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Clinical Journal of Pain

Pamela Angle, Christine Kurtz Landy, Jasmine Djordjevic, Jon Barrett, Alanna Kibbe, Saiena Sriparamananthan, Yuna Lee, Lydia Hamata, Alex Kiss
OBJECTIVES: The Angle Labor Pain Questionnaire (A-LPQ) is a new, condition-specific, multidimensional psychometric instrument which measures the most important dimensions of women's childbirth pain experiences using 5 subscales: The Enormity of the Pain, Fear/Anxiety, Uterine Contraction Pain, Birthing Pain and Back Pain/Long Haul. This study assessed the A-LPQ's test-retest reliability during early active labor without pain relief. METHODS: Two versions of the A-LPQ were randomly administered during 2 test sessions separated by a 20 minute window...
September 28, 2016: Clinical Journal of Pain
Anoop Kuttikat, Maliha Shaikh, Amin Oomatia, Richard Parker, Nicholas Shenker
OBJECTIVES: Delays in diagnosis occur with Complex Regional Pain Syndrome (CRPS). We define and prospectively demonstrate that novel bedside tests measuring body perception disruption can identify patients with CRPS post-fracture. METHODS: The objectives of our study were to define and validate four bedside tests; to identify the prevalence of positive tests in patients with CRPS and other chronic pain conditions and to assess the clinical utility (Sensitivity; Specificity; Positive Predictive value; Negative Predictive Value) for identifying CRPS within a Fracture cohort...
September 21, 2016: Clinical Journal of Pain
Lauren E Friedman, Bizu Gelaye, Paul A Bain, Michelle A Williams
BACKGROUND: Previous studies have demonstrated an association between migraine and major depressive disorder. However, relatively little is known about the relationship between suicidal ideation, with or without concurrent depression, and migraine. OBJECTIVE: We conducted a systematic literature review to synthesize the available research focused on investigating the association of migraine with suicidal ideation. METHODS: Relevant research papers were identified through searches of major electronic databases including PubMed, Embase (Elsevier), Web of Science (Thomson Reuters), PsycINFO (EBSCO), and Google Scholar...
September 17, 2016: Clinical Journal of Pain
Karen D Davis, David A Seminowicz
No abstract text is available yet for this article.
September 17, 2016: Clinical Journal of Pain
Britt Larsson, Björn Gerdle, Jonas Björk, Anna Grimby-Ekman
OBJECTIVES: Individuals with chronic pain often report increased pain sensitivity compared to pain free individuals, so it is crucial to determine if and how different pain characteristics influence or interact with pain sensitivity. An alternative to experimental pain sensitivity testing is the self-reported pain sensitivity questionnaire (PSQ), that captures pain sensitivity in various body areas.This study compares PSQ in individuals with and without pain and clarifies how pain sensitivity relates to spreading of pain on the body, and to intensity, frequency, duration of pain and to age and sex...
September 17, 2016: Clinical Journal of Pain
Jennifer Scheel, Reinhard Sittl, Norbert Griessinger, Marion Strupf, Andreas Parthum, Violeta Dimova, Claudia Horn-Hofmann, Falk Thiel, Matthias W Beckmann, Stefan Lautenbacher
OBJECTIVES: Psychological parameters have been shown to contribute significantly to the development of acute postoperative pain (APOP). For the prediction of APOP in chest malformation patients and cancer patients, we found pain-specific psychological predictors to be of higher relevance than general psychological predictors. The current study aims to further substantiate these findings. METHODS: In a sample of 73 middle-aged hysterectomy patients, three predictor sets were assessed 1 day before surgery: attentional biases (towards pain-related, social threat, and positive words in a dot-probe task), pain-related emotions and cognitions (pain anxiety, pain catastrophizing, and pain hypervigilance), and affective state variables (depression and somatization)...
September 17, 2016: Clinical Journal of Pain
Marco Barbero, Deborah Falla, Corrado Cescon
No abstract text is available yet for this article.
