Emotional Pain Research Articles

Personalized fMRI tasks for grief severity in bereaved individuals: Emotional counting Stroop and grief elicitation protocols

Approximately 7–10% of people experiencing bereavement following a death develop prolonged grief disorder, a psychiatric disorder included in the DSM-5-TR. Prolonged grief disorder encompasses core symptoms of intense yearning/longing for and preoccupation with thoughts or memories of the deceased person experienced to a clinically significant degree for at least the last month, other key associated symptoms (e.g., avoidance, emotional pain), and the death must have occurred at least one year prior to diagnosis. Extant research has shown a relationship between activation in the reward pathway (e.g., nucleus accumbens) and grief severity. To date, functional MRI studies have primarily utilized the Emotional Counting Stroop task (ecStroop) and the Grief Elicitation task to explore these relationships. However, these prior studies are not without limitations, including small sample sizes and absence of a unified task protocol, hindering meaningful comparisons between studies. This protocol paper describes the ecStroop task and the Grief Elicitation task, which will be vital for facilitating multisite studies and enabling comparisons across studies. This will aid to advance the field by identifying neurophysiological measures that may, in the future, serve as potential biomarkers of prolonged grief disorder.

Suicide Risk among Chinese Left-Behind Adolescents: Developmental Trajectories and Multi-Contextual Predictors.

Suicide is prevalent among left-behind youth, a group that has yet to be thoroughly explored in terms of the developmental dynamics of their suicide risk and associated factors. This study adopted a person-centered approach to investigate the developmental trajectories of suicide risk among Chinese left-behind adolescents, along with multi-dimensional predictors. A total of 774 left-behind adolescents (Mage = 13.60, 50.1% female) completed three surveys over a year, with six-month intervals. Result of Latent Class Growth Modeling identified three subgroups with distinct developmental trajectories: High Risk-Escalating (7.6% of participants started at the highest levels with a worsening trend), Risk-Holding (21.6% maintained a stable but risk level starting above the critical threshold), and Low Risk-Diminishing (70.8% started low and continued to decrease). Gender (being a female), increased levels of childhood maltreatment, psychological pain, and depression were risk factors for High Risk-Escalating and/or Risk-Holding trajectories, while increased sense of control and regulatory emotional self-efficacy played protective roles. The findings underscore the malignant developmental patterns of suicide risk among left-behind adolescents. The predictive factors play a crucial role in distinguishing and improving these developmental trajectories.

Case law of the European court of human rights on compensation for non-pecuniary damage: Certain issues

Compensation is considered a means of restoring the violated rights. Ukrainian legislation directly provides for the possibility of compensation for non-pecuniary damage, however, a number of problems arise when considering cases on this issue in national courts. Firstly, there is no legally enshrined definition of this concept in Ukraine. Secondly, there is no single methodology or model for assessing moral damage, no formula for calculation is established at the legislative level, due to which judges assign different amounts of compensation for harm caused under the same or similar circumstances. Besides, there are no clear criteria for determining the amount of damage caused, which makes it almost impossible to unambiguously calculate, for example, the extent of the mental pain or the infringement on dignity and honor in property equivalent, that is, it is in fact a conditional compensation. Reference to the case law of the ECHR on this matter may contribute to solving these problems, because its decisions are referred to by national courts. The ECHR has not developed a universal formula for calculating the amount of non-pecuniary damage, but there are certain criteria for its assessment: the nature of the offense and violated right; payments accrued based on the results of consideration of previous cases; victim’s personality; the respondent State; collective statements or mass offenses; other circumstances of the case.

Adolescent predictors of substance use in young adulthood among individuals with childhood-onset chronic pain: Afollow-up study.

