Factors Associated with Pain Treatment Satisfaction Among Patients with Chronic Non-Cancer Pain and Substance Use

Conclusions: The relationship between PTSD and tobacco use with lower satisfaction should be explored to augment pain outcomes. Higher satisfaction among individuals with HIV and prescription cannabis use presents potential research areas to guide CNCP management and reduce reliance on opioid therapies.
Source: Journal of the American Board of Family Medicine - Category: Primary Care Authors: Tags: Original Research Source Type: research

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Chronic pain management is a major challenge for primary care providers (PCPs). PCPs manage many patients with chronic pain and other comorbidities including mental health problems like post-traumatic stress disorder (PTSD) and depression. Chronic pain and opioid problems are a national crisis, particularly among veterans (U.S. Department of Veterans Affairs, 2019). There are many veterans with chronic non-cancer pain who are being treated with opioids. Chronic opioid use has contributed to an epidemic of opioid-related adverse events (VA, 2017).
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Quality Improvement Source Type: research
ke MA Abstract Chronic cancer-related symptoms (stress, fatigue, pain, depression, insomnia) may be linked with sympathetic nervous system over-activation and autonomic imbalance. Decreased heart rate variability (HRV) is an indicator of autonomic dysregulation that is commonly observed among cancer survivors. HRV biofeedback (HRVB) training induces HRV coherence, which maximizes HRV and facilitates autonomic and cardiorespiratory homeostasis. This randomized, wait-list-controlled, pilot intervention trial tested the hypothesis that HRVB can improve HRV coherence and alleviate cancer-related symptoms. The interven...
Source: Applied Psychophysiology and Biofeedback - Category: Psychiatry & Psychology Authors: Tags: Appl Psychophysiol Biofeedback Source Type: research
“Once you learn the art of relaxation, everything happens spontaneously and effortlessly.” – Amma During hectic times, it’s tough to remember that relaxation is more than a luxury. In fact, humans need to relax to maintain balance in their lives. Work stress, family strife, and mounting responsibilities can exact a tremendous toll. Relaxing should be at the top of the list as a healthy coping measure and as a rewarding self-gift. Why do we so often neglect this healing self-care? Do you know the healthiest ways to relax your mind, body and soul? Perhaps the biggest obstacle to relaxing is that some ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Mental Health and Wellness Mindfulness Self-Help Source Type: blogs
Conclusions: Pre-injury psychiatric and pre-injury headache/migraine symptoms are risk factors for worse functional and post-concussive outcomes at 3- and 6-months post-mTBI. mTBI patients presenting to acute care should be evaluated for psychiatric and headache/migraine history, with lower thresholds for providing TBI education/resources, surveillance, and follow-up/referrals. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT01565551. Introduction Traumatic brain injury (TBI) remains a significant cause of morbidity and mortality worldwide. In 2013 ~2.8 million TBI cases were recorded annually i...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Ryan R. Kelly1,2†, Lindsay T. McDonald1,2†, Nathaniel R. Jensen1,2, Sara J. Sidles1,2 and Amanda C. LaRue1,2* 1Research Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States 2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for os...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: Evidence shows efficacy of pregabalin in postherpetic neuralgia, painful diabetic neuralgia, and mixed or unclassified post-traumatic neuropathic pain, and absence of efficacy in HIV neuropathy; evidence of efficacy in central neuropathic pain is inadequate. Some people will derive substantial benefit with pregabalin; more will have moderate benefit, but many will have no benefit or will discontinue treatment. There were no substantial changes since the 2009 review. PMID: 30673120 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Research in Occupational Stress and Well-being, Page 157-186. Abstract Acute and chronic pain affects more Americans than heart disease, diabetes, and cancer combined. Conservative estimates suggest the total economic cost of pain in the United States is $600 billion, and more than half of this cost is due to lost productivity, such as absenteeism, presenteeism, and turnover. In addition, an escalating opioid epidemic in the United States and abroad spurred by a lack of safe and effective pain management has magnified challenges to address pain in the workforce, particularly the military. Thus, it is imperative to investig...
Source: Research in Occupational Stress and Well Being - Category: Occupational Health Authors: Source Type: research
“The real meditation practice is how we live our lives from moment to moment to moment.” – Jon Kabat-Zinn As someone who strives daily to be the best I can be, to be present in the moment, minimize stress and appreciate the beauty and preciousness of life, I’m always keen to learn about scientifically-proven new health benefits of mindfulness meditation. Get better sleep. Anyone who’s suffered the lingering mental and physical effects of a poor night’s sleep on a regular basis, as I have on numerous occasions in the past, can appreciate this all-important benefit from mindfulness meditat...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Mindfulness Research Self-Help Stress Source Type: blogs
In this study, almost 80 percent of the participants responded positively after an average of less than four treatment sessions. The symptoms remained alleviated after two months.[1] In a randomized, controlled trial by Kip et al,[2] 57 U.S. service members/veterans with combat-related PTSD were treated with either the ART-based psychotherapy or an attention control (AC) regimen. The ART was delivered in 3.7±1.1 sessions with a 94-percent completion rate. The investigators reported that mean reductions in symptoms of PTSD, depression, anxiety, and trauma-related guilt were significantly greater (p
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Commentary Current Issue Practice Management Accelerated resolution therapy art cognitive processing therapy CPT ethical principles informed consent patient autonomy posttraumatic stress disorder PTSD Source Type: research
Medical virtual reality goes entirely against conventional beliefs about technology making healthcare less human, less empathetic and less caring. Virtual reality teaches empathy to med students, makes vaccination for children more sufferable, helps get rid of fears by treating phobias, relieves chronic pain or fulfills the last wishes of the dying. The many faces of medical virtual reality Although the use of virtual reality in healthcare is not widespread yet, the technology holds great promise. Goldman Sachs estimated in its 2016 report that 8 million physicians and medical technicians could make use of augmented reali...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine Virtual Reality in Medicine chronic pain empathy Healthcare pain management pediatrics psychology trauma vaccination VR Source Type: blogs
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