The Effect of Psychological Interventions on the Prevention of Chronic Pain in Adults: A Systematic Review and Meta-analysis
Discussion:
This systematic review and meta-analysis showed no significant effect of psychological interventions on pain intensity. A positive and significant trend related to these interventions was shown on disability and coping with pain, when compared with standard treatment and information, respectively. However, these findings must be interpreted with caution considering the limited sample of trials. More rigorous randomized controlled trials performed in patients with a high-risk psychological profile are required to elucidate the efficacy of psychological interventions in preventing chronic pain. (Source: The C...
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Review Article Source Type: research
Implementation and Evaluation of the Premature Infant Pain Profile-revised (PIPP-R) e-Learning Module for Assessing Pain in Infants
Discussion:
Nurses’ evaluation of the PIPP-R e-Learning module was overwhelmingly positive. The module was perceived as easy to implement, clinically useful, and was considered as a promising online educational tool. Further testing in clinical practice is needed to build on the results of this study and support the importance of dissemination of this module for standardized training purposes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty
Objectives:
Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome.
Methods:
A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. The control group (N=132) received spinal anesthesia with periarticular injection (PAI) and the treatment group (N=78) received transmuscular quadratus lumborum block and lateral femoral cutaneous nerve block in addition to spinal anesthesia and PAI. The primary outcome was visual analog scale (VAS) pain score on postoperative day (POD) 1, and secondary outcomes included...
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Continuous Pectoral Nerve Block Compared With Continuous Thoracic Paravertebral Block and Intravenous Opioid Analgesia for the Postoperative Analgesic Efficacy in Patients Undergoing Modified Radical Mastectomy: A Prospective Randomized Trial
Objectives:
Postoperative pain following mastectomy is often severe and pain management is necessary. We evaluated the analgesic efficacy of continuous pectoral nerve block (PEC) in comparison with that of the continuous thoracic paravertebral block (TPVB) and the intravenous opioid analgesia in patients scheduled for modified radical mastectomy (MRM).
Materials and Methods:
A total of 90 female patients aged 20 to 70 years, American Society of Anesthesiologists (ASA) I to III, undergoing unilateral MRM were randomly allocated into 3 groups. All patients received postoperative morphine patient-controlled analges...
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Well-being and Perceived Stigma in Individuals With Rheumatoid Arthritis and Fibromyalgia: A Daily Diary Study
Discussion:
Findings highlight that the absence of clearly defined symptoms and pathophysiology could be contributing to greater feelings of stigmatization, which may be detrimental for ICPs’ well-being. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Does Pain Acceptance Buffer the Negative Effects of Catastrophizing on Function in Individuals With Chronic Pain?
This study aimed to: (1) assess the independent roles of pain catastrophizingand pain acceptance as predictors of pain intensity, pain interference, and depression; and (2) evaluate the potential moderating role of pain acceptance on the association between pain catastrophizing and both pain and function.
Materials and Methods:
A sample of 467 adults with chronic pain completed an online survey including measures of pain intensity, pain interference, depression, pain catastrophizing, and pain acceptance.
Results:
Pain catastrophizing and pain acceptance were independent predictors of pain interference. Only p...
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Pain and Disability in Low Back Pain Can be Reduced Despite No Significant Improvements in Mechanistic Pain Biomarkers
This study investigated whether the quantitative sensory testing (QST) profile changes in people undergoing rehabilitation for LBP.
Design:
A prospective, observational case-control study.
Methods:
Forty males and females, 18 to 40 years’ old (20 with LBP) participated in 2 sessions. QST was performed at baseline and after discharge from rehabilitation (LBP) or after 3 to 8 weeks (controls). The QST battery consisted of determining pressure-pain thresholds at the low back and shoulder, temporal summation of pain, and conditioned pain modulation. Questionnaire data was used to determine pain (Numeric Rating ...
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Adverse Childhood Experiences and Chronic Pain Rehabilitation Treatment Outcomes in Adults
Discussion:
ACE exposure appears common among treatment-seeking adults with chronic pain and is associated with increased clinical complexity. However, adults with and without exposure to ACEs endorsed significant improvements in pain and functioning following participation in an interdisciplinary pain rehabilitation program. This model of treatment may be especially well situated to address the biopsychosocial contributions to pain among those with a history of adversity. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Low Back Pain Flares: How do They Differ From an Increase in Pain?
Discussion:
These findings highlight that when individuals with LBP consider they have a flare, they do not always have greater than average pain, but have worse psychosocial features. This emphasizes that flare has broader dimensions than pain alone. Consideration of flare according to broad dimensions is important when investigating symptom fluctuations across different LBP trajectories. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - April 16, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Movement-evoked Pain (MEP)
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
Longitudinal Narrative Analysis of Parent Experiences During Graded Exposure Treatment for Children With Chronic Pain
This study aimed to characterize caregivers’ experiences over the course of their child’s GET using longitudinal coding and thematic analysis of parent narratives.
Materials and Methods:
Parent narratives of 15 youth who participated in GET for pediatric chronic pain (GET Living) were elicited from an unstructured dialogue at the start of each treatment session held between the parent(s) and pain psychologist. Narratives were coded for affect and content, and trends were examined in these codes across sessions. Common themes in parent narratives were developed through inductive thematic analysis.
Results:
...
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research
Intranasal Ketamine for Acute Pain
Discussion:
The current body of evidence is insufficient to support the use of intranasal ketamine over other standard therapies for acute pain. However, current evidence can be used when developing dosing strategies, preparing for adverse reactions, and generating hypotheses for future, more robust research. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research
Systematic Review of Autonomic Nervous System Functioning in Pediatric Chronic Pain
Discussion:
Additional studies with larger and more diverse samples of youth with various chronic primary pain conditions are needed to delineate possible relationships among ANS functioning and the development and maintenance of chronic pain in children and adolescents. Clinical implications and avenues for future research are discussed. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research
Brief Psychological Interventions for Reducing Prescription Opioid Use, Related Harm, and Pain Intensity in Patients With Chronic Pain: A Systematic Review and Assessment of Patient Interest
Discussion:
In combination, these findings highlight the inconsistency between patient demand and the availability of evidence for BPIs targeting opioid use, related harm, and pain intensity. Future work should examine the effectiveness of BPIs in higher quality studies. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research
Behavioral Test (BAT-Back): Preliminary Evidence for a Successful Predictor of Treatment Outcome After Exposure Treatment for Chronic Low Back Pain
This study examined pretreatment self-report and behavioral measures as predictors of treatment outcome for n=43 patients experiencing disabling chronic low back pain, who took part in a randomized controlled trial in which they received 10 to 15 sessions of exposure treatment. Only patients with elevated fear avoidance based on self-report measures were included. Data were analyzed using regression analyses and classification and regression trees.
Results:
Regression analyses showed that higher avoidance behavior at pretreatment as measured by the Behavioral Avoidance Test—Back Pain (BAT-Back) significantly predi...
Source: The Clinical Journal of Pain - March 11, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
