Reliability, Discriminative, and Prognostic Validity of the Multidimensional Symptom Index in Musculoskeletal Trauma
Discussion:
The MSI holds promise as a tool for evaluating change, screening for MDD, and identifying those at high or low risk of poor recovery. The results favor sensitivity over specificity. The labile nature of the acute pain symptoms and a truncated distribution of Nonsomatic Symptoms scores in that group both require some caution in interpretation. The MSI appears to be a potentially useful tool for rapid pain phenotyping, evaluation, and quick screening purposes in clinical practice. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Impaired School Functioning in Children With Chronic Pain: A National Perspective
This study extends evidence linking chronic pain status to poorer school functioning in a large, national sample. Poor school functioning is a pressing public concern affecting children with chronic pain. Health care providers, educators, policymakers, and families should work together to ensure that needs are met for this vulnerable population. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
The Effects of a Pain Psychology and Neuroscience Self-Evaluation Internet Intervention: A Randomized Controlled Trial
Discussion:
A brief PPN self-evaluation intervention, presented on-line, can yield short-term improvements in musculoskeletal pain severity and interference, especially for people with spinal/localized pain rather than FM, perhaps because the psychology/neuroscience perspective is more novel for such patients. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Development and Initial Evaluation of the Patterns of Activity Measure—Pain Short Form
Discussion:
The short-form of the POAM-P possesses good psychometric properties and correlates well with the long-form of the measure. It appears to be a promising addition to existing measures of pain-related activity. It may be useful as an addition to questionnaire batteries that comprehensively assess the psychosocial functioning of individuals with ongoing pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Increased Experimental Pain Sensitivity in Chronic Pain Patients Who Developed Opioid Use Disorder
We examined for differences in response to static and dynamic experimental pain stimuli between individuals with chronic nonmalignant pain who developed OUD after starting opioid therapy (n=20) and those on opioid therapy who did not (n=20). During a single experimental session, participants underwent cold pressor and quantitative sensory testing pain assays, and objective and subjective responses were compared between groups; the role of pain catastrophizing in mediating pain responses was examined.
Results:
Results suggested that both groups of opioid-dependent patients were similarly hyperalgesic to the cold pressor ...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Race, Social Status, and Depressive Symptoms: A Moderated Mediation Analysis of Chronic Low Back Pain Interference and Severity
The objective of this study was to assess whether self-identified race moderated the relationship between perceived social status and cLBP outcomes (pain interference and pain severity) and investigate whether race moderated the indirect relationship between perceived social status and pain outcomes via depressive symptoms.
Methods:
Fifty-seven blacks and 48 whites with cLBP were recruited as part of a large ongoing study. Depressive symptoms, objective and subjective measures of socioeconomic status, and pain outcomes were measured. Hayes’ moderated mediation model was used to estimate conditional direct and indirect...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
What Works? Processes of Change in a Transdiagnostic Exposure Treatment for Patients With Chronic Pain and Emotional Problems
Discussion:
Our findings provide initial support for the transdiagnostic theoretical underpinnings of the hybrid treatment model. Using a hybrid treatment approach that centers on teaching patients emotion-regulation skills before commencing broad exposure successfully influenced both pain-related dysregulation and general emotion dysregulation, which in turn was associated with better treatment outcomes. It appears central to address these processes in pain patients with comorbid emotional problems, especially among patients scoring high on measures of catastrophizing, fear-avoidance, and nonacceptance of pain. (Source:...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Associations Among Sleep Disturbance, Pain Catastrophizing, and Pain Intensity for Methadone-maintained Patients With Opioid Use Disorder and Chronic Pain
This study examined the cross-sectional associations among pain intensity, pain catastrophizing, and sleep disturbance among patients receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) and reporting co-occurring chronic pain.
Materials and Methods:
Participants were 89 individuals with OUD and chronic pain drawn from a larger cross-sectional study of 164 MMT patients who completed a battery of self-report measures. The authors conducted 6 mediation models to test all possible pathways (ie, each variable tested as an independent variable, mediator, or dependent variable).
Results:
The only s...
