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Mindfulness Chronic Pain

Adina C Rusu, Hannah Gajsar, Michael-Christian Schlüter, Yara-Inken Bremer
OBJECTIVES: Information processing biases such as attentional biases, interpretation biases and memory biases are supposed to play a role in the exacerbation and maintenance of chronic pain. Current research in the area of cognitive biases shows that all these biases seem to have an influence on attention to, interpretation of and recall of pain and can lead to maladaptive strategies and the exacerbation of pain. METHODS: We conducted a narrative literature review, considering evidence extracted from various databases including PubMed, MEDLINE, Science Direct and ProQuest...
November 28, 2018: Clinical Journal of Pain
Nuha Alammar, Ellen Stein
Irritable bowel syndrome (IBS) is present in patients with symptoms of chronic abdominal pain and altered bowel habits but no identifiable organic etiology. Rome IV classification groups patients based on predominant stool pattern. Low-FODMAP diets have been helpful in providing symptom relief, as have cognitive behavioral and mind-body techniques that help patients manage symptoms. Targeted symptomatic relief for the patient's predominant symptoms provides relief in addition to effective older medications that are inexpensive and reliable...
January 2019: Medical Clinics of North America
Mark A Lumley, Howard Schubiner
OBJECTIVE: Chronic pain is a significant health problem that is increasing in prevalence, and advances in treatment are needed. METHODS: We briefly review the leading evidence-based psychological therapies for chronic pain-cognitive-behavioral and acceptance / mindfulness-based therapies-and examine several limitations and missing perspectives of these approaches. We review six lesser-known interventions that address these limitations, and we describe our integrative model for psychological assessment and treatment of centralized pain...
November 19, 2018: Psychosomatic Medicine
Hussein Hmadeh, Christian Saliba, Mohamad Raka, Hammam Ahmad Farhat, Ali Dabbous, Samer Diab, Layan Abbas, Ali Wehbe
BACKGROUND Bowel obstruction is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Intestinal malrotation is one of the rarest causes of mechanical bowel obstruction. In adults, the incidence rate is 0.2%, and 15% of all patients with confirmed diagnosis remain asymptomatic throughout life. Surgery is generally required when the patient is symptomatic. CASE REPORT A 30-year-old man with multiple admissions for chronic intermittent colicky abdominal pain since childhood, was admitted for symptoms suggestive of proximal small bowel obstruction...
November 15, 2018: American Journal of Case Reports
Emre Ozer, Demet Seker, Emir Taner, Amra Adrovic, Sezgin Sahin, Kenan Barut, Ozgur Kasapcopur
OBJECTIVES: The aim of this study is to evaluate the frequency of juvenile spondyloarthropathies (JSpA) in childhood familial Mediterranean fever (FMF) patients from a single tertiary centre. Additionally, we aimed to investigate the main clinical characteristics of FMF patients with coexistence of JSpA clinical features. METHODS: We evaluated 323 paediatric FMF patients who were followed at our clinic. All of the patients were evaluated by three different investigators (EO, DS, ET) for the presence of JSpA clinical signs, according to the recently proposed JSpA criteria...
November 5, 2018: Clinical and Experimental Rheumatology
Valerie Hruschak, Gerald Cochran, Ajay D Wasan
OBJECTIVE: Opioid misuse in the context of chronic noncancer pain (CNCP) is a multifaceted and complex issue. As opioid misuse and corresponding rates of addiction and overdose deaths exceed epidemic proportions, there is an urgent need for research in this area. The objective of this review is to evaluate the literature addressing psychosocial interventions targeting CNCP and prescription opioid misuse. DESIGN: A systematic search of PubMed, MEDLINE, PsychINFO, ClinicalTrials...
September 2018: Journal of Opioid Management
Bahtiyar Haberal, Duygu Turkbey Simsek, Ekin Kaya Simsek
Schwannomas (also called neurilemmomas) are slow-growing nerve sheath tumors derived from Schwann cells. However, intraosseous schwannoma is a rare entity with an incidence of only 0.2% in overall primary bone tumors. The purpose of this case report is to present a case of an intraosseous schwannoma of the calcaneus. A 35-year-old woman was admitted to our outpatients' clinics with a complaint of long-time right heel pain (for approximately eight months). After a suspicious cystic lesion was observed on the patient's plain radiograph examination, a magnetic resonance imaging (MRI) was performed...
