Opioid tapering in patients with prescription opioid use disorder: A retrospective study
Conclusions With comprehensive treatments, 27.9% of patients had successful opioid tapering with opioid abstinence for over a year. The use of mirtazepine, topiramate, or likely bupropion was associated with successful opioid tapering in the medication assisted treatment with temporary use of methadone. Opioid tapering may be a practical option and should be considered for managing prescription OUD. Implications For patients with OUD, indefinite opioid maintenance treatment may not be necessary. Considering the ethical values of autonomy, nonmaleficence, and beneficence, clinicians should provide patients with OUD the opti...
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

Lateral Cutaneous Nerve Entrapment Syndrome (LACNES): A previously unrecognized cause of intractable flank pain
Conclusions and implications LACNES should be considered in patients with chronic flank pain. Injection therapy is long term effective in more than half of the population. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

A new treatable chronic pain diagnosis? Flank pain caused by entrapment of posterior cutaneous branch of intercostal nerves, lateral ACNES coined LACNES
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Harald Breivik, Audun Stubhaug (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

PhKv a toxin isolated from the spider venom induces antinociception by inhibition of cholinesterase activating cholinergic system
Conclusions Our findings provide, to our knowledge, the first evidence that PhKv caused inhibition of AChE, it increased the ACh content at the neuronal synapses, leading to an activation of the cholinergic system and an antinociceptive response. Implications Studies regarding the nociceptive mechanisms and the identification of potential targets for the treatment of pain have become top priorities. PhKv, by its action of stimulating the cholinergic receptors muscarinic and nicotinic system, reduces pain it may be an alternative for controlling the pain processes. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

The burden of central anticholinergic drugs increases pain and cognitive dysfunction. More knowledge about drug-interactions needed
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

Sleep, widespread pain and restless legs – What is the connection?
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Stephen Butler (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 15, 2017 Category: Anesthesiology Source Type: research

Why can multimodal, multidisciplinary pain clinics not help all chronic pain patients?
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

