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psychological distress
Also known as: clinically relevant psychological distress
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A systematic review of cognitive behavioral therapy-based ... frontiersin.org 28 facts
referenceBisby et al. (2022) investigated whether internet-delivered pain management programs can reduce psychological distress in patients with chronic pain, specifically exploring the relationships between anxiety, depression, pain intensity, and disability.
claimPsychological distress can negatively impact adherence to pain management interventions, leading to decreased engagement in self-care activities and treatment plan compliance among patients with depression or anxiety, which ultimately affects treatment outcomes.
claimThe systematic review included studies involving adults (≥ 18 years) with non-oncologic chronic pain lasting longer than 12 weeks and clinically relevant psychological distress.
claimThe relationship between chronic pain and psychological distress is complex and bidirectional, as noted by Wittchen et al. (2011).
claimThe systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and psychological distress was limited by a lack of trials with low risk of bias (RoB), making it premature to conclude the magnitude of efficacy for these interventions.
quoteDrapeau et al. (2012) define psychological distress as a "state of emotional suffering characterized by the undifferentiated combinations of symptoms of depression (e.g., lost interest, sadness, hopelessness) and anxiety (e.g., restlessness, feeling tense) which are sometimes accompanied by somatic symptoms (e.g., insomnia, headaches, lack of energy)."
referenceIn a study by Gasslander et al. (2022) in Sweden, patients with chronic pain (CP) and psychological distress were treated with either online CBT or Treatment As Usual (TAU) in weekly sessions.
referenceA systematic review of cognitive behavioral therapy-based interventions for patients with comorbid chronic pain and psychological distress was conducted using searches in Medline, PsycINFO, Web of Science, and Scopus up to March 18th, 2023.
claimSnyder and Handrup (2018) assert that the concurrent appearance of chronic pain and significant psychological distress requires attention from researchers, clinicians, and policymakers, and demands effective management strategies to improve the health and well-being of affected individuals.
claimRoberts et al. (2018) state that the multidimensional nature of chronic pain and psychological distress, which includes sensory, affective, and behavioral dimensions, presents a challenge for the design and delivery of interventions.
claimThe comorbidity of psychological distress and chronic pain generates a higher degree of functional impairment than the presence of either condition alone, according to Mansfield et al. (2016).
claimThe comorbidity of chronic pain and psychological distress is a complex problem with a multifactorial aetiology that causes substantial health and social impacts.
claimRayner et al. (2016) demonstrate that individuals with chronic pain are more likely to experience psychological distress (such as anxiety and depression), and individuals with psychological distress are more likely to report chronic pain.
measurementAccording to epidemiological studies, the comorbidity between chronic pain and psychological distress in clinical practice is higher than 60%.
perspectiveFuture research on psychosocial therapies for chronic pain and psychological distress should identify the core elements that drive therapeutic effects, determine which ingredients are effective for specific patients, and assess the variance explained by universal factors shared by all therapies.
perspectiveMore randomized controlled trials (RCTs) based on Mindfulness-Based Interventions (MBI), Acceptance and Commitment Therapy (ACT), and Behavioral Activation Treatment for Depression (BATD) are needed to determine the overall efficacy of these interventions for patients with comorbid chronic pain and psychological distress.
claimTraditional cognitive behavioral therapy (CBT) improves depression, anxiety, and quality of life in patients with comorbid chronic pain and clinically relevant psychological distress, but does not improve pain intensity or pain catastrophizing.
claimThe systematic review titled 'A systematic review of cognitive behavioral therapy-based ...' aims to examine the efficacy of CBT-based interventions for patients with comorbid chronic pain and clinically relevant psychological distress, noting that this specific efficacy has been scarcely assessed in previous literature.
claimPsychological distress refers to a range of unpleasant emotional and mental experiences that can impact a person’s well-being and ability to function, according to research by Bisby et al. (2022) and Gasslander et al. (2022).
measurementA systematic review of CBT-based interventions for patients with chronic pain and clinically relevant psychological distress analyzed twelve Randomized Controlled Trials (RCTs) and one non-RCT published between 2011 and 2023, finding positive but modest results.
claimPsychological distress is a dimensional construct that is often treated as a categorical construct in studies to determine clinical relevance, defined by scores on psychopathological measures exceeding specific cut-off points.