September 10, 2016: Clinical Journal of Pain
Shlomit Yust Katz, Ronly Hershkovitz, Tanya Gurevich, Ruth Djaldetti
OBJECTIVE: Pain is one of the most common non-motor symptoms of Parkinson disease (PD) and other Parkinson plus syndromes, with a major effect on quality of life. The aims of the study were to examine the prevalence and characteristics of pain in PD and other Parkinson plus syndromes and patient use and response to pain medications. METHODS: The cohort consisted of 371 patients: 300 (81%) with PD and 71 (19%) with Parkinson plus syndromes. Data on clinical parameters and pain were collected by questionnaire...
September 10, 2016: Clinical Journal of Pain
Mark P Jensen, Catarina Tomé-Pires, Rocío de la Vega, Santiago Galán, Ester Solé, Jordi Miró
Reliable and valid measures of pain intensity are needed to accurately evaluate the efficacy of pain treatments. Perhaps with the exception of FACES pain intensity scales, which are thought to reflect both pain intensity and pain affect, the other most commonly used pain intensity scales - Numerical Rating Scales (NRSs), Visual Analogue Scales, and Verbal Rating Scales (VRSs) - are all thought to reflect primarily pain intensity or the magnitude of felt pain. However, to our knowledge, this assumption has not been directly tested for VRSs...
August 31, 2016: Clinical Journal of Pain
Nichola Elvery, Mark P Jensen, Dawn M Ehde, Melissa A Day
OBJECTIVES: It is not known if psychosocial chronic pain treatments produce benefits via the unique mechanisms specified by theory. Fundamental to gaining an accurate understanding of this issue is to first determine if the most widely used process measures assess unique constructs and predict unique variance in pain outcomes. This study examined the associations between the Pain Catastrophizing Scale (PCS), Five-Facet Mindfulness Questionnaire (FFMQ-SF) and the Chronic Pain Acceptance Questionnaire (CPAQ-8), and determined their unique contributions to the prediction of pain intensity, pain interference and depression...
August 31, 2016: Clinical Journal of Pain
Nitya Bakshi, Meagan Smith, Diana Ross, Lakshmanan Krishnamurti
BACKGROUND: Available modalities for the longitudinal capture and analysis of pain intensity in patients with sickle cell disease (SCD) limit our ability to study intra-and inter-individual variation in pain and the factors influencing the transition from acute to chronic pain in patients with SCD. OBJECTIVES: The objectives of this study were to determine the feasibility of electronic capture of longitudinal outpatient pain intensity data and to test the applicability of novel metrics in the study of intra- and inter-individual variation in pain in patients with SCD...
August 31, 2016: Clinical Journal of Pain
Martin Offenbaecher, Jessie Dezutter, Niko Kohls, Claudia Sigl, Miguel A Vallejo, Javier Rivera, Felix Bauerdorf, Jörg Schelling, Ann Vincent, Jameson K Hirsch, Fuschia M Sirois, Jon R Webb, Loren L Toussaint
OBJECTIVES: We compared the magnitude and direction of associations between forgiveness and pain, mental and physical health, quality of life, and anger in a sample of fibromyalgia (FMS) patients and healthy controls. In addition, we compared FMS and controls on mean levels of these variables. METHODS: 173 FMS patients and 81 controls completed this study. Patients and controls were residents of Germany recruited with the support of the German Fibromyalgia Patient Association and several self-help groups...
August 31, 2016: Clinical Journal of Pain
Barbara K Bruce, Chelsea M Ale, Tracy E Harrison, Susan Bee, Connie Luedtke, Jennifer Geske, Karen E Weiss
OBJECTIVE: This study examined key functional outcomes following a 3-week interdisciplinary pediatric pain rehabilitation program for adolescents with chronic pain. Maintenance of gains was evaluated at three-month follow-up. METHODS: Participants included 171 adolescents (12-18 y of age) with chronic pain who completed a hospital-based outpatient pediatric pain rehabilitation program. Participants completed measures of functional disability, depressive symptoms, pain catastrophizing, opioid use, school attendance, and pain severity at admission, discharge, and at 3-month follow-up...
