Back to Search
Start Over
Negative Life Events (NLEs) Contributing to Psychological Distress, Pain, and Disability in a U.S. Military Sample
- Source :
- Military Medicine. 184:e148-e155
- Publication Year :
- 2018
- Publisher :
- Oxford University Press (OUP), 2018.
-
Abstract
- Introduction The objective was to explore how negative life events (NLEs, e.g., litigation related to pain and disability, failing most recent physical fitness test, and financial difficulties) are related to pain coping and psychological adjustment to pain in active duty military personnel. Materials and methods Data were gathered as part of the Evaluation of Suicidality, Cognitions, and Pain Experience study, a DoD-funded cross-sectional assessment of chronic pain and emotional coping among a cohort of military members. The investigators examined data from 147 respondents with complete survey and pain assessment data. Results The sample was active duty, male (62.6%), in a relationship or married (83.0%), and had children (68.7%). The majority of the sample endorsed zero NLEs (72.0%); 23.8% endorsed one NLE, 4.2% endorsed two NLEs, and no one endorsed all three NLEs. A significantly higher proportion of participants endorsing one or more NLEs reported suicidal ideation compared to those who reported no NLEs (χ2(2) = 8.61, p = 0.014). A higher number of endorsed NLEs coincided with higher symptom severity related to psychosocial distress (depression, thwarted belongingness, perceived burdensomeness, PTSD, and suicide cognitions) and poor pain coping (rumination, helplessness, and less acceptance of chronic pain). Conclusions Findings revealed that NLEs may impart a significant burden on military pain sufferers. Greater numbers of endorsed NLEs are associated with increased psychosocial distress and poor pain coping. Future longitudinal studies examining long-term psychosocial distress/poor pain coping as related to NLEs would help to elaborate the long-term consequences of NLEs on pain coping and psychosocial distress.
- Subjects :
- Adult
Male
Suicide Prevention
Coping (psychology)
Psychometrics
Cross-sectional study
0211 other engineering and technologies
02 engineering and technology
Statistics, Nonparametric
Life Change Events
03 medical and health sciences
0302 clinical medicine
Pain assessment
Surveys and Questionnaires
Adaptation, Psychological
medicine
Humans
Disabled Persons
030212 general & internal medicine
Suicidal ideation
Analysis of Variance
021110 strategic, defence & security studies
business.industry
Public Health, Environmental and Occupational Health
Chronic pain
General Medicine
medicine.disease
United States
Suicide
Distress
Cross-Sectional Studies
Rumination
Female
Self Report
Chronic Pain
medicine.symptom
business
Psychosocial
Stress, Psychological
Clinical psychology
Subjects
Details
- ISSN :
- 1930613X and 00264075
- Volume :
- 184
- Database :
- OpenAIRE
- Journal :
- Military Medicine
- Accession number :
- edsair.doi.dedup.....d23316ed356406eb1026ebdff34ab28b