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Total 49953 results found since Jan 2013.

Health care professionals' pain narratives in hospitalized children's medical records. Part 2: Structure and content.
CONCLUSIONS:<⁄span> The present qualitative analysis revealed the multidimensionality of structure and content that was used to document hospitalized children's acute pain. The findings have the potential to inform debate on whether the multidimensionality of pain narratives' composition is a desirable feature of documentation and how narratives can be refined and improved. There is potential for further investigation into how health care professionals' pain narratives could have a role in generating guidelines for best pain documentation practice beyond numerical representations of pain intensity. PMID: 24093...
Source: Pain Research and Management - September 1, 2013 Category: Anesthesiology Authors: Rashotte J, Harrison D, Coburn G, Yamada J, Stevens BJ, the CIHR Team in Children's Pain Tags: Pain Res Manag Source Type: research

Health care professionals' pain narratives in hospitalized children's medical records. Part 1: Pain descriptors.
CONCLUSIONS:<⁄span> The richness and complexity of vocabulary used by clinicians to document children's pain lend support to the concept that the word 'pain' is a label that represents a myriad of different experiences. There is potential to refine pediatric pain assessment measures to be inclusive of other cues used to identify children's pain. The results enhance the discussion concerning the development of standardized nomenclature. Further research is warranted to determine whether there is congruence in interpretation across time, place and individuals. PMID: 24093122 [PubMed - as supplied by publisher]
Source: Pain Research and Management - September 1, 2013 Category: Anesthesiology Authors: Rashotte J, Coburn G, Harrison D, Stevens BJ, Yamada J, Abbott LK, the CIHR Team in Children’s Pain Tags: Pain Res Manag Source Type: research

Pain Catastrophizing and Its Relationship with Health Outcomes: Does Pain Intensity Matter?
Abstract Pain catastrophizing is known to contribute to physical and mental functioning, even when controlling for the effect of pain intensity. However, research has yet to explore whether the strength of the relationship between pain catastrophizing and pain-related outcomes varies across pain intensity levels (i.e., moderation). If this was the case, it would have important implications for existing models of pain and current interventions. The present investigation explored whether pain intensity moderates the relationship between pain catastrophizing and pain-related outcomes. Participants were 254 patients (...
Source: Pain Research and Management - March 31, 2017 Category: Anesthesiology Authors: Suso-Ribera C, García-Palacios A, Botella C, Ribera-Canudas MV Tags: Pain Res Manag Source Type: research

Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients.
Abstract Research has shown that pain is associated with disability and that depressed mood mediates the relationship between pain and disability. The question of whether duration of pain moderates these effects was addressed in this cross-sectional study with 356 chronic pain patients. A simple mediation model replicated the notion that depressed mood explains a significant proportion of the relationship between pain and disability (in the study at hand: 12%). A moderated mediation model revealed that the indirect effect of pain on disability through depressed mood is moderated by pain duration: while depressed m...
Source: Pain Research and Management - July 26, 2016 Category: Anesthesiology Authors: Probst T, Neumeier S, Altmeppen J, Angerer M, Loew T, Pieh C Tags: Pain Res Manag Source Type: research

Prevalence of Specific Types of Pain Diagnoses in a Sample of United States Adults.
CONCLUSIONS: The demographic differences and similarities within the subgroups highlighted the concept that pain diagnoses should be considered as separate, but related entities. The present study helps us to better understand the frequency of specific pain diagnoses, and directs future studies to appropriately focus on pain diagnoses based on prevalence. This will allow increased understanding of the variation in pain diagnoses and prevent over-generalization in studies examining pain patients to more accurately reflect the varied subtypes and their economic impact.Duke University Institutional Review Board Protocol: 0005...
Source: Pain Physician - January 31, 2017 Category: Anesthesiology Authors: Murphy KR, Han JL, Yang S, Hussaini SM, Elsamadicy AA, Parente B, Xie J, Pagadala P, Lad SP Tags: Pain Physician Source Type: research

Effects of a Pain Catastrophizing Induction on Sensory Testing in Women with Chronic Low Back Pain: A Pilot Study.
This study sought to clarify pain processing mechanisms via experimental induction of pain catastrophizing. Forty women with chronic low back pain were assigned in blocks to an experimental condition, either a psychologist-led 10-minute pain catastrophizing induction or a control (10-minute rest period). All participants underwent a baseline round of several quantitative sensory testing (QST) tasks, followed by the pain catastrophizing induction or the rest period, and then a second round of the same QST tasks. The catastrophizing induction appeared to increase state pain catastrophizing levels. Changes in QST pain were de...
Source: Pain Research and Management - March 31, 2017 Category: Anesthesiology Authors: Taub CJ, Sturgeon JA, Johnson KA, Mackey SC, Darnall BD Tags: Pain Res Manag Source Type: research

High prevalence of musculoskeletal pain in individuals with severe obesity: sites, intensity, and associated factors.
Conclusions: There was a high prevalence of pain and intense pain in individuals with severe obesity and an association with clinical variables, the degree of obesity, and sedentary lifestyle. PMID: 32606269 [PubMed]
Source: Korean Journal of Pain - July 3, 2020 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Children and adolescents with complex regional pain syndrome: More psychologically distressed than other children in pain?
CONCLUSIONS: <⁄span> As a group, clinic-referred children with CRPS may be more functionally impaired and experience more somatic symptoms compared with children with other pain conditions. However, overall psychological functioning as assessed by self-report appears to be similar to that of children with other chronic pain diagnoses. Comprehensive assessment using a biopsychosocial framework is essential to understanding and appropriately treating children with symptoms of CRPS. PMID: 23662291 [PubMed - in process]
Source: Pain Research and Management - March 1, 2013 Category: Anesthesiology Authors: Logan DE, Williams SE, Carullo VP, Claar RL, Bruehl S, Berde CB Tags: Pain Res Manag Source Type: research