Adolescent chronic pain is a substantial public health problem, and pain symptoms often persist into adulthood. Young adults with chronic pain are at elevated risk for more frequent tobacco, alcohol and cannabis use, and cross-sectional research highlights the importance of psychosocial vulnerability factors. Limited research has examined how adolescent predictors, including mental health symptoms, pain, sleep and family functioning, impact later, young adult substance use. A prospective cohort of 229 young adults (77.3% female; Mage = 21.0, SD = 1.6) with childhood-onset chronic pain completed measurements in adolescence and a follow-up assessment in young adulthood of past 3-month substance use frequency. Adolescent sleep quality and male sex were associated with more frequent tobacco use; adolescent depression was associated with more frequent alcohol use, and adolescent pain severity was associated with less frequent, and male sex was associated with more frequent cannabis use. Adolescent predictors of young adult substance use among youth with childhood-onset chronic pain represent important factors that may inform assessment, prevention and treatment of substance use in this population. Identifying and testing psychological interventions that target these vulnerability factors may reduce overall substance use risk in young adulthood. This prospective observational study of young adults with childhood-onset chronic pain identified adolescent depression and sleep quality as vulnerability factors associated with substance use. Given the increasing risk for substance use during adolescence and young adulthood, these findings highlight the potential importance of early intervention to reduce substance use among young adults with childhood-onset chronic pain.

Predicting suicidal ideation from irregular and incomplete time series of questionnaires in a smartphone-based suicide prevention platform: a pilot study

Over 700,000 people die by suicide annually. Collecting longitudinal fine-grained data about at-risk individuals, as they occur in the real world, can enhance our understanding of the temporal dynamics of suicide risk, leading to better identification of those in need of immediate intervention. Self-assessment questionnaires were collected over time from 89 at-risk individuals using the EMMA smartphone application. An artificial intelligence (AI) model was trained to assess current level of suicidal ideation (SI), an early indicator of the suicide risk, and to predict its progression in the following days. A key challenge was the unevenly spaced and incomplete nature of the time series data. To address this, the AI was built on a missing value imputation algorithm. The AI successfully distinguished high SI levels from low SI levels both on the current day (AUC = 0.804, F1 = 0.625, MCC = 0.459) and three days in advance (AUC = 0.769, F1 = 0.576, MCC = 0.386). Besides past SI levels, the most significant questions were related to psychological pain, well-being, agitation, emotional tension, and protective factors such as contacts with relatives and leisure activities. This represents a promising step towards early AI-based suicide risk prediction using a smartphone application.

To escape the pain: Paths to voluntary turnover, social pain, and influences on the selection of a new job role

SummaryThe unfolding model of voluntary turnover established that there is no “one size fits all” turnover experience. Anecdotal evidence suggests that voluntary turnover experiences can be painful, yet the role of social pain (as distinct from dissatisfaction) in turnover and subsequent job selection has not yet received much scholarly attention. In Study 1, we re‐analyze 13 detailed case histories of employees who had recently quit one organization and entered another. Using a cluster analysis of the terms they used when describing their reasons for leaving and when describing what attracted them to their new roles, we find that experiencing social pain in the prior role affected the things people prioritized when selecting a new role. Furthermore, sentiment analysis revealed that higher social pain was linked with lower positive sentiment (hope, excitement, joy, etc.) during the job search process. Study 2 creates a self‐report measure of social pain, and Study 3 quantitatively reaffirms the relationship between social pain and subsequent affect. This set of studies provides initial evidence that social pain is different from the attitudinal constructs that have been traditionally incorporated into voluntary turnover models (e.g., satisfaction, commitment, embeddedness) and that social pain may have implications for turnover, retention, and employees' post‐turnover destinations.

Risk and protective factors for suicidal ideation among Saudi adolescents: A network analysis.

Suicide is among the leading cause of death in adolescence and suicidal ideation is its most critical precursor. Suicidal ideation being a complex phenomenon involving multiple factors, this study aimed to use network analysis to depict the interplay of risk and protective factors for suicidal ideation. An online survey was conducted with 614 Saudi adolescents (mean age = 16.16, SD = 1.88, range = 12-18, 61% female). Participants completed instruments to assess suicidal ideation, bullying victimization and perpetration, psychache, family cohesion and adaptability, positive parenting, and multidimensional social support. A psychological network analysis was estimated to determine the most central risk and protective factors for suicidal ideation. As per strength and expected influence centrality, the risk factors that were central were psychache and bullying victimization, and the central protective factors were family cohesion and support from significant other. The network analysis showed that other factors directly connected with suicidal ideation were bullying perpetration, family adaptability, positive parenting, support from family, and support from friends. This network study highlights the importance of addressing both risk and protective factors in an attempt to deal with suicidal ideation. The findings suggest that interventions targeting psychological pain, bullying, and family bonds may be crucial in the treatment and prevention of suicidal ideation among adolescents.

