27 research outputs found

    CHRONIC PAIN SELF-EFFICACY AS A MEDIATOR OF THE LINK BETWEEN ROMANTIC ATTACHMENT INSECURITY, INDIVIDUAL FUNCTIONING, AND COUPLE SATISFACTION: A PRELIMINARY STUDYS

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    This preliminary study was inspired by the Attachment-Diathesis Model of Chronic Pain (ADMoCP) and examined pain self-efficacy as a mediator of the relation between people’s insecure romantic attachment and individual functioning, as well couple satisfaction. This study used a sample of 45 adults with chronic pain from the community who have been in couple relationships for at least 6 months. Participants completed self-report measures. Direct links were obtained between 1) insecure romantic attachment (anxiety over abandonment) and pain self-efficacy, 2) pain self-efficacy and individual functioning, 3) insecure romantic attachment and low individual functioning, and 4) insecure romantic attachment and lower couple satisfaction. Results also showed that pain self-efficacy significantly mediates the relation between anxiety over abandonment and individual functioning, thus adding to existing literature as well as providing more support for the ADMoCP. Future research directions are discussed along with clinical implications.Keywords: Chronic Pain. Romantic Attachment. Pain Self-Efficacy. Individual Functioning. RESUMOEste estudo preliminar foi inspirado no Attachment-Diathesis Model of Chronic Pain – ADMoCP e investigou a autoeficĂĄcia no manejo da dor como um mediador da ligação entre estilo de apego inseguro nas relaçÔes afetivas, funcionamento individual e satisfação conjugal. Este estudo utilizou uma amostra de 45 adultos da comunidade com dor crĂŽnica e que estavam em um relacionamento hĂĄ pelo menos 6 meses. Participantes responderam a questionĂĄrios de autorrelato. Foram obtidas relaçÔes diretas entre 1) estilo de apego inseguro nas relaçÔes afetivas (ansiedade de abandono) e autoeficĂĄcia no manejo da dor, 2) autoeficĂĄcia no manejo da dor e funcionamento individual, 3) estilo de apego inseguro nas relaçÔes afetivas e limitaçÔes no funcionamento individual e 4) estilo de apego inseguro nas relaçÔes afetivas e menor satisfação conjugal. Os resultados tambĂ©m mostraram que a autoeficĂĄcia no manejo da dor interfere significativamente na relação entre ansiedade de abandono e funcionamento individual, corroborando a literatura existente bem como fornecendo mais suporte para a ADMoCP. SĂŁo discutidas futuras direçÔes de pesquisa bem como implicaçÔes clĂ­nicas.Palavras-chave: Dor CrĂŽnica. Apego nas relaçÔes afetivas. AutoeficĂĄcia no manejo da dor. Funcionamento Individual

    CHRONIC PAIN SELF-EFFICACY AS A MEDIATOR OF THE LINK BETWEEN ROMANTIC ATTACHMENT INSECURITY, INDIVIDUAL FUNCTIONING, AND COUPLE SATISFACTION: A PRELIMINARY STUDYS

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    This preliminary study was inspired by the Attachment-Diathesis Model of Chronic Pain (ADMoCP) and examined pain self-efficacy as a mediator of the relation between people’s insecure romantic attachment and individual functioning, as well couple satisfaction. This study used a sample of 45 adults with chronic pain from the community who have been in couple relationships for at least 6 months. Participants completed self-report measures. Direct links were obtained between 1) insecure romantic attachment (anxiety over abandonment) and pain self-efficacy, 2) pain self-efficacy and individual functioning, 3) insecure romantic attachment and low individual functioning, and 4) insecure romantic attachment and lower couple satisfaction. Results also showed that pain self-efficacy significantly mediates the relation between anxiety over abandonment and individual functioning, thus adding to existing literature as well as providing more support for the ADMoCP. Future research directions are discussed along with clinical implications. Keywords: Chronic Pain. Romantic Attachment. Pain Self-Efficacy. Individual Functioning.   RESUMO Este estudo preliminar foi inspirado no Attachment-Diathesis Model of Chronic Pain – ADMoCP e investigou a autoeficĂĄcia no manejo da dor como um mediador da ligação entre estilo de apego inseguro nas relaçÔes afetivas, funcionamento individual e satisfação conjugal. Este estudo utilizou uma amostra de 45 adultos da comunidade com dor crĂŽnica e que estavam em um relacionamento hĂĄ pelo menos 6 meses. Participantes responderam a questionĂĄrios de autorrelato. Foram obtidas relaçÔes diretas entre 1) estilo de apego inseguro nas relaçÔes afetivas (ansiedade de abandono) e autoeficĂĄcia no manejo da dor, 2) autoeficĂĄcia no manejo da dor e funcionamento individual, 3) estilo de apego inseguro nas relaçÔes afetivas e limitaçÔes no funcionamento individual e 4) estilo de apego inseguro nas relaçÔes afetivas e menor satisfação conjugal. Os resultados tambĂ©m mostraram que a autoeficĂĄcia no manejo da dor interfere significativamente na relação entre ansiedade de abandono e funcionamento individual, corroborando a literatura existente bem como fornecendo mais suporte para a ADMoCP. SĂŁo discutidas futuras direçÔes de pesquisa bem como implicaçÔes clĂ­nicas. Palavras-chave: Dor CrĂŽnica. Apego nas relaçÔes afetivas. AutoeficĂĄcia no manejo da dor. Funcionamento Individual