claimSnyder and Handrup (2018) report that the presence of psychological distress in patients with chronic pain increases pain complaints and reduces quality of life.
claimDepression and anxiety are among the most diagnosed mental health conditions in people with chronic pain, and comorbid pain and psychological distress are associated with a poorer prognosis and higher therapy resistance compared to either condition alone.
claimKroenke et al. (2011) found that the comorbidity of psychological distress and chronic pain negatively influences the response to both pharmacological and non-pharmacological treatments.
claimCBT targeting populations with chronic pain and comorbid psychological distress shows more modest effects than CBT targeting either condition separately, according to Sanabria-Mazo et al. (2020).
claimThe systematic review included CBT-based interventions for patients with non-oncologic chronic pain and psychological distress, but excluded studies that combined pharmacological and CBT-based interventions.
referenceSanabria-Mazo, Colomer-Carbonell, Fernández-Vázquez, Noboa-Rocamora, Cardona-Ros, McCracken, Montes-Pérez, Castaño-Asins, Edo, Borràs, Sanz, Feliu-Soler, and Luciano (2023) authored 'A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress', published in Frontiers in Psychology.
claimChronic pain and clinical psychological distress involve shared neurobiological and psychosocial processes, as stated by Hooten (2016).
Associations between pain intensity, psychosocial factors ... - Nature nature.com Jun 12, 2024 16 facts
claimPain-related disability is correlated with psychological distress at a level approximately equal to the correlation between pain-related disability and pain intensity.
claimPsychological distress and pain are closely related to fatigue, where longer and more intense pain correlates with more pronounced fatigue.
measurementPsychosocial factors accounted for a quarter of the variance in pain-related disability, with sleep problems and pain intensity emerging as primary contributors, complemented by psychological distress and fatigue.
referenceWilliam S. Shaw et al. published a review in 2016 in the Archives of Physical Medicine and Rehabilitation regarding psychological distress in acute low back pain, specifically reviewing measurement scales and levels of distress reported in the first two months after pain onset.
claimThe study conducted at Norway’s largest multidisciplinary pain clinic found significant associations between pain-related disability and pain intensity, pain catastrophizing, psychological distress, perceived injustice, sleep, fatigue, and self-efficacy.
referenceLøke et al. published 'The role of pain and psychological distress in fatigue: A co-twin and within-person analysis of confounding and causal relations' in Health Psychology and Behavioral Medicine in 2022.
measurementStudy participants reported levels of pain catastrophizing (M 23.86, SD 12.68, n = 3,733), psychological distress (M 2.15, SD 0.59, n = 3,879), and perceived injustice (M 23.68, SD 11.36, n = 3,742) that indicated a need for treatment.
referenceW., van den Hout, M. A., and Weber, W. E. published 'Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment' in the Clinical Journal of Pain in 2001.
claimPsychosocial variables investigated in the study included pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy.
claimPsychological distress is a recognized risk factor for the development of chronic pain, and persistent psychological distress and lifetime stressors are implicated in the progression of chronic pain.
claimPsychological distress can initiate and perpetuate physiological stress activation, and its various forms can influence the extent and duration of disability.
claimIn the multiple regression model, sleep problems (insomnia) and pain intensity were identified as the primary contributors to pain-related disability, alongside psychological distress and fatigue.
claimThe authors hypothesize that psychosocial factors, including pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy, are linked to pain-related disability in patients with chronic pain.
claimThe study conducted at Norway’s largest multidisciplinary pain clinic identified sleep problems, pain intensity, psychological distress, and fatigue as primary contributors to pain-related disability in a multiple regression model.
claimIn a meta-analysis of the relationship between pain and disability, self-efficacy, psychological distress, and fear were identified as mediators, while catastrophizing did not show a mediating effect.
claimThe study found that the relationship between catastrophizing, psychological distress, perceived injustice, sleep problems, and pain-related disability was stronger than the relationship between fatigue and pain-related disability.
