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- W2322857546 abstract "Resilience is a dynamic process resulting in positive adjustment and adaptation after exposure to adversity. In recent years, there has been growing interest in the contribution of positive psychological factors to pain and pain-related coping; however, interventions built upon bolstering resilience have received less attention. Hope is a strength-based motivational state consisting of one’s belief in their ability to generate routes to achieve goals (pathways) and initiating directional activity towards attaining goals (agency). Emerging evidence supports the role of hope in psychosocial adjustment and adaptive pain coping, suggesting that approaches designed to foster hope and personal strengths may enhance pain adaptation. Therefore, the overall objective of this pilot study was to test the feasibility and efficacy of a resilience-oriented hope intervention for clinical pain, as well as psychosocial outcomes and experimental pain sensitivity in individuals with orofacial pain. Twenty-three participants (78% female) with temporomandibular disorder were randomized to a 3-session intervention intended to increase hope or a control intervention involving education about pain and stress. Prior to and after the intervention, participants attended two laboratory sessions whereby they completed psychosocial questionnaires and sensitivity to heat, cold, and pressure pain was assessed. Hope was measured by the Adult State Hope Scale. Results indicated that higher levels of hope were associated with greater pressure pain thresholds at all sites: temporalis, masseter, temporomandibular joint [TMJ], forearm, trapezius, tibialis anterior (r’s=.31-.49; p’s<.03). Compared to Pain Education, the Hope group exhibited an increase in hope, reductions in pain catastrophizing, as well as greater increases in heat pain tolerance and pressure pain thresholds at the tibialis anterior and TMJ. Although preliminary, these results suggest that resilience-oriented interventions may be beneficial in reducing pain and catastrophizing and could serve as a target for pain management. Funded by the APS Sharon S. Keller Chronic Pain Research grant." @default.
- W2322857546 created "2016-06-24" @default.
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- W2322857546 date "2016-04-01" @default.
- W2322857546 modified "2023-10-06" @default.
- W2322857546 title "(494) Optimizing resilience in orofacial pain and nociception (ORION): exploring the efficacy of a hope intervention for pain" @default.
- W2322857546 doi "https://doi.org/10.1016/j.jpain.2016.01.301" @default.
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