    Satellite Cells Senescence in Limb Muscle of Severe Patients with COPD

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    Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada Rationale: The maintenance of peripheral muscle mass may be compromised in chronic obstructive pulmonary disease (COPD) due to premature cellular senescence and exhaustion of the regenerative potential of the muscles. Methods: Vastus lateralis biopsies were obtained from patients with COPD (n = 16) and healthy subjects (n = 7). Satellite cell number and the proportion of central nuclei, as a marker of muscle regenerative events, were assessed on cryosections. Telomere lengths, used as a marker of cellular senescence, were determined using Southern blot analyses. Results: Central nuclei proportion was significantly higher in patients with COPD with a preserved muscle mass compared to controls and patients with COPD with muscle atrophy (p,0.001). In COPD, maximal telomere length was significantly decreased compared to controls (p,0.05). Similarly, minimal telomere length was significantly reduced in GOLD III–IV patients with muscle atrophy compared to controls (p,0.005). Minimal, mean and maximum telomere lengths correlated with mid-thigh muscle cross-sectional area (MTCSA) (R = 0.523, p = 0.005; R = 0.435, p = 0.019 and R = 0.491, p = 0.009, respectively). Conclusions: Evidence of increased regenerative events was seen in GOLD III–IV patients with preserved muscle mass. Shortening of telomeres in GOLD III–IV patients with muscle atrophy is consistent with an increased number of senescen

    Caractérisation des cellules satellites chez des personnes ayant une maladie pulmonaire obstructive chronique

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    La maladie pulmonaire obstructive chronique (MPOC) est caractĂ©risĂ©e par une obstruction bronchique irrĂ©versible et progressive. L'atrophie musculaire pĂ©riphĂ©rique est frĂ©quente dans la MPOC et a un impact nĂ©gatif sur la qualitĂ© de vie, la capacitĂ© fonctionnelle et la survie des sujets atteints. Un dĂ©ficit dans la rĂ©gĂ©nĂ©ration du tissu musculaire pourrait contribuer au dĂ©veloppement de l'atrophie musculaire, mais n'a jamais Ă©tĂ© directement Ă©valuĂ© chez les sujets ayant une MPOC. La maintenance et la rĂ©paration du tissu musculaire sont du ressort des cellules satellites. Un nombre insuffisant de cellules satellites combinĂ©s ou non Ă  un processus dĂ©ficient de multiplication et de diffĂ©renciation pourrait altĂ©rer la capacitĂ© du tissu musculaire Ă  rĂ©cupĂ©rer adĂ©quatement Ă  la suite d'un exercice physique ou d'un dommage musculaire. Nous proposons l'hypothĂšse que le potentiel de rĂ©gĂ©nĂ©ration musculaire est dĂ©ficient chez les patients ayant une MPOC comparativement Ă  des sujets sains d'Ăąge similaire, contribuant ainsi au dĂ©veloppement de l'atrophie musculaire observĂ©e chez ceux-ci. Pour vĂ©rifier cette hypothĂšse, un modĂšle de culture cellulaire primaire obtenu Ă  partir d'Ă©chantillons musculaires a dĂ» ĂȘtre dĂ©veloppĂ©. Ce projet permettra pour la premiĂšre fois de mettre en culture et de caractĂ©riser les cellules satellites musculaires provenant de biopsies de patients ayant une MPOC. et d'Ă©valuer leur potentiel de rĂ©gĂ©nĂ©ration. De plus, ce modĂšle pourra ĂȘtre utilisĂ© pour rĂ©pondre Ă  diffĂ©rentes questions associĂ©es Ă  la signalisation musculaire propre Ă  la MPOC