The Use of Art to Develop Holistic Nurses and Clinical Judgment: An Educational Intervention.

Background: Artwork can be used to practice the development of holistic care for nursing students. This activity was designed for senior nursing students to develop their holistic nursing skills through a series of in-class activities while viewing Frida Kahlo's The Broken Column. Aim: This study's aim was to design an educational experience to develop a more holistic approach to caring for patients for nursing students. Method: Students submitted their initial impressions of the painting via an anonymous quiz. After a guided Visual Thinking Strategies (VTS) session, students submitted impressions of the artwork. A VTS facilitator read a history of an accident which revealed the cause of Kahlo's medical and emotional pain. Students then wrote about their perceptions of the painting's meaning and how they might use VTS in caring for their patients. Answers were analyzed using Braun and Clark's thematic analysis. Results: The themes identified were emotions and feelings, metaphor, life/story, and listening to inform perspective. Most found that VTS changed their impressions and enhanced their ability to question patients and inform their care. Conclusion: Students found that VTS expanded their view of patient care and helped them see the patient more holistically, aligning with the development of clinical judgment.

Neural dynamics of pain modulation by emotional valence.

Definitions of human pain acknowledge at least two dimensions of pain, affective and sensory, described as separable and thus potentially differentially modifiable. Using electroencephalography, we investigated perceptual and neural changes of emotional pain modulation in healthy individuals. Painful electrical stimuli were applied after presentation of priming emotional pictures (negative, neutral, positive) and followed by pain intensity and unpleasantness ratings. We found that perceptual and neural event-related potential responses to painful stimulation were significantly modulated by emotional valence. Specifically, pain unpleasantness but not pain intensity ratings were increased when pain was preceded by negative compared to neutral or positive pictures. Amplitudes of N2 were higher when pain was preceded by neutral compared to negative and positive pictures, and P2 amplitudes were higher for negative compared to neutral and positive pictures. In addition, a hierarchical regression analysis revealed that P2 alone and not N2, predicted pain perception. Finally, source analysis showed the anterior cingulate cortex and the thalamus as main spatial clusters accounting for the neural changes in pain processing. These findings provide evidence for a separation of the sensory and affective dimensions of pain and open new perspectives for mechanisms of pain modulation.

Prayers for Sickness: What do people pray for and how do they deal with unanswered prayer?

This paper focuses upon prayer for sickness. What do individuals suffering from illness, their families and the wider community pray for? How do they deal with unanswered prayer? Do they pray for cure, to guide medical professionals or to cope with their sickness? What rationalisations do they proffer for unanswered prayer? Based on a critical literature review and deploying secondary data from the Twenty First Century Evangelical research programme, the data suggest that prayers for guiding medical professionals and coping are more common than for cure, at least in Global North countries such as the UK and US. But why do those who believe in miracles not ask God for divine healing? Furthermore, unanswered prayer can conflict with Christian views of God as omnipotent and all loving. Respondents use a number of theodical rationalisations to resolve this conflict. The results are discussed in relation to cognitive dissonance theory, learned helplessness, the need to conserve a relationship with the Divine, and desire to manage risk of disappointment and reduce consequent emotional pain.

The Impact of Blood Flow Restriction Training on Tibial Bone Stress Injury Rehabilitation: An Exploratory Case Series.