Psychosocial Pathways - CDC cdc.gov Sep 1, 2023 2 facts
referenceKessler et al. published 'Short screening scales to monitor population prevalences and trends in non-specific psychological distress' in Psychological Medicine in 2002, which discusses methods for monitoring psychological distress.
referenceKessler et al. (2002) published 'Short screening scales to monitor population prevalences and trends in non-specific psychological distress' in Psychol Med (doi:10.1017/s0033291702006074), which discusses methods for monitoring psychological distress.
Published Studies — Johns Hopkins Center for Psychedelic and ... hopkinspsychedelic.org 2 facts
referenceCarbonaro, Barrett, Bradstreet, Johnson, MacLean, Jess, and Griffiths published research in the Journal of Psychopharmacology in 2015 regarding the relationship between psilocybin, psychological distress, and suicidality.
referenceHendricks, Johnson, and Griffiths published a study in the Journal of Psychopharmacology in 2015 finding that classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population.
Psychedelics, Sociality, and Human Evolution frontiersin.org 2 facts
claimPsychedelics could have increased adaptability and fitness in hominins by serving as instruments to enhance performance in non-drug-related behaviors, specifically managing psychological distress, treating health problems, improving social interaction, facilitating collective ritual and religious activities, and enhancing group decision-making.
claimThe authors of 'Psychedelics, Sociality, and Human Evolution' identify four interrelated psychedelic instrumentalization goals: management of psychological distress and health problems, improved social interaction and interpersonal relations, facilitation of collective ritual and religious activities, and enhanced group decision-making.
The Impact of Maternal Childhood Trauma on Children's Problem ... dovepress.com Nov 4, 2024 2 facts
claimMothers with higher levels of depression often experience psychological distress, which reduces their patience and responsiveness in parenting and increases the risk of behavioral issues in children.
procedureTo alleviate maternal childhood trauma and depression symptoms, mothers should follow these steps: (1) seek psychological therapy, such as cognitive-behavioral therapy or emotion regulation techniques, to process psychological distress; (2) prioritize physical and mental health through self-care methods like regular exercise, maintaining good sleep habits, and stress reduction; (3) increase awareness of the long-term impact of childhood trauma on themselves and their children by utilizing books, online resources, or professional lectures.
Short- and long-term health consequences of sleep disruption dovepress.com May 19, 2017 1 fact
referenceFehnel et al. (2008) assessed the burden of restless legs syndrome on work productivity, sleep, psychological distress, and health status among diagnosed and undiagnosed individuals using an internet-based panel.
How Sleep Deprivation Impacts Mental Health columbiapsychiatry.org Mar 16, 2022 1 fact
claimSleep disturbances are linked to higher levels of psychological distress, and anxiety and depression rates were considerably higher than pre-pandemic levels in a study of 22,330 adults from 13 countries.
Sleep Across the Lifespan: A Neurobehavioral Perspective link.springer.com Feb 5, 2025 1 fact
claimHill TD, Burdette AM, and Hale L tested a model of structural amplification regarding the relationship between neighborhood disorder, sleep quality, and psychological distress.
Psychedelic Drugs News - ScienceDaily sciencedaily.com 1 fact
claimLifetime LSD use is associated with a higher likelihood of severe psychological distress following the loss of one's job.
Mind and Body Approaches for Stress and Anxiety - nccih nccih.nih.gov 1 fact
measurementA 2019 analysis of 29 studies involving 3,274 participants showed that mindfulness-based practices significantly reduced psychological distress, fatigue, sleep disturbance, pain, and symptoms of anxiety and depression among people with cancer, though the results may not generalize to other populations due to the study sample being primarily women with breast cancer.
Stress, Lifestyle, and Health – Introduction to Psychology open.maricopa.edu 1 fact
referenceA study by Ajrouch et al. (2010) found that discrimination predicted high psychological distress among African American mothers in Detroit, but those with readily available emotional support from friends and family experienced less distress than those with fewer social resources.
Stress, Lifestyle, and Health - Maricopa Open Digital Press open.maricopa.edu 1 fact
claimA study by Ajrouch et al. (2010) showed that discrimination predicted high psychological distress among African American mothers living in Detroit.
Self-awareness, self-regulation, and self-transcendence (S-ART) frontiersin.org 1 fact
referenceCarmody and Baer (2009) reviewed class contact hours and effect sizes for psychological distress to determine how long a mindfulness-based stress reduction program needs to be.