Symptom Interactions as Mechanisms Underlying Symptom Pairs and Clusters

Purpose: To present a summary of the potential shared or interactive mechanisms underlying an exemplar symptom pair: sleep disturbances and pain. Organizing Construct: Understanding of the multidimensional shared and interactive mechanisms underlying symptoms pairs and clusters has the potential to...

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Bibliographic Details
Published in:Journal of nursing scholarship 2005-01, Vol.37 (3), p.209-215
Main Authors: Parker, Kathy P., Kimble, Laura P., Dunbar, Sandra B., Clark, Patricia C.
Format: Article
Language:English
Subjects:
Cluster Analysis
Environment
Holistic Health
Human Development
Humans
Interdisciplinary aspects
mechanisms
Models, Biological
Models, Nursing
Models, Psychological
Nursing
Nursing Diagnosis
Outcome Assessment (Health Care)
Pain
Pain - complications
Pain - physiopathology
Pain - prevention & control
Pain - psychology
Patient Care Team
Physiology
Quality of Life
Risk Factors
Sleep
Sleep Wake Disorders - complications
Sleep Wake Disorders - physiopathology
Sleep Wake Disorders - prevention & control
Sleep Wake Disorders - psychology
symptom clusters
Symptom management
symptom pairs
symptoms
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Summary:Purpose: To present a summary of the potential shared or interactive mechanisms underlying an exemplar symptom pair: sleep disturbances and pain. Organizing Construct: Understanding of the multidimensional shared and interactive mechanisms underlying symptoms pairs and clusters has the potential to enhance symptom management. Methods: Reviews of the literature were conducted to search for information on shared or interactive mechanisms underlying sleep disturbances and pain; minimal data were available. Relevant information about individual symptoms was outlined and categorized in areas often used to describe the multidimensional nature of symptoms, including the physiological, psychological, behavioral, and sociocultural domains. This information was examined for relationships and commonalities. Conclusions: Many potential shared and interactive mechanisms underlying the symptom pair of sleep disturbances and pain were identified. These results indicate the need for further work and theory development in this area. The symptom interactional framework is a beginning conceptual perspective designed to facilitate this work. Implications for interdisciplinary translational research designed to optimize symptom management are discussed.
ISSN:1527-6546
1547-5069
DOI:10.1111/j.1547-5069.2005.00037.x