Lower extremity bone stress injuries (BSI) are common injuries among athletes and military members. Typical management involves a period of restricted weightbearing which can have rapid detrimental effects upon both muscle and bone physiology. Few studies have investigated the effect of blood flow restriction (BFR) training on bone in the rehabilitative setting. The purpose of this study was to investigate the effects of lower extremity exercise with the addition of BFR upon bone mineral density, bone mineral content, and lean body mass in military members with tibial BSIs. Case series. Twenty military members with MRI-confirmed tibial BSI were recruited to complete lower extremity exercise with the addition of BFR twice per week for four weeks. The BFR cuff was applied proximally to the participant's involved limb while they performed gluteal, thigh, and leg resistance exercises. Outcomes were assessed at baseline and four weeks. The primary outcomes were whole leg bone mineral density (BMD), bone mineral content (BMC), and lean body mass (LM) as measured by dual-energy x-ray absorptiometry. Secondary outcomes included thigh and leg circumference measures and patient-reported outcomes, including the Lower Extremity Functional Scale (LEFS), Patient-Reported Outcomes Measurement Information System 57 (PROMIS-57), and Global Rating of Change (GROC). No significant differences were found in BMD (p=0.720) or BMC (p=0.749) between limbs or within limbs over time. LM was generally less in the involved limb (p=0.019), however there were no significant differences between or within limbs over time (p=0.404). For thigh circumference, significant main effects were found for time (p=0.012) and limb (p=0.015), however there was no significant interaction effect (p=0.510). No significant differences were found for leg circumference (p=0.738). Participants showed significant mean changes in LEFS (15.15 points), PROMIS physical function (8.98 points), PROMIS social participation (7.60 points), PROMIS anxiety (3.26 points), and PROMIS pain interference (8.39 points) at four weeks. The utilization of BFR in the early rehabilitative management of tibial BSI may help mitigate decrements in both bone and muscle tissue during periods of decreased physical loading. 4.

Reconsidering the Task, Methods, and Aims of Reading the Gospels in the Present Myanmar Context

The confessional doctrine of the exalted post-Easter Jesus, divine saviour, planted by nineteenth-century missionaries, has a long tradition in Myanmar churches. In order to equip these churches for the current Myanmar context, it is time to decolonize the Western heritage of confessional reading of the New Testament. It is essential to reread the Jesus tradition recorded in the Gospels in the specific contexts of then and now. Thus, this paper argues that in the current context of the critical situation in Myanmar, the exalted Christian saviour does not save the suffering citizens from life-threatening war or injustice, nor churches from being destroyed by abusive authority. This exalted heavenly Christ does not liberate the suffering people from the physical, spiritual, and mental sufferings inflicted on them. Nor does he liberate them from the homelessness or IDP camps or from their status as outcasts. What is needed instead is a contextual reading of the life of Jesus, within the Jewish context of second temple Judaism. This theopolitical Jesus encourages Myanmar Christians and the citizens of Myanmar; he becomes a sympathetic figure sharing comparable troubles and an example of how to stand up for the people who suffer injustice and to engage in the work of restoration.

주식을 이용한 사기 피해 방지방안에 관한 연구

Fraud crime using stocks (hereinafter referred to as fraud crime) refers to defrauding investments by supplying listed stocks, unlisted stocks, and overseas futures at lower prices than the actual transaction price using virtual securities companies and inducing investment by guaranteeing high returns. Since this crime is committed using fake phones and fake bank accounts in cyberspace called communication media, it is difficult to identify criminals, making it difficult to arrest them. Victims of fraud suffer from mental pain such as depression, anxiety, regret, and despair due to financial loss. Therefore, related agencies will not be able to stop crimes unless legal, institutional, and policy countermeasures are sought to prevent them. To prevent this, it is necessary to seek proactive and follow-up measures. First, the preliminary precautionary measure is ① by enacting a law on criminal law alarms to prevent damage by informing investigative agencies or financial institutions of the criminal law to the entire population. ② Even if an investor remits the investment, the investment should not be remitted for a certain period of time through the remittance transfer delay system, so that the investment should not be remitted to the criminal's account when the investor is judged to be fraudulent. ③ Financial institutions notify the investigative agency when a large amount of deposit and withdrawal accounts occur for a certain period of time, and when a damage report is received for the account, the investigative agency must immediately obtain a seizure and search warrant and confiscate it to prevent further damage. ④ Employees of financial companies should be able to impose the obligation to notify them through the revision of related laws that they can be punished if they are used for identification procedures and crimes when opening mobile phones and bankbooks. Next, the follow-up measures are ① The National Assembly should strengthen criminal punishment through the revision of the criminal law so that fraudulent crimes are not considered “remaining business,” so that potential criminals do not only prevent crime but also lead to crime. ② When a crime damage report is received, the investigative agency should obtain a real-time communication warrant so that the criminal can be located and arrested. ③ The National Assembly should unify the request for a search warrant from the police to the court so that investigative agencies can obtain warrants early and confiscate mobile phones and bank accounts. ④ The Ministry of Justice should establish a law enforcement agency dedicated to fraud so that it can arrest criminals and prevent crimes by securing expertise and giving investigative power superior to criminal methods. ⑤ The National Assembly should enact a law on suspension of withdrawal to prevent withdrawal when a financial institution requests the suspension of withdrawal, knowing that the investor is a fraud. These countermeasures will be a great driving force in preventing fraudulent crimes.

