJTTJC_71TqghuXF04PJx77j2EHDEYMdDivLF1Y-bnXVhxqbfIgGkBScbE6zYZAPAsSUHJPbIfwhsAS_WY7ZI9AUJLAXJA_L1ZYLQfhs5sZej0w7Qx0JP72TSc0olro7dFF227oNHRx7Aq_7vaLWyJNb20IXoTwhl9RNueUWznaw0LW9u4oralSF9GTyN6txbQr-gTNsvaHJCdCutgDr_mkLxcTZ8nN8ns4fp2cjFLSqFFTCpIdcUkYCbLUhZKK8mqquKag0LDGXJlxpgh42kGEntyPlZCQWEgRShQDMnJxnfp3XtnQswbG0pT19ga14WcMwEgx2m_bUiOf6FvrvNtn66nlJKcZ1z2VLKhSu9C8KbKl942_WE5g3xdRr4pI9-U0fP_vly7Yi1_09_f_0nouuUfXp8di5Ng</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Moreno, Jose L</creator><creator>Nabity, Paul S</creator><creator>Kanzler, Kathryn E</creator><creator>Bryan, Craig J</creator><creator>McGeary, Cindy A</creator><creator>McGeary, Donald D</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample</title><author>Moreno, Jose L ; Nabity, Paul S ; Kanzler, Kathryn E ; Bryan, Craig J ; McGeary, Cindy A ; McGeary, Donald D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-f049f150a65cc5b79751fff29207ae21a27e8a6a124605a150d87370be04a0ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Armed forces</topic><topic>Back pain</topic><topic>Chronic Pain - etiology</topic><topic>Chronic Pain - psychology</topic><topic>Compensation</topic><topic>Coping</topic><topic>Cross-Sectional Studies</topic><topic>Disabled Persons - psychology</topic><topic>Employment</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Life Change Events</topic><topic>Litigation</topic><topic>Male</topic><topic>Military personnel</topic><topic>Military service</topic><topic>Physical fitness</topic><topic>Psychometrics - instrumentation</topic><topic>Psychometrics - methods</topic><topic>Rehabilitation</topic><topic>Risk factors</topic><topic>Self Report</topic><topic>Statistics, Nonparametric</topic><topic>Stress, Psychological - etiology</topic><topic>Stress, Psychological - psychology</topic><topic>Suicide - prevention & control</topic><topic>Suicide - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreno, Jose L</creatorcontrib><creatorcontrib>Nabity, Paul S</creatorcontrib><creatorcontrib>Kanzler, Kathryn E</creatorcontrib><creatorcontrib>Bryan, Craig J</creatorcontrib><creatorcontrib>McGeary, Cindy A</creatorcontrib><creatorcontrib>McGeary, Donald D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreno, Jose L</au><au>Nabity, Paul S</au><au>Kanzler, Kathryn E</au><au>Bryan, Craig J</au><au>McGeary, Cindy A</au><au>McGeary, Donald D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>184</volume><issue>1-2</issue><spage>e148</spage><epage>e155</epage><pages>e148-e155</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>Abstract
Introduction
The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel.
Materials and Methods
Data were gathered as part of the Evaluation of Suicidality, Cognitions, and Pain Experience study, a DoD-funded cross-sectional assessment of chronic pain and emotional coping among a cohort of military members. The investigators examined data from 147 respondents with complete survey and pain assessment data.
Results
The sample was active duty, male (62.6%), in a relationship or married (83.0%), and had children (68.7%). The majority of the sample endorsed zero NLEs (72.0%); 23.8% endorsed one NLE, 4.2% endorsed two NLEs, and no one endorsed all three NLEs. A significantly higher proportion of participants endorsing one or more NLEs reported suicidal ideation compared to those who reported no NLEs (χ2(2) = 8.61, p = 0.014). A higher number of endorsed NLEs coincided with higher symptom severity related to psychosocial distress (depression, thwarted belongingness, perceived burdensomeness, PTSD, and suicide cognitions) and poor pain coping (rumination, helplessness, and less acceptance of chronic pain).
Conclusions
Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30395305</pmid><doi>10.1093/milmed/usy259</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adaptation, Psychological Adult Analysis of Variance Armed forces Back pain Chronic Pain - etiology Chronic Pain - psychology Compensation Coping Cross-Sectional Studies Disabled Persons - psychology Employment Female Gender Humans Life Change Events Litigation Male Military personnel Military service Physical fitness Psychometrics - instrumentation Psychometrics - methods Rehabilitation Risk factors Self Report Statistics, Nonparametric Stress, Psychological - etiology Stress, Psychological - psychology Suicide - prevention & control Suicide - psychology Suicides & suicide attempts Surveys and Questionnaires United States Veterans |
| title | Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample |
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