    Altération de la régénération musculaire dans la maladie pulmonaire obstructive chronique

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    AltĂ©ration de la rĂ©gĂ©nĂ©ration musculaire dans la maladie pulmonaire obstructive chronique. La maladie pulmonaire obstructive chronique (MPOC) est caractĂ©risĂ©e par une obstruction bronchique irrĂ©versible et progressive. L’atrophie musculaire pĂ©riphĂ©rique y est frĂ©quente et a un impact nĂ©gatif sur la capacitĂ© fonctionnelle et la survie des sujets atteints. Toutefois, on ignore si une altĂ©ration du processus de rĂ©gĂ©nĂ©ration musculaire est un processus ayant cours dans l’atrophie musculaire pĂ©riphĂ©rique. Le but de la prĂ©sente thĂšse Ă©tait donc d’étudier les cellules satellites, principales cellules responsables de la rĂ©gĂ©nĂ©ration musculaire dans les muscles pĂ©riphĂ©riques de patients ayant une MPOC. Dans un premier temps, nous avons Ă©valuĂ© l’historique de rĂ©plication du tissu musculaire et la sĂ©nescence des cellules satellites. Les changements morphologiques ayant lieu dans le muscle au cours de la progression de la maladie rendent le muscle plus susceptible aux dommages, induisant un raccourcissement prĂ©maturĂ© des tĂ©lomĂšres. Un raccourcissement des tĂ©lomĂšres chez les sujets ayant une MPOC avec atrophie est concomitant avec une augmentation du nombre de cellules satellites sĂ©nescentes et de l’épuisement du potentiel de rĂ©gĂ©nĂ©ration compromettant le maintien de la masse musculaire chez ces sujets. Dans un deuxiĂšme et troisiĂšme temps, nous avons Ă©tudiĂ© les Ă©tapes amenant une cellule satellite vers une cellule musculaire dans les muscles pĂ©riphĂ©riques et respiratoires de patients ayant une MPOC comparativement Ă  des sujets contrĂŽles. Les cellules satellites sont impliquĂ©es dans la rĂ©paration du tissu musculaire. Dans les cellules satellites provenant des sujets ayant une MPOC, une altĂ©ration de la prolifĂ©ration et de la diffĂ©rentiation a Ă©tĂ© observĂ©e. Ces rĂ©sultats sont compatibles avec une altĂ©ration de la rĂ©gĂ©nĂ©ration musculaire pouvant conduire Ă  l’atrophie musculaire dans la MPOC. Le quatriĂšme volet de ce projet s’intĂ©ressait Ă  l’impact d’un entraĂźnement en rĂ©sistance sur l’activitĂ© des cellules satellites et le rĂŽle jouĂ© par la myostatine dans ce contexte. La littĂ©rature montre que l’exercice en rĂ©sistance est bien tolĂ©rĂ© et aide les patients ayant une MPOC Ă  retrouver une meilleure qualitĂ© de vie. Cependant, il semble qu’ils n’y rĂ©pondent pas tous aussi bien que les sujets contrĂŽles. La capacitĂ© de rĂ©ponse des cellules satellites Ă  un entraĂźnement en rĂ©sistance semble inadĂ©quate, suggĂ©rant ainsi un dĂ©faut de leur activation. Dans la derniĂšre Ă©tude de cette thĂšse, nous avons voulu Ă©valuer l’impact de l’inflammation systĂ©mique en Ă©tudiant SAA1, une protĂ©ine de phase aiguĂ« et p21, une protĂ©ine du cycle cellulaire dans la dĂ©gradation des protĂ©ines des cellules musculaires. Les liens de causalitĂ© entre l’affection primaire et les diffĂ©rentes comorbiditĂ©s demeurent nĂ©buleux dans la MPOC. SAA1 et p21 sont augmentĂ©s dans les muscles squelettiques des patients ayant une MPOC et par ailleurs, SAA1 est capable d’induire la dĂ©gradation des protĂ©ines musculaires. Cette thĂšse expose les premiers Ă©lĂ©ments impliquant l’altĂ©ration de la rĂ©gĂ©nĂ©ration musculaire avec la dysfonction musculaire observĂ©e chez les patients ayant une MPOC. Ces rĂ©sultats vont certainement contribuer au dĂ©veloppement de nouvelles thĂ©rapies et stratĂ©gies d’intervention dans le but d’amĂ©liorer la qualitĂ© de vie des personnes atteintes d’une MPOC. En somme, les travaux effectuĂ©s dans le cadre de la prĂ©sente thĂšse montrent que plusieurs mĂ©canismes agissent de concert avec l’inactivitĂ© physique afin d’induire le phĂ©notype dysfonctionnel dans les muscles des patients ayant une MPOC.Skeletal muscle