August 31, 2016: Clinical Journal of Pain
Yue-Juan Shao, Wei-Shuai Liu, Bing-Qing Guan, Jian-Lei Hao, Kai Ji, Xian-Jiang Cheng, Kun Wang
OBJECTIVES: Literature is limited on the relationship between opiate analgesics and the development of infections in cancer patients. This study aimed to determine whether opiate analgesics contribute to the advancement of infections and how infection rates differ among the various opiates used for cancer management. METHODS: From January 2013 to October 2014, we retrospectively analyzed 642 consecutive advanced cancer patients who received single types of opiates, including morphine, oxycodone, or fentanyl, or the combination of these drugs, continuously for more than 14 days...
August 12, 2016: Clinical Journal of Pain
Marie-Eve Martel, Frédérick Dionne, Whitney Scott
OBJECTIVE: Perceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame, and a sense of unfairness. Recent findings suggest that perceived injustice is an important risk factor for elevated disability associated with chronic pain. However, the mechanisms by which this perception leads to disability are not well understood. Therefore, the current study aimed to examine the mediating role of pain acceptance on the relation between perceived injustice and chronic pain outcomes (pain intensity, pain-related disability, and psychological distress)...
August 12, 2016: Clinical Journal of Pain
Henrik Bjarke Vaegter, Gitte Handberg, Claus Emmeluth, Thomas Graven-Nielsen
OBJECTIVES: Chronic pain after total knee replacement (TKR) is not uncommon. Preoperative impaired conditioning pain modulation (CPM) has been used to predict chronic postoperative pain. Interestingly, exercises reduce pain sensitivity in patients with knee osteoarthritis. This pilot study investigated the association between exercise-induced hypoalgesia (EIH) and CPM on post-TKR pain relief. METHODS: Before and six months post-TKR, 14 patients with chronic knee osteoarthritis performed the cold pressor test on the non-affected leg and two exercise conditions (bicycling and isometric knee extension), randomized and counterbalanced...
August 12, 2016: Clinical Journal of Pain
John Z Srbely, Dinesh A Kumbhare, Lukas Linde
No abstract text is available yet for this article.
August 11, 2016: Clinical Journal of Pain
Christopher M Murtaugh, Katherine L Beissner, Yolanda Barrón, Melissa A Trachtenberg, Eileen Bach, Charles R Henderson, Sridevi Sridharan, M Carrington Reid
OBJECTIVES: To describe racial/ethnic group differences in pain presentation and the prevalence of psychosocial factors among patients admitted to home health care, and to determine the extent of racial/ethnic group differences in the association of psychosocial factors with pain intensity and pain-related disability. METHODS: We analyzed cross-sectional data on 588 patients with activity-limiting pain admitted to home care for physical therapy. Three psychosocial factors were assessed: depressive symptoms, pain self-efficacy, and health literacy...
August 11, 2016: Clinical Journal of Pain
Dinesh A Kumbhare, Alyaa H Elzibak, Michael D Noseworthy
Numerous neuroimaging techniques have been recently used to investigate central mechanisms involved in pain perception and to examine morphological and functional brain alterations associated with chronic pain. These imaging methods serve as objective means of evaluating chronic pain and they provide further insight into neurological signatures of chronic pain. Compared to self-reporting approaches, objective imaging techniques are expected to potentially lead to better pain management. This comprehensive scoping review aims at identifying recent magnetic resonance imaging (MRI) approaches that have been used to characterize the brain of chronic pain subjects, using structural, chemical and functional MRI techniques...
August 11, 2016: Clinical Journal of Pain
Tao Gao, Juan-Juan Zhang, Feng-Chan Xi, Jia-Liang Shi, Yi Lu, Shan-Jun Tan, Yu Wen-Kui
BACKGROUND: Transversus abdominis plane (TAP) block reduce opiate requirements and pain Scores in abdominal surgery, but the effect has not been evaluated in hernia surgery. The aim of this study was to evaluate the efficacy of TAP block in hernia surgery. METHODS: A meta-analysis of randomized clinical trials (RCTs) evaluating the effect of TAP block in adults undergoing hernia surgery was performed. The primary outcomes were morphine requirements 24 hours after surgery and the number of rescue analgesia patients...
August 11, 2016: Clinical Journal of Pain
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