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Therapy: Pain Management

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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

Treatment Seeking and Self-Constructed Explanations of Pain and Pain Management Strategies Among Adolescents with Temporomandibular Disorder Pain.
CONCLUSION: Adolescents living with TMD pain develop self-constructed explanations and pain management strategies. With access to these descriptions, dentists can be better prepared to have a dialogue with their adolescent patients about their own explanations of pain, the nature of pain, and in which situations the pain appears. Dentists can also explore adolescent patients' pain management strategies and perhaps also suggest new treatment strategies at an earlier stage. PMID: 27128476 [PubMed - as supplied by publisher]
Source: Journal of Orofacial Pain - April 30, 2016 Category: ENT & OMF Tags: J Oral Facial Pain Headache 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

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

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

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

An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes.
Conclusion: Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted. PMID: 29849842 [PubMed - in process]
Source: Pain Research and Management - June 1, 2018 Category: Anesthesiology Authors: Anamkath NS, Palyo SA, Jacobs SC, Lartigue A, Schopmeyer K, Strigo IA Tags: Pain Res Manag Source Type: research

Pain Behaviour Scale (PaBS): An Exploratory Study of Reliability and Construct Validity in a Chronic Low Back Pain Population.
Conclusion: The Pain Behaviour Scale is a valid and reliable tool for measuring the presence and severity of pain behaviour, and the physical performance tests are reliable tests. PMID: 30863470 [PubMed - in process]
Source: Pain Research and Management - March 15, 2019 Category: Anesthesiology Authors: Alamam DM, Leaver A, Moloney N, Alsobayel HI, Alashaikh G, Mackey MG Tags: Pain Res Manag Source Type: research

Pain Acceptance and Its Associated Factors among Cancer Patients in Mainland China: A Cross-Sectional Study.
Conclusions: The findings suggest that the prevalence of pain acceptance is relatively low for Chinese cancer patients. The cancer pain acceptance is affected by age, gender, pain duration, number of pain sites, and duration of taking analgesics. The acceptance of cancer pain is negatively correlated with depression and anxiety. Therefore, patients with risk factors for low pain acceptance should receive more attention in Chinese medical settings. PMID: 30906486 [PubMed - in process]
Source: Pain Research and Management - March 26, 2019 Category: Anesthesiology Authors: Xu X, Ou M, Xie C, Cheng Q, Chen Y Tags: Pain Res Manag Source Type: research

Predicting Acute Postoperative Pain Trajectories and Long-Term Outcomes of Adolescents after Spinal Fusion Surgery.
Discussion. Preoperative assessment and analyzing the progression of pain in the acute postoperative period can help identify those at risk of negative long-term outcomes after surgery. PMID: 32184913 [PubMed - in process]
Source: Pain Research and Management - March 19, 2020 Category: Anesthesiology Authors: Ocay DD, Li MMJ, Ingelmo P, Ouellet JA, Pagé MG, Ferland CE Tags: Pain Res Manag Source Type: research

Central Sensitivity Is Associated with Poor Recovery of Pain: Prediction, Cluster, and Decision Tree Analyses.
Abstract The process of pain recovery varies and can include the recovery, maintenance, or worsening of symptoms. Many cases of patients with pain show a tendency of recovering as predicted; however, some do not. The characteristics of cases that do not fit the prediction of pain recovery remain unclear. We performed cluster and decision tree analyses to reveal the characteristics in cases that do not fit the prediction of pain recovery. A total of 43 patients with musculoskeletal pain (nonoperative: 22 patients, operative: 13 patients) and central pain (brain disease: 5 patients, spinal cord disease: 3 patients) ...
Source: Pain Research and Management - November 14, 2020 Category: Anesthesiology Authors: Shigetoh H, Koga M, Tanaka Y, Morioka S Tags: Pain Res Manag Source Type: research

Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study.
Conclusion: The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice. PMID: 33312317 [PubMed - in process]
Source: Pain Research and Management - December 16, 2020 Category: Anesthesiology Authors: Wuni A, Salia SM, Mohammed Ibrahim M, Iddriss I, Abena Nyarko B, Nabila Seini S, Tonsagri I, Mohammed J Tags: Pain Res Manag Source Type: research