A case-history illustrates importance of knowledge of drug-interactions when pain-patients are prescribed non-pain drugs for co-morbidities
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Individual variability in clinical effect and tolerability of opioid analgesics – Importance of drug interactions and pharmacogenetics
Conclusions and implications Drug interactions and pharmacogenetic differences may lead to therapeutic failure or serious side effects of opioid analgesics. Many interactions involve combinations with antidepressants and antiepileptics, which are highly relevant drugs in patients suffering from pain. To prevent unfavourable drug interactions it is important that clinicians pay close attention and use electronic drug interaction checkers when treatments are initiated or discontinued. For the management of issues related to pharmacogenetic differences, blood-based CYP genotyping is available as routine test at many laborator...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Exploring patient experiences of a pain management centre: A qualitative study
Conclusion The findings suggest that the main reasons that patients recommended the centre were: (i) support and validation provided by the staff; (ii) provision of detailed information about the treatment choices available; (iii) personalized management plan and strategies to improve overall quality of life alongside pain control. None of the letters criticized the care provided, but eight of seventy reported long waiting times for the first appointment as a problem. Implications Patient views are central to improving care. However, satisfaction questionnaires or checklists can be intimidating, and restrictive in their co...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Basics of Anesthesia, 7th edition, M.C. Pardo Jr., R.D. Miller (Eds.). Elsevier (2018), ISBN: 978-0-323-40115-9
Publication date: Available online 18 October 2017 Source:Scandinavian Journal of Pain Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Sedation: A Guide to Patient Management, 6th edition, S.F. Malamed. Elsevier (2018), ISBN: 978-0-323-40053-4
Publication date: Available online 18 October 2017 Source:Scandinavian Journal of Pain Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Initial validation of the exercise chronic pain acceptance questionnaire
Conclusions This study offers preliminary support for the factorial and predictive validity of the CPAQ-E among exercising individuals with arthritis. Implications This measure could help researchers increase the specificity and sensitivity of pain acceptance responses to exercising among individuals with arthritis. A more sensitive measure might help clinicians interpret patient responses to exercise for pain self-management. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Narratives of life with long-term low back pain: A follow up interview study
Conclusions The challenge for people with low back pain was to find ways of getting on with life, and this included their ability to configure an understandable narrative that opened up for a future, implying new understandings of the self and how life could be lived. When healthcare professionals offered personal and realistic suggestions to the informants’ configuration of narratives of life with low back pain, they supported a positive change in the informants’ ways of coping with their situation. Implications Health professionals can play an important role in low back pain sufferers’ configuration of ...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction through differential patterns of physical and psychological disruption
Conclusions The current findings highlight the distinct affective and behavioural mediators of pain and maladaptive cognitive appraisal processes in chronic pain, and highlight their importance in both perceptions of pain-related interference and longer-term quality of life. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Chronic pain disrupts ability to work by interfering with social function: A cross-sectional study
Conclusions In the development of effective solutions to address the economic and societal burden of chronic pain, this paper highlights the role of social function as an important, yet frequently overlooked, contributor to chronic pain's effect on the ability to work. Our findings underscore the importance of an integrated biopsychosocial approach to managing chronic pain, especially when addressing ability to work. From a clinical standpoint, assessing and managing pain intensity is necessary but not sufficient in addressing the far-reaching negative consequences of chronic pain. Implications The development of intervent...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Impact of analgesics on executive function and memory in the Alzheimer's Disease Neuroimaging Initiative Database
Conclusions NSAID use was associated with higher executive function, and memory scores in certain subjects and larger cortical volumes in particular regions. Limitations of the study include secondary analysis of existing data and the possibility of confounding. Implications These results suggest it is important to consider the secondary effects of medications when choosing a treatment regimen. Further prospective studies are needed to examine the role of analgesics on cognition and whether NSAIDs act through cortical dimension changes and how they are related to gender and cognitive diagnosis. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Psychoneuroimmunological approach to gastrointestinal related pain
Conclusions (based on our findings) Rather than proceeding with established allopathic single-target central or peripheral treatments, by non-invasively modulating the brain–gut axis components such as the psychological and neuroendocrinological status, microbiota, enteric nervous system, or immune cells (e.g. glial or mast cells), a favourable clinical outcome in various chronic gastrointestinal related pain syndromes may be achieved. Clinical tools are readily available in forms of psychotherapy, prebiotics, probiotics, nutritional advice, and off-label drugs. An example of the latter is low-dose naltrexone, a comp...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Evaluation of external vibratory stimulation as a treatment for chronic scrotal pain in adult men: A single center open label pilot study
Conclusion External vibratory stimulation has been suggested as a promising non-invasive tool to alleviate chronic pain. As a proof-of-concept, we implemented EVS to treat men with idiopathic orchialgia. The majority of patients noted benefit in both severity and frequency of pain. Given its low risk profile, EVS deserves further evaluation and inclusion in treatment guidelines as a promising experimental therapy for a disease with few conservative treatment options available to providers. Implications In this longitudinal study, external vibratory stimulation was found to decrease chronic scrotal pain without any adverse ...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Visualization of painful inflammation in patients with pain after traumatic ankle sprain using [11C]-D-deprenyl PET/CT
Conclusions and implications The data provide further support that [11C]-D-deprenyl PET can visualize, quantify and follow processes in peripheral tissue that may relate to soft tissue injuries, inflammation and associated nociceptive signaling. Such an objective correlate would represent a progress in pain research, as well as in clinical pain diagnostics and management. Graphical abstract (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Developing a model for measuring fear of pain in Norwegian samples: The Fear of Pain Questionnaire Norway
Conclusion A 6-factor model for explaining and measuring FOP in Norwegian samples was identified and termed the FPQ-NOR. This new model constituted six factors and 27 items, conceptualized as Minor, Severe, Injection, Fracture, Dental, and Cut Pain. The FPQ-NOR had the best fit overall and in male- and female subgroups, probably due to cross-cultural differences in FOP. Implications This study highlights the importance on exploratory analysis of FOP-instruments when applied to different countries or cultures. As the FPQ-III is widely used in both research and clinical settings, it is important to ensure that the models con...
Source: Scandinavian Journal of Pain - December 9, 2017 Category: Anesthesiology Source Type: research

Unpredictable pain timings lead to greater pain when people are highly intolerant of uncertainty
Conclusions Our results show that IU moderately correlates to the change in pain intensity provoked by unpredictable stimulation timings. High IU scores were associated with a worsening of the subjective pain experience, especially during long delays in an unpredictable situation. These observations suggest that IU could be considered as a psychological variable that is able to influence pain perception in certain situations. Implications Assessing and addressing IU could be an added value in pain-related therapy, especially in chronic pain. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 14, 2017 Category: Anesthesiology Source Type: research

