Show simple item record

dc.contributor.authorKent, M.
dc.contributor.authorMardian, A.S.
dc.contributor.authorRegalado-Hustead, M.L.
dc.contributor.authorGress-Smith, J.L.
dc.contributor.authorCiciolla, L.
dc.contributor.authorKim, J.L.
dc.contributor.authorScott, B.A.
dc.date.accessioned2021-06-17T01:10:22Z
dc.date.available2021-06-17T01:10:22Z
dc.date.issued2021
dc.identifier.citationKent, M., Mardian, A. S., Regalado-Hustead, M. L., Gress-Smith, J. L., Ciciolla, L., Kim, J. L., & Scott, B. A. (2021). Adaptive Homeostatic Strategies of Resilient Intrinsic Self-Regulation in Extremes (RISE): A Randomized Controlled Trial of a Novel Behavioral Treatment for Chronic Pain. Frontiers in Psychology, 12.
dc.identifier.issn1664-1078
dc.identifier.doi10.3389/fpsyg.2021.613341
dc.identifier.urihttp://hdl.handle.net/10150/659992
dc.description.abstractCurrent treatments for chronic pain have limited benefit. We describe a resilience intervention for individuals with chronic pain which is based on a model of viewing chronic pain as dysregulated homeostasis and which seeks to restore homeostatic self-regulation using strategies exemplified by survivors of extreme environments. The intervention is expected to have broad effects on well-being and positive emotional health, to improve cognitive functions, and to reduce pain symptoms thus helping to transform the suffering of pain into self-growth. A total of 88 Veterans completed the pre-assessment and were randomly assigned to either the treatment intervention (n = 38) or control (n = 37). Fifty-eight Veterans completed pre- and post-testing (intervention n = 31, control = 27). The intervention covered resilience strengths organized into four modules: (1) engagement, (2) social relatedness, (3) transformation of pain and (4) building a good life. A broad set of standardized, well validated measures were used to assess three domains of functioning: health and well-being, symptoms, and cognitive functions. Two-way Analysis of Variance was used to detect group and time differences. Broadly, results indicated significant intervention and time effects across multiple domains: (1) Pain decreased in present severity [F(1, 56) = 5.02, p < 0.05, η2p = 0.08], total pain over six domains [F(1, 56) = 14.52, p < 0.01, η2p = 0.21], and pain interference [F(1, 56) = 6.82, p < 0.05, η2p = 0.11]; (2) Affect improved in pain-related negative affect [F(1, 56) = 7.44, p < 0.01, η2p = 0.12], fear [F(1, 56) = 7.70, p < 0.01, η2p = 0.12], and distress [F(1, 56) = 10.87, p < 0.01, η2p = 0.16]; (3) Well-being increased in pain mobility [F(1, 56) = 5.45, p < 0.05, η2p = 0.09], vitality [F(1, 56) = 4.54, p < 0.05, η2p = 0.07], and emotional well-being [F(1, 56) = 5.53, p < 0.05, η2p = 0.09] Mental health symptoms and the cognitive functioning domain did not reveal significant effects. This resilience intervention based on homeostatic self-regulation and survival strategies of survivors of extreme external environments may provide additional sociopsychobiological tools for treating individuals with chronic pain that may extend beyond treating pain symptoms to improving emotional well-being and self-growth. Clinical Trial Registration: Registered with ClinicalTrials.gov (NCT04693728). © Copyright © 2021 Kent, Mardian, Regalado-Hustead, Gress-Smith, Ciciolla, Kim and Scott.
dc.language.isoen
dc.publisherFrontiers Media S.A.
dc.rightsCopyright © 2021 Kent, Mardian, Regalado-Hustead, Gress-Smith, Ciciolla, Kim and Scott. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectchronic pain
dc.subjectclinical trial
dc.subjecthomeostasis
dc.subjectintervention
dc.subjectresilience
dc.subjectself-growth
dc.subjectself-regulation
dc.titleAdaptive Homeostatic Strategies of Resilient Intrinsic Self-Regulation in Extremes (RISE): A Randomized Controlled Trial of a Novel Behavioral Treatment for Chronic Pain
dc.typeArticle
dc.typetext
dc.contributor.departmentCollege of Medicine-Phoenix, University of Arizona
dc.identifier.journalFrontiers in Psychology
dc.description.noteOpen access journal
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
dc.eprint.versionFinal published version
dc.source.journaltitleFrontiers in Psychology
refterms.dateFOA2021-06-17T01:10:22Z


Files in this item

Thumbnail
Name:
fpsyg-12-613341.pdf
Size:
1.401Mb
Format:
PDF
Description:
Final Published Version

This item appears in the following Collection(s)

Show simple item record

Copyright © 2021 Kent, Mardian, Regalado-Hustead, Gress-Smith, Ciciolla, Kim and Scott. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
Except where otherwise noted, this item's license is described as Copyright © 2021 Kent, Mardian, Regalado-Hustead, Gress-Smith, Ciciolla, Kim and Scott. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).