Source: The Clinical Journal of Pain - August 13, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
The Impact of Psychological Interventions on Posttraumatic Stress Disorder and Pain Symptoms: A Systematic Review and Meta-Analysis: Erratum
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Erratum Source Type: research
Which Psychological Factors Are Involved in the Onset and/or Persistence of Musculoskeletal Pain? An Umbrella Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies
The objective of this study was to summarize the current status of knowledge about the longitudinal association between vulnerability or protective psychological factors and the onset and/or persistence of musculoskeletal (MSK) pain.
Methods:
PubMed, CINAHL, PsycINFO, PubPsych, Scopus, Web of Science, gray literature, and manual screening of references were searched from inception to June 15, 2019. Systematic reviews with or without meta-analysis that explored the longitudinal association between psychological factors and the onset and/or persistence of MSK pain were identified. The AMSTAR-2 tool was used to assess the ...
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Review Article Source Type: research
Dexmedetomidine 2 ppm Is Appropriate for the Enhancement Effect of Local Anesthetic Action of Lidocaine in Inferior Alveolar Nerve Block: A Preliminary, Randomized Cross-over Study
Objective:
Local anesthesia is essential for pain management in dentistry. The duration of anesthetic action of the addition of 5.0 and 7.5 ppm of dexmedetomidine (DEX) was significantly longer than the addition of adrenaline, and the mean duration of anesthetic action of the addition of 2.5 ppm DEX was also longer than the addition of adrenaline. We hypothesized that it is possible to safely achieve an equal local anesthesia effect as with 1:80,000 adrenaline, without using adrenaline or felypressin, by the addition of (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
A Randomized Controlled Comparison of Epidural Analgesia Onset Time and Adverse Reactions During Labor With Different Dose Combinations of Bupivacaine and Sufentanil
Objectives:
The purpose was to compare the effects of 3 different dose combinations of bupivacaine and sufentanil on the onset of analgesia and the occurrence of side effects.
Materials and Methods:
One hundred sixty-nine pregnant women were randomly assigned to 3 groups: the B1S5 group received 0.1% bupivacaine+5 μg sufentanil in 15 mL; the B125S5 group received 0.125% bupivacaine+5 μg sufentanil in 15 mL; and the B1S10 group received 0.1% bupivacaine+10 μg sufentanil in 15 mL. The primary outcome was the analgesic onset time, and the secondary outcomes were mode of delivery, patient satisfaction, mate...
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Exercise-induced Hypoalgesia Is Impaired in Chronic Whiplash-associated Disorders (WAD) With Both Aerobic and Isometric Exercise
This study aimed to: (1) compare EIH in participants with chronic whiplash-associated disorders (WAD) to asymptomatic controls, (2) determine if EIH differs between aerobic and isometric exercise, (3) determine predictors of EIH.
Materials and Methods:
A pre-post study investigated the effect of single sessions of submaximal aerobic treadmill walking and isometric knee extension on EIH in 40 participants with chronic WAD and 30 controls. Pressure pain thresholds were measured at the hand, cervical spine, and tibialis anterior. Pain intensity, reported previous week physical activity, temporal summation, and conditioned ...
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
Can Headache Profile Predict Future Disability: A Cohort Study
Objective:
The aim of this study was to determine if headache profile can predict future disability in patients with tension-type headache (TTH).
Materials and Methods:
Eighty-three individuals with TTH were recruited. To be included in the study participants needed to fulfill the International Headache Society classification’s criteria for episodic or chronic TTH form and to be at least 18 years old. Baseline clinical outcomes (headache and neck-related disability, kinesiophobia, self-efficacy, and anxiety) and physical outcomes (neck extensors muscles maximum voluntary contraction) were collected for all participa...
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
No Evidence of Altered Reactivity to Experimentally Induced Pain Among Regular Cannabis Users
This study explored differences in measures of pain intensity and tolerance. The authors hypothesized that individuals who report frequent CU would demonstrate greater experimental pain sensitivity.
Materials and Methods:
Frequent cannabis users (≥3× per week; n=40) and nonusers (n=40) were compared on pain sensitivity, pain tolerance, and pain intensity in response to a cold-pressor task. Group differences were examined.
Results:
Frequent CU was not associated with hyperalgesia as cannabis users and nonusers did not exhibit differences on measures of pain tolerance (t(78)=−0.05; P=0.96), sensitivity (t(78)=−0...
Source: The Clinical Journal of Pain - July 29, 2020 Category: Anesthesiology Tags: Original Articles Source Type: research