Identifying characteristics of the most severely impaired chronic pain patients treated at a specialized inpatient pain clinic
Conclusion This study describes what makes the subgroup of pain patients most affected by their pain special according to associated factors and comorbidity We found that they were distinguished by a high degree of psychiatric comorbidity, low physical functioning and extreme levels of symptom preoccupation/hypervigilance. Many severe symptoms additional to pain (e.g. depression/anxiety, tiredness, disturbed sleep, lack of concentration, constipation) were reported. The group seems hypervigilant, overwhelmed with a multitude of different symptoms on a high severity level. Implications When treating this complex group, the ...
Source: Scandinavian Journal of Pain - October 13, 2017 Category: Anesthesiology Source Type: research

Implicit evaluations and physiological threat responses in people with persistent low back pain and fear of bending
Conclusions Contrary to our expectation, self-reported fear of bending was not related to physiological startle response or implicit measures. People with PLBP as a group (irrespective of fear levels) showed an implicit association between images of a round-back bending/lifting posture and danger, but did not display elevated physiological responses to these images. These results provide insight to the understanding of the relationship between pain and fear of movement. Implications The potential clinical implications of our findings are twofold. First, these results indicate that self-report measures do not always reflect...
Source: Scandinavian Journal of Pain - October 13, 2017 Category: Anesthesiology Source Type: research

A novel miniature, wireless neurostimulator in the management of chronic craniofacial pain: Preliminary results from a prospective pilot study
Conclusion Percutaneous placement of a wireless neurostimulation device directly adjacent to affected craniofacial nerve(s) is a minimally invasive and reversible method of pain control in patients with craniofacial pain refractory to conventional medical managements. Preliminary results are encouraging and further larger scale studies are required for improved applications. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 12, 2017 Category: Anesthesiology Source Type: research

Towards a structured examination of contextual flexibility in persistent pain
Publication date: Available online 11 October 2017 Source:Scandinavian Journal of Pain Author(s): Henrik Børsting Jacobsen (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 12, 2017 Category: Anesthesiology Source Type: research

The cognitive impact of chronic low back pain: Positive effect of multidisciplinary pain therapy
Conclusions These findings show that patients with cLBP have slowed speeds of information processing and working memory, but no alteration in attention and recognition memory. There are clearly interactions of cognitive function with pain, depression, anxiety, and medication. MDPT may improve the impaired cognitive function of patients with cLBP. Implication Health professionals should contemplate the results from this study when planning therapy strategies especially when prescribing pain medications such opioids to patients with chronic low back pain. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 8, 2017 Category: Anesthesiology Source Type: research

Broadening the fear-avoidance model of chronic pain?
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Jantine J.L.M. Boselie, Johan W.S. Vlaeyen (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 7, 2017 Category: Anesthesiology Source Type: research

Hospitalization due to acute exacerbation of chronic pain: An intervention study in a university hospital
Conclusions Despite our attending physician-led intervention, the frequency, duration and very substantial costs of hospitalization of the cohort were not significantly reduced, suggesting that other strategies need to be identified to help these complex and vulnerable patients. Implications Frequent hospitalization with acute exacerbation of chronic pain is a largely hidden problem that has very substantial implications for patients, their carers and healthcare providers. Chronic pain services tend to focus on outpatient management. Breaking the cycle of frequent and recurrent hospitalization using multidisciplinary chron...
Source: Scandinavian Journal of Pain - October 7, 2017 Category: Anesthesiology Source Type: research

Is acetaminophen safe in pregnancy?
Publication date: Available online 4 October 2017 Source:Scandinavian Journal of Pain Author(s): Katsuhiro Toda Acetaminophen is thought to be the safest analgesic and antipyretic medicine for pregnant women, and it is widely used all over the world. However, prenatal acetaminophen was reported to be associated with asthma, lower performance intelligence quotient (IQ), shorter male infant anogenital distance (predicting poor male reproductive potential), autism spectrum disorder, neurodevelopmental problems (gross motor development, communication), attention-deficit/hyperactivity disorder, poorer attention and executive f...
Source: Scandinavian Journal of Pain - October 5, 2017 Category: Anesthesiology Source Type: research

Central sensitization associated with low fetal hemoglobin levels in adults with sickle cell anemia
Conclusions Exaggerated temporal summation responses provide evidence of central sensitization in SCA. Implications The association with fetal hemoglobin suggests this known SCA modifier may have a therapeutic role in modulating central sensitization. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - October 1, 2017 Category: Anesthesiology Source Type: research