regeneration is altered in skeletal muscles of patients with Chronic Obstructive Pulmonary Disease. Chronic Obstructive Pulmonary Disease is associated with an irreversible and a progressive airflow obstruction. In COPD, the loss of muscle mass has a significant impact on quality of life and is associated with premature death. Many biochemical factors have been proposed to trigger and perpetuate the skeletal muscle atrophy in COPD. The maintenance of peripheral muscle mass may be compromised in patients with COPD due to premature cellular senescence and exhaustion of the regenerative potential of the muscles. Shortening of telomeres in patients with COPD is consistent with an increased number of senescent satellite cells and an exhausted muscle regenerative capacity, compromising the maintenance of muscle mass in these individuals. Muscle mass maintenance relies on the delicate regulation between protein degradation, synthesis and the addition of new myonuclei from satellite cells. Comparing the signalisation involved in the skeletal muscle regeneration between two muscles with different levels of activation within the same subjects is an interesting strategy to evaluate the impact of local versus systemic factors in the regulation of skeletal muscle regeneration. Impaired satellite cell activation, proliferation and differentiation affecting skeletal muscle regeneration could contribute to the progression of muscle dysfunction in patients with COPD. Resistance training, as provided in pulmonary rehabilitation, is an essential tool to promote muscle hypertrophy and increase muscle strength. However, hypertrophic response to resistance training is heterogeneous in patients with COPD. Failure in satellite cell function can lead to delayed, impaired or failed recovery after muscle injury, and such failures become increasingly prominent in cases of progressive muscle disease. Although the inflammatory response has been linked to the initiation and development of muscle atrophy, discrepancies exist in the literature concerning the presence and the nature of systemic and/or local inflammatory response in patients with COPD. This inflammation could be linked to the skeletal muscle protein imbalance and ultimately atrophy. The quest to identify a key inflammatory factor that could orchestrate the signaling cascade involved in contractile protein synthesis/degradation or even tissue renewal in peripheral muscles of patients with COPD is of major importance for future direction in this research field. This thesis demonstrates for the first time the role played by satellite cells in muscle atrophy associated with COPD. Better knowledge of the regenerative capacity in the context of COPD will enhance the understanding of the atrophying process and deepen the reasoning on training interventions in this population

    Satellite cells quantification.

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    <p><b>A</b>) <i>Vastus lateralis</i> muscle cryosections were labeled for co-expression and localization of nuclear Paired box transcription factor 7 (green), DAPI (blue) and laminin (red). Cells positive for pax7 or NCAM (not shown) and DAPI located between the plasmalemma and the basal lamina were counted as satellite cells (white arrow). The number of satellite cells is expressed over 100 fibres and reported as a ratio. Ratio are calculated from 9 COPD and MTCSA >70 cm<sup>2</sup>, 7 COPD and MTCSA <70 cm<sup>2</sup> and 7 healthy subjects. <b>B</b>) The numbers of nuclei having a positive label for Pax7 (white) and NCAM (black) were counted as satellite cells. Cells positive for pax7 or NCAM and DAPI located between the plasmalemma and the basal lamina were counted as satellite cells. The number of satellite cells is expressed over 100 fibres and reported as a ratio; ANOVA; p>0.05.</p
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