Search results

(1 - 2 of 2)
APPLICATION OF THE FEAR-AVOIDANCE MODEL OF CHRONIC PAIN TO UNDERSTAND NEUROCOGNITIVE AND BEHAVIORAL FACTORS THAT CONTRIBUTE TO FUNCTIONAL IMPAIRMENT AND DEPRESSION IN ADULTS WITH SICKLE CELL DISEASE
Title
APPLICATION OF THE FEAR-AVOIDANCE MODEL OF CHRONIC PAIN TO UNDERSTAND NEUROCOGNITIVE AND BEHAVIORAL FACTORS THAT CONTRIBUTE TO FUNCTIONAL IMPAIRMENT AND DEPRESSION IN ADULTS WITH SICKLE CELL DISEASE
Creator
Piper, Lauren E.
Date
2017, 2017-07
Description
Acute and chronic pain in sickle cell disease (SCD) are associated with functional impairment and depressive symptoms. Given the suboptimal...
Show moreAcute and chronic pain in sickle cell disease (SCD) are associated with functional impairment and depressive symptoms. Given the suboptimal management of pain in SCD and serious health risks associated with current treatment methods for pain, there is a need to identify factors associated with pain that impact functional outcomes and depression. The fear-avoidance (FA) model of chronic pain has been examined in other chronic pain populations as a means to understand how pain-related cognitive and behavioral factors contribute to functional impairment and depression, but has not been applied in individuals with SCD. The purpose of the present study was to apply the FA model of chronic pain to adults with SCD via mediation analyses. Additionally, mental flexibility was examined as a possible moderator in the FA model. Results demonstrated that pain catastrophizing mediated the relationship between pain severity and pain-related fear. No other mediators within the model were identified. Additionally, results did not demonstrate that mental flexibility moderated the relationship between pain severity and pain catastrophizing. Post-hoc exploratory analyses demonstrated that pain catastrophizing and pain-related fear significantly predicted functional impairment and depression, respectively, above and beyond pain severity. Overall, results suggest that the FA model of chronic pain does not apply to individuals with SCD and the predictive roles that pain catastrophizing and pain-related fear play in functional impairment and depression are not consistent with results in other chronic pain populations. Further studies are needed to identify factors that explain the relationship between pain, functional impairment, and depression so that these factors may be targeted for intervention as a means to improve pain, mood, and functional independence.
Ph.D. in Psychology, July 2017
Show less
DOES EMOTION REGULATION MEDIATE THE RELATIONSHIP BETWEEN COGNITIVE FLEXIBLITY AND ADAPTIVE FUNCTIONING?
Title
DOES EMOTION REGULATION MEDIATE THE RELATIONSHIP BETWEEN COGNITIVE FLEXIBLITY AND ADAPTIVE FUNCTIONING?
Creator
Singh, Shifali
Date
2016, 2016-12
Description
Emotion regulation, cognitive flexibility, and adaptive functioning have been found to be interrelated. This study examined whether emotion...
Show moreEmotion regulation, cognitive flexibility, and adaptive functioning have been found to be interrelated. This study examined whether emotion regulation mediates the relationship between cognitive flexibility and adaptive functioning using the Difficulty in Emotion Regulation Scale, Wisconsin Card-Sorting Test, and Scales of Independent Behavior-Revised, respectively. Forty-three participants were recruited from New Directions for Young Adults, a transitional independent living facility in Deerfield Beach, Florida. Thirty-one participants (72.1%) were male and age ranged from 18 and 43 years (mean (SD) = 22.6 (5.0)). The mean (SD) time spent at the facility at the time of assessment was 18.3 (26.8) months. Emotion regulation did not significantly mediate the relationship between cognitive flexibility and adaptive functioning, including when controlling for age, gender, and time at facility. Controlling for gender and time at facility resulted in a significant total effect of cognitive flexibility on adaptive functioning. The Awareness aspect of emotion regulation, was significantly correlated with both cognitive flexibility and adaptive functioning; however, it did not significantly mediate their relationship. Several explanations for these findings are evaluated in the context of the relationships among these constructs, and of the population studied.
M.S. in Psychology, December 2016
Show less