Witzenberg Women's experience of health care after a miscarriage: A descriptive qualitative study.

Although some evidence is available from low- and middle-income countries, no South African data are available on how women experience healthcare during treatment for an incomplete miscarriage. This study sets out to explore and describe the experiences of healthcare among women who suffered an incomplete spontaneous miscarriage in the Witzenberg subdistrict, a rural area in the Western Cape province of South Africa. Witzenberg subdistrict, Western Cape province, South Africa. This study used a descriptive exploratory qualitative study design. In-person interviews were held with women who experienced a miscarriage. Interviews followed a semi-structured format by a single interviewer to explore the various aspects involving experiences of healthcare. Eight interviews were conducted and analysed. The five themes that arose from transcribed data were: (1) a need for safety, (2) pain management, (3) moderating behaviours and attitudes, (4) disorienting healthcare systems and (5) abandonment. Several factors contributed to the loss of physical and emotional safety in the emergency centre environment. Timeous emotional and pharmacological pain management were found to be a gap while patients awaited care. Clear communication and staff attitude were found to be integral to the patient's experience and could avoid the perception of abandonment. There is a universal need for basic respectful, supportive and safe care in patients who attend an emergency centre for early pregnancy complications in rural South African. Specific focus should be given to clear communication and appropriate emotional support during and after the miscarriage.Contribution:This study can be used as a guide to improve services by ensuring respectful, transparent, informed, and appropriate continuity of care.

Scaling the highs, falling to the lows: A qualitative study of women's experiences of drug abuse

This study explores the personal and social impacts of drug abuse on women undergoing addiction treatment in Tehran, Iran. Using a qualitative approach, 25 women aged 17 to 51 were interviewed to understand their experiences with addiction and recovery. The research found that many women started using drugs to escape emotional pain or seek pleasure, but this quickly led to serious consequences. These included social isolation, stigma, loss of their roles as mothers, financial difficulties, and physical decline. Four main themes were identified: the initial attraction to drugs and the subsequent struggle with addiction, the mixed experiences in rehabilitation centers, the broader social consequences of addiction, and the painful transition from the initial pleasure of drug abuse to its harsh realities. The study highlights the influence of cultural and societal norms on these women’s experiences and stresses the need for treatment programs that are sensitive to their specific needs. The findings suggest that effective support for women in similar contexts must address both their physical and emotional recovery, considering the unique challenges they face in a non-Western, Islamic setting.

Psycho-social sufferings and sexual difficulties among female survivors of child sexual abuse in Pakistan

BackgroundChild sexual abuse is a universal social challenge and the victims of childhood sexual abuse suffer a range of short and long term psychological, social, behavioral and physical problems that vary in different cultures. The study was carried out to explore the perceived impacts of childhood sexual abuse in Pakistan, because no such study was conducted in Pakistan earlier.MethodsInterpretative phenomenological analysis was used to analyze the data. A snowball sampling technique was used to approach the sample of current study. The sample of the study comprised ten female survivors of childhood sexual abuse of age ranged between 18 and 22 years (Mage= 20.10 years) with the education ranging from matric to BSc. Out of these participants, four were married and six were unmarried and belonged to different cities of Punjab, Pakistan. Data were collected via a semi-structured interview schedule and all interviews were verbatim transcribed.ResultsA rigorous iterative process of data analysis resulted in three super-ordinate themes and ten sub-ordinate themes: Experiencing Abuse (emotional trauma, and physical distress), Psycho-social Distress (low self-esteem, negative self-concept, psychological pain, social suffering, and retaliation vs. forgiveness), and Sexual Difficulties (passive role, emotionally aloof, aversion from hetero-sexuality and avoidance).ConclusionIt was concluded that childhood sexual abuse is an intense experience that has short- and long-term negative impacts on the lives of female survivors and engulfs their lives as a whole. The study has implications for psychiatrists, psychologists, family counselors, social scientists, educationists, and parents.