The relationship between chronic musculoskeletal pain, anxiety and mindfulness: Adjustments to the Fear-Avoidance Model of Chronic Pain
Conclusions The present study provides insight into the strength and direction of the relationships between ruminative anxiety, mindfulness and chronic pain in a CMP population, demonstrating the unique associations between specific mindfulness factors and chronic pain elements. Implications It is possible that ruminative anxiety and mindfulness should be added into the Fear-Avoidance Model of Chronic Pain, with ruminative anxiety as a psychological vulnerability and mindfulness as an effective treatment strategy that breaks the cycle of chronic pain. This updated Fear-Avoidance Model should be explored further to determin...
Source: Scandinavian Journal of Pain - September 30, 2017 Category: Anesthesiology Source Type: research

Finally a promising analgesic signal in a long-awaited new class of drugs: TRPV1 antagonist mavatrep in patients with osteoarthritis (OA)
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Rolf Karlsten (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 29, 2017 Category: Anesthesiology Source Type: research

Do we need an updated definition of pain?
Publication date: Available online 22 September 2017 Source:Scandinavian Journal of Pain Author(s): Per Brodal (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 23, 2017 Category: Anesthesiology Source Type: research

Pregabalin as adjunct in a multimodal pain therapy after traumatic foot amputation – A case report of a 4-year-old girl
Conclusion The multimodal pain therapy including pregabalin was well tolerated, safe and highly effective in this case of traumatic limb injury and subsequent amputation. The use of pregabalin allowed significant pain and anxiety reduction for the patient. Implications Pregabalin is frequently used in adult patients for severe complex pain syndromes. There are only few reports of such adjunct medication (pregabalin) in paediatric pain syndromes. These reports focus mainly on the paediatric oncologic population. The case reported here encourages physicians to consider adjunct medications when treating complex pain, which ar...
Source: Scandinavian Journal of Pain - September 23, 2017 Category: Anesthesiology Source Type: research

Opioids in chronic pain – Primum non nocere
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Katri Hamunen (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 23, 2017 Category: Anesthesiology Source Type: research

Severe side effects from intrathecal morphine for chronic pain after repeated failed spinal operations
Publication date: October 2017 Source:Scandinavian Journal of Pain, Volume 17 Author(s): Bård Lundeland, Lars Janerås, Gunnvald Kvarstein (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 23, 2017 Category: Anesthesiology Source Type: research

Predictors of chronic neuropathic pain after scoliosis surgery in children
Conclusions The present study found a high proportion of paediatric patients developing chronic persistent pain after surgical correction of scoliosis diformity. It allows identifying two factors associated with the occurrence of persistent chronic pain with a neuropathic component: the presence of persistent preoperative pain during the 3 months preceeding surgery and postoperative opioid consumption at day 1 ≥0.5mgkg−1. Implication Patients scheduled for spine surgery and presenting with preoperative pain should be considered at risk of chronic pain after surgery and managed accordingly by the chronic and/or acu...
Source: Scandinavian Journal of Pain - September 22, 2017 Category: Anesthesiology Source Type: research

The impact of the Standard American Diet in rats: Effects on behavior, physiology and recovery from inflammatory injury
Conclusions We demonstrate the negative effects of an American diet on physiology, behavior and recovery from injury. SAD consumption elevated pro-inflammatory mediators and increased microglial activation in the spinal cord. While there were sex differences in weight gain and inflammation, both sexes showed prolonged recovery from injury. Implications These data suggest that poor quality diet may increase susceptibility to chronic pain due to persistent peripheral and central immune system activation. Furthermore, consumption of a diet that is high in carbohydrates and omega-6 polyunsaturated fatty acid is likely to lead ...
Source: Scandinavian Journal of Pain - September 19, 2017 Category: Anesthesiology Source Type: research

Coping with pain in intimate situations: Applying the avoidance-endurance model to women with vulvovaginal pain
Conclusions This study indicates that the strategies women with vulvovaginal pain use for coping with sexual activities are important for the course of pain. Avoidance and, to a lesser degree, endurance strategies were identified as important mediators of the effects of catastrophizing on pain. When exploring the links over time, only avoidance emerged as a significant mediator. Implications In this longitudinal study, catastrophizing was linked to vulvovaginal pain, via avoidance and endurance of sexual activities. Hence, targeting catastrophizing early on in treatment, as well as addressing coping, may be important in cl...
Source: Scandinavian Journal of Pain - September 19, 2017 Category: Anesthesiology Source Type: research

