FreshRSS

🔒
❌ Acerca de FreshRSS
☷
△ 🔃
Hay nuevos artículos disponibles. Pincha para refrescar la página.
AnteayerEvidence-Based Nursing

Beyond association: strengthening causal evidence between childhood trauma and chronic widespread pain

Por: Hu · J. · Kang · J.

Commentary on: Timmins KA, Hales TG, Macfarlane GJ, et al. Childhood maltreatment and chronic ‘all over’ body pain in adulthood: a counterfactual analysis using UK Biobank. Pain. Published Online First: 15 November 2024. doi: 10.1097/j.pain.0000000000003457

Implications for practice and research

  • Healthcare providers should routinely screen for childhood maltreatment in patients with chronic pain and integrate targeted mental health interventions.

  • Future research should prioritise longitudinal studies to establish clearer interactions between childhood maltreatment, mental health, adult stressors and chronic pain development.

    • Context

    Adverse childhood experiences (ACEs), including maltreatment (abuse, neglect) and household challenges, have been identified as risk factors for various health conditions in adulthood.1 Chronic pain, particularly chronic widespread pain, is increasingly linked to ACEs.2 Theoretical frameworks propose that ACEs contribute to chronic pain through interconnected biological, psychological and social pathways, each triggering a cascade of effects that lead...

    Mental healthcare and peer support may improve the experience of diabetes self-management during pregnancy

    Por: Kozlowska · O. · Moore · C.

    Commentary on: Sushko K, Strachan P, Butt M, Nerenberg K, Sherifali D. Supporting self-management in women with pre-existing diabetes in pregnancy: a mixed-methods sequential comparative case study. BMC nursing. 2024 Jan 2;23(1):1.

    Implications for practice and research

  • Policies are required to support self-management of diabetes during labour and delivery in practice.

  • Future research should focus on developing and implementing interventions to support self-management of diabetes during labour and delivery.

    • Context

    Sushko et al1 highlight the increasing prevalence of pre-existing diabetes in pregnancy, which represents a risk to maternal and child health. Diabetes in pregnancy is associated with an increased risk of adverse perinatal and postnatal outcomes for pregnant people and infants. Thus, maintaining optimal glycaemic control during preconception and pregnancy is associated with a lower risk of complications. Many interventions and activities aim to improve glycaemic control in pregnancy, which are...

    Cold pain tolerance mediates the effect of physical activity on lowering risks of moderate-to-severe chronic pain in the general population

    Por: Hu · J. · Kang · J.

    Commentary on: Årnes AP, Fjeld MK, Stigum H, Nielsen CS, Stubhaug A, Johansen A, Hopstock LA, Morseth B, Wilsgaard T, Steingrímsdóttir ÓA. Does pain tolerance mediate the effect of physical activity on chronic pain in the general population? The Tromsø Study. Pain. 2024 Mar 5. doi: 10.1097/j.pain.0000000000003209. Epub ahead of print. PMID: 38442413.

    Implications for practice and research

  • Further studies are warranted to investigate the pain sensitivity-related mechanisms of the risk-reducing effects of physical activity on moderate-to-severe chronic pain with other potential indirect pathways, such as impacts on inflammatory markers or psychosocial and behavioural components.

  • Integrating tailored physical activity programmes into chronic pain management protocols is strongly recommended to enhance patient outcomes.

    •  Context

    Chronic pain, defined as pain persisting for more than 3 months, significantly impacts the quality of life and contributes to substantial healthcare costs globally. Despite its prevalence, effective management remains a challenge,...
    ❌