Differential effects of everyday-life social support on chronic pain

BackgroundSocial support is a multidimensional construct encompassing emotional support as well as pain-focused care and attention, also known as solicitous support. One the one hand, social support is widely believed to positively influence pain symptoms, their intensity, and the ability to cope and influence pain. On the other hand, social support can be negative if it conflicts with the patient’s needs or even causes discomfort. How different types of social support influence pain is not very well understood especially because most of the present research originates from laboratory studies, raising uncertainties about its generalizability to the everyday life of individuals with chronic pain.MethodsHere, we tested the effects of emotional, solicitous, and negative social support on pain intensity cross-sectionally in everyday life. We collected data from 20 patients with acute complex regional pain syndrome using a smartphone-based Ecological Momentary Assessment with up to 30 survey prompts over a period of five consecutive days.ResultsOur results showed that solicitous social support decreased pain, in particular in male patients. Emotional support was beneficial on pain in women but not in men.ConclusionsTaken together, these findings highlight the differential effects of social support in every-day life on chronic pain.

Weight in the Workplace: Weight Discrimination Impacts Professional Outcomes as a Function of Social Pain Minimization

AbstractWorkplace weight discrimination is pervasive and harms both individuals and organizations. However, despite its negative effects on employees and employers, the social and psychological processes linking weight discrimination and workplace outcomes remain unclear. Rooted in evidence that people regularly dehumanize and dismiss the emotions of heavier individuals, the current work tests one socioemotional pathway linking workplace weight discrimination and professional outcomes: social pain minimization (SPM). SPM refers to feelings of emotion invalidation when people share negative social experiences with others and feel their hurts are discounted and dismissed by their colleagues. Across two studies using cross-sectional and prospective designs (Ntotal = 661), the current work provides evidence that workplace weight discrimination increased feelings of SPM, which in turn was associated with greater burnout, lower job satisfaction, and more counterproductive work behaviors. In the wake of workplace weight discrimination, subsequent SPM negatively affects workplace outcomes. For those experiencing workplace weight discrimination, mistreatment and invalidation frequently operate as a one-two punch to critical organizational outcomes.

Incorporating the Developmental Considerations in a Proposed Forgiveness Education Intervention for Suicidal Adolescents

This paper first explores the risk factors associated with adolescents’ suicidal thoughts, attempts, and behaviors within different developmental domains and in the environment, using the developmental systems theory (DST). The most frequently identified risk factor for suicide, psychological pain, is examined in terms of its nature, expression, and possible cause. This paper criticizes the current empirical research of suicidal adolescents’ interventions on two issues: (1) lack of concern for fundamental issues in lifespan development and (2) inadequate treatment of the emotional needs resulting from the psychological pain in adolescents. Finally, this paper proposes forgiveness education intervention as targeting the emotional needs, particularly psychological pain, for suicidal adolescents.

Pathways between childhood mistreatment/victimization, posttraumatic stress, and lifetime substance use disorders among Latinx nationwide.

Childhood mistreatment (CM)/victimization, posttraumatic stress disorder (PTSD), and lifetime substance-use disorders (LT-SUD) are major behavioral health concerns. Their associations were established in mainstream populations but remain under-investigated in Latinx Americans. This study aimed to model the mediating effect of PTSD in the link between CM and LT-SUD among Latinx Americans. Using a nationally representative sample (N = 2,554) from the National Latinx and Asian American Study, three path models were performed for the whole-group, U.S.-born, and foreign-born Latinx (aged 18 or over), controlling for known predictors for Latinx' mental health. Latinx reported high rates of childhood physical (32%) and sexual (11.8%) abuse. Latinx subgroups significantly varied in educational attainment, LT-SUD, income, English proficiency, and self-reported discrimination. A fully constrained multiple group path analysis demonstrated direct effects of childhood physical mistreatment (CPM) and childhood sexual mistreatment to lifetime PTSD; PTSD significantly mediated the relationship between CPM with LT-SUD. No significant differences in path coefficients were observed among the Mexican, Cuban, and Puerto Rican subgroups. Findings suggest that CPM may contribute to using substance to avoid physical and emotional pain, which lends support for the self-medication hypothesis. Latinx who were traumatized by both physical and sexual abuse are more likely to use substances as a negative coping strategy. The study underscores the need for assessing the role of substance use as a coping mechanism for Latinx individuals who have experienced childhood traumatic victimization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).