NDLI: Pain Intensity and Pain Interference in Patients With Lung Cancer: A Pilot Study of Biopsychosocial Predictors.

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Pain Intensity and Pain Interference in Patients With Lung Cancer: A Pilot Study of Biopsychosocial Predictors.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dalton, Jo A. Higgins, Melinda K. Miller, Andrew H. Keefe, Francis J. Khuri, Fadlo R.
Description	Country affiliation: New Caledonia Author Affiliation: Dalton JA ( *Nell Hodgson Woodruff School of Nursing Departments of Psychiatry §Hematology and Medical Oncology, School of Medicine, Winship Cancer Institute, Emory University, Atlanta, GA Department of Psychiatry, Division of Behavioral Medicine, Duke University Medical Center, Durham, NC.)
Abstract	OBJECTIVE: To explore biopsychosocial factors (beliefs, depression, catastrophizing cytokines) in individuals newly diagnosed with lung cancer and no pain to determine their relationship at diagnosis and across time and to determine whether these factors contribute to pain intensity or pain interference with function at pain onset. MATERIALS AND METHODS: A longitudinal, exploratory, pilot study was implemented in a private medical center and a VA medical center in the southeast. Twelve subjects not experiencing pain related to cancer of the lung or its treatment were recruited. A Karnofsky status of 40% and hemoglobin of 8 g were required. Five questionnaires were completed and 10 mL of blood was drawn at baseline; 4 questionnaires and blood draws were repeated monthly for 5 months. One baseline questionnaire and a pain assessment were added at final. Demographic, clinical, and questionnaire data were summarized; standardized scale scores were calculated. RESULTS: Biopsychosocial scores that were low at baseline increased from T1-T4 but decreased slightly T5-T6. Individuals with higher pain intensity and higher pain interference at final had higher psychosocial scores at baseline than individuals with lower pain intensity and lower pain interference at final. CONCLUSIONS: Unrelated to disease stage, metastasis, or treatment, unique levels of biopsychosocial factors are observed in patients newly diagnosed with lung cancer who report higher levels of pain intensity and higher levels of pain interference at the time pain occurs. Replication studies are needed to validate this response pattern and determine the value of repeated individual assessments.
File Format	HTM / HTML
ISSN	02773732
Issue Number	5
Volume Number	38
e-ISSN	1537453X
Journal	American Journal of Clinical Oncology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Oncology Lung Neoplasms Physiopathology Psychology Pain Measurement Adult Aged Chronic Pain Culture Depression Female Humans Interleukin-6 Blood Longitudinal Studies Pathology Therapy Male Middle Aged Pilot Projects Questionnaires Clinical Study Journal Article Multicenter Study Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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