Atlas of Pain Management Injection Techniques, 4th edition, S. Waldman. Elsevier (2017)
Publication date: Available online 18 September 2017 Source:Scandinavian Journal of Pain Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 19, 2017 Category: Anesthesiology Source Type: research

Hyperbaric oxygenation alleviates chronic constriction injury (CCI)-induced neuropathic pain and inhibits GABAergic neuron apoptosis in the spinal cord
Conclusions CCI-induced neuropathic pain was associated with increased apoptotic GABAergic neurons induced by activation of key proteins of mitochondrial apoptotic pathways in the dorsal horn of the spinal cord. HBO alleviated CCI-induced neuropathic pain and reduced GABAergic neuron apoptosis. The beneficial effect of HBO may be via its inhibitory role in CCI-induced GABAergic neuron apoptosis by suppressing mitochondrial apoptotic pathways in the spinal cord. Implications Increased apoptotic GABAergic neurons induced by activation of key proteins of mitochondrial apoptotic pathways in the dorsal horn of the spinal cord i...
Source: Scandinavian Journal of Pain - September 15, 2017 Category: Anesthesiology Source Type: research

Advances in Anesthesia, Vol. 33. Elsevier (2015)
Publication date: Available online 13 September 2017 Source:Scandinavian Journal of Pain Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 14, 2017 Category: Anesthesiology Source Type: research

A glimpse into a neglected population – Emerging adults
Publication date: Available online 12 September 2017 Source:Scandinavian Journal of Pain Author(s): Stephen Butler (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 13, 2017 Category: Anesthesiology Source Type: research

Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: A case series
Conclusion The results observed in this case series indicate that the ESP block may be a valuable therapeutic option in the management of PTPS. Its immediate analgesic efficacy provides patients with temporary symptomatic relief while other aspects of chronic pain management are optimized, and it may also often confer prolonged analgesia. Implications The relative simplicity and safety of the ESP block offer advantages over other interventional procedures for thoracic pain; there are few contraindications, the risk of serious complications (apart from local anesthetic systemic toxicity) is minimal, and it can be performed ...
Source: Scandinavian Journal of Pain - September 12, 2017 Category: Anesthesiology Source Type: research

Importance for patients of feeling accepted and understood by physicians before and after multimodal pain rehabilitation
Publication date: Available online 12 September 2017 Source:Scandinavian Journal of Pain Author(s): Maddy Greville-Harris (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 12, 2017 Category: Anesthesiology Source Type: research

Context sensitive regulation of pain and emotion: Development and initial validation of a scale for context insensitive avoidance
Conclusions We found support for the final version of our instrument, capturing one prominent aspect of context insensitivity. Avoidance of expression was related to higher ratings of pain, disability, catastrophizing and suppression as well as to lower levels of self-compassion. We encourage further studies to explore the impact of context insensitive avoidance for regulating pain and associated negative emotions. Yet, more research is needed that goes beyond self-report and includes other aspects of context. It is urgent to develop systematic ways for assessing context insensitivity, as it will enhance our understanding ...
Source: Scandinavian Journal of Pain - September 12, 2017 Category: Anesthesiology Source Type: research

Is the search for a “pain personality” of added value to the Fear-Avoidance-Model (FAM) of chronic pain?
Publication date: Available online 12 September 2017 Source:Scandinavian Journal of Pain Author(s): Katja Boersma (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 12, 2017 Category: Anesthesiology Source Type: research

Chronic low back pain and the transdiagnostic process: How do cognitive and emotional dysregulations contribute to the intensity of risk factors and pain?
Conclusions Our results indicate an important role of some dimensions of difficulties in emotional regulation, somatosensory amplification and rumination in the increase in negative affects and dysfunctional beliefs, and in the links between those psychological risk factors and pain/disability. Implications This study identifies some cognitive and emotional dysregulations substantially involved in work-related chronic pain. This contribute to put in place psychotherapeutic protocols to tackle these deficits and dysregulations in a relevant way. (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 11, 2017 Category: Anesthesiology Source Type: research

Physical Diagnosis of Pain, 3rd ed., S. Waldman (2016)
Publication date: Available online 11 September 2017 Source:Scandinavian Journal of Pain Author(s): Harald Breivik (Source: Scandinavian Journal of Pain)
Source: Scandinavian Journal of Pain - September 11, 2017 Category: Anesthesiology Source Type: research