Meaning in Life Among Patients With Chronic Pain and Suicidal Ideation: Mixed Methods Study

Autor: Costanza, Alessandra, Chytas, Vasileios, Piguet, Valérie, Luthy, Christophe, Mazzola, Viridiana, Bondolfi, Guido, Cedraschi, Christine
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JMIR Formative Research, Vol 5, Iss 6, p e29365 (2021)
Druh dokumentu: article
ISSN: 2561-326X
DOI: 10.2196/29365
Popis: BackgroundPatients with chronic pain have elevated risk of suicidal ideation and behavior, including suicide attempts and completed suicides. In most studies, associations between chronic pain and suicidal ideation/suicidal behavior are robust even after adjusting for the effect of sociodemographics and psychiatric comorbidity. However, to refine the risk profile of these patients, further exploration of other possible risk and protective factors is necessary. ObjectiveThere is a common clinical observation that experiencing chronic pain often requires a revision of life goals and expectations, and hence, it impacts the existential domain including one’s perception of the meaning in life (MiL). This study aimed to characterize the main domains that constitute the personal MiL, including the “presence of” and “search for” constructs, in a group of patients with chronic pain and suicidal ideation. MethodsSeventy participants were enlisted by ongoing recruitment through a larger project anchored in daily clinical practice at the Multidisciplinary Pain Center of the Geneva University Hospitals. It was an observational mixed method study. Data were recorded through both validated quantitative questionnaires and qualitative open-ended questions. ResultsThe total sample consisted of 70 patients. Responses to questionnaires showed a depressive episode in 68 (97%) patients and anxious disorders in 25 (36%) patients. With a score threshold for positive MiL of 24, the mean score for the “presence of” construct was 20.13 (SD 8.23), and 63% (44/70) of respondents had a score
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