The effects of mindfulness-based attention on cold pressor pain in children.
CONCLUSIONS: Mindful attention was successful in helping children focus attention on experimental pain without increasing pain intensity or decreasing tolerance compared with a well-established intervention for acute pain reduction. PMID: 23457685 [PubMed - indexed for MEDLINE]
Source: Pain Research and Management - January 1, 2013 Category: Anesthesiology Authors: Petter M, Chambers CT, MacLaren Chorney J Tags: Pain Res Manag Source Type: research

Characteristics of Chronic Pain Patients Who Take Opioids and Persistently Report High Pain Intensity.
CONCLUSIONS: Our findings suggest that patients with persistently high pain scores despite opioid therapy are more likely than those with lower levels of pain to present with characteristics associated with having centralized pain. This study cannot determine whether these characteristics were present before (fibromyalgia-like patient) or after the initiation of opioids (opioid-induced hyperalgesia). Regardless, patients with a centralized pain phenotype are thought to be less responsive to opioids and may merit alternative approaches. PMID: 24310048 [PubMed - as supplied by publisher]
Source: Pain Physician - December 4, 2013 Category: Anesthesiology Authors: Wasserman RA, Brummett CM, Goesling J, Tsodikov A, Hassett AL Tags: Reg Anesth Pain Med Source Type: research

Comparisons of patient and physician assessment of pain-related domains in cancer pain classification: results from a large international multicenter study.
Abstract UNLABELLED: The aim of the present study is to compare physician clinical assessment with patient-rated evaluations in the classification of cancer pain patients into groups with different pain levels, according to the presence of incident/breakthrough pain, neuropathic pain, and psychological distress. Average pain in the previous 24 hours was used as the dependent variable in multivariate linear regression models, and incident/breakthrough pain, neuropathic pain, and psychological distress were tested as regressors; in the assessment of regressors, physicians used the Edmonton Classification System for...
Source: Pain Physician - January 1, 2014 Category: Anesthesiology Authors: Brunelli C, Kaasa S, Knudsen AK, Hjermstad MJ, Pigni A, Caraceni A Tags: J Pain Source Type: research

Percutaneous and Endoscopic Adhesiolysis in Managing Low Back and Lower Extremity Pain: A Systematic Review and Meta-analysis.
CONCLUSION: The evidence is Level I or strong that percutaneous adhesiolysis is efficacious in the treatment of chronic refractory low back and lower extremity pain. Percutaneous adhesiolysis may be considered as a first-line treatment for chronic refractory low back and lower extremity pain. The evidence is Level II to III that spinal endoscopy is effective in the treatment of chronic refractory low back and lower extremity pain. Key words: Spinal pain, chronic low back pain, post lumbar surgery syndrome, epidural scarring, adhesiolysis, endoscopy, radicular pain. PMID: 26815254 [PubMed - as supplied by publisher]
Source: Pain Physician - January 28, 2016 Category: Anesthesiology Authors: Helm Ii S, Racz GB, Gerdesmeyer L, Justiz R, Hayek SM, Kaplan ED, El Terany MA, Knezevic NN Tags: Pain Physician Source Type: research

Widespread Pressure Pain Hyperalgesia in Chronic Nonspecific Neck Pain with Neuropathic Features: A Descriptive Cross-Sectional Study.
CONCLUSIONS: Widespread pressure pain hyperalgesia was detected in patients with CNSNP with NF, but not in patients with CNSNP with No-NF. Patients with CNSNP presented bilateral pressure pain hyperalgesia over the cervical region and a decreased cervical ROM compared to healthy controls. However, no differences were found between the 2 CNSNP groups. These findings suggest differences in the mechanism of pain processing between patients with CNSNP with NF and No-NF. PMID: 26815252 [PubMed - as supplied by publisher]
Source: Pain Physician - January 28, 2016 Category: Anesthesiology Authors: Lopez-de-Uralde-Villanueva I, Beltran-Alacreu H, Fernandez-Carnero J, Kindelan-Calvo P, La Touche R Tags: Pain Physician Source Type: research

Pain assessment in context: a state of the science review of the McGill pain questionnaire 40 years on
Abstract: The McGill pain questionnaire (MPQ) and its later derivative the short form-MPQ have been used widely both in experimental and clinical pain studies. They have been of considerable importance in stimulating research into the perception of pain and now, with the publication of its latest variant, the short form-MPQ-2, it is appropriate to appraise their utility in the light of subsequent research into the nature of pain and the purpose of pain assessment. Following a description of the content and development of the questionnaires, issues of validity, reliability, and utility are addressed, not only in terms of th...
Source: Pain - July 1, 2016 Category: Anesthesiology Tags: Pain Classics Source Type: research

Finding Ways to Lift Barriers to Care for Chronic Pain Patients: Outcomes of Using Internet-Based Self-Management Activities to Reduce Pain and Improve Quality of Life.
Conclusion. Self-management support interventions, such as Internet-based educational tools, can be considered to help patients manage their chronic pain, depression, and anxiety and may be helpful to improve the treatment outcome in patients who could not otherwise afford noninsured services. PMID: 27445632 [PubMed - in process]
Source: Pain Research and Management - July 26, 2016 Category: Anesthesiology Authors: Rod K Tags: Pain Res Manag Source Type: research