2018: Case Reports in Orthopedics
Yvette Ciere, Evelien Snippe, Mariëlle Padberg, Bram Jacobs, Annemieke Visser, Robbert Sanderman, Joke Fleer
OBJECTIVE: High affective reactivity to pain (i.e., increased negative affect in response to pain) can have an adverse impact on the well-being of individuals with chronic pain. The present study examined the role of momentary and average positive affect and trait mindfulness in protecting against affective reactivity to chronic migraine-related pain. METHODS: The sample included 61 adults with chronic migraine. Following the experience sampling method, participants completed smartphone-based assessments of momentary pain intensity (PI), positive affect (PA), and negative affect (NA) at nine random moments a day for 7 consecutive days...
October 29, 2018: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
Daria Yunina, Dikshya Sharma, Richard Fazio, Hossam Amin, Yuriy Tsirlin, Vijay Shetty
Congestive heart failure (CHF) is a chronic disease process affecting multiple organ systems and is associated with significant morbidity and mortality. We report a case of a 43-year-old male with a history of unspecified cardiomyopathy who presented to the hospital with abdominal pain, distention, and nausea for 4 months. He was diagnosed with left ventricular noncompaction and gastroparesis. While symptoms of dyspnea, orthopnea, or increasing peripheral edema are the first that come to mind when thinking of a CHF exacerbation, we must broaden our scope to include such things as nausea, vomiting, abdominal pain, and bloating which can also indicate worsening cardiac function...
2018: Case Reports in Cardiology
Beverley Burrell, Jennifer Jordan, Marie Crowe, Amanda Wilkinson, Virginia Jones, Shirley Harris, Deborah Gillon
Self-management programmes provide strategies to optimise health while educating and providing resources for living with enduring illnesses. The current paper describes the development of a community-based programme that combines a transdiagnostic approach to self-management with mindfulness to enhance psychological coping for older people with long-term multimorbidity. The six steps of intervention mapping (IM) were used to develop the programme. From a needs assessment, the objectives of the programme were formulated; the theoretical underpinnings then aligned to the objectives, which informed programme design, decisions on implementation, programme adoption and evaluation steps...
October 17, 2018: Nursing Inquiry
Juneyoung L Yi, Christina A Porucznik, Lisa H Gren, Jian Guan, Evan Joyce, Darrel S Brodke, Andrew T Dailey, Mark A Mahan, Robert S Hood, Brandon D Lawrence, William R Spiker, Nicholas T Spina, Erica F Bisson
BACKGROUND: Prescription opioid medications negatively affect postoperative outcomes after lumbar spine surgery. Furthermore, opioid-related overdose death rates in the U.S. increased by 200% between 2000 and 2014. Thus, alternatives are imperative. Mindfulness-based stress reduction (MBSR), a mind-body therapy, has been associated with improved activity and mood in opioid-using chronic pain patients. This study assessed whether preoperative MBSR is an effective adjunct to standard postoperative care in adult patients undergoing lumbar spine surgery for degenerative disease...
October 9, 2018: World Neurosurgery
Birgitta Häggman-Henrikson, EwaCarin Ekberg, Dominik A Ettlin, Ambra Michelotti, Justin Durham, Jean-Paul Goulet, Corine M Visscher, Karen G Raphael
The biopsychosocial model is advocated as part of a more comprehensive approach in both medicine and dentistry. However, dentists have not traditionally been taught psychosocial screening as part of their predoctoral education. The aim of this systematic review was to provide an overview of published studies on the implementation of screening for psychological comorbidity in dental and dental hygiene education. The term "psychological comorbidity" refers to the degree of coexisting anxiety, depression, or other mental health problems in a patient presenting with a physical condition...
October 2018: Journal of Dental Education
Jasmine Heath Hearn, Imogen Cotter, Katherine Anne Finlay
OBJECTIVES: To explore the feasibility and efficacy of web-based mindfulness training for carers of people with spinal cord injury (SCI) DESIGN: Randomized controlled feasibility study with three-month follow-up. SETTING: Community setting. PARTICIPANTS: Spouses/family caregivers of people with SCI and chronic neuropathic pain were recruited via the direct care team and advertisements. Participants were aged over 18 years (no upper age limit), with internet access for the duration of the study...
September 27, 2018: Archives of Physical Medicine and Rehabilitation
Nayoung Han, Seung Hee Han, Hyuneun Chu, Jaehyun Kim, Ki Yon Rhew, Jeong-Hyun Yoon, Nam Kyung Je, Sandy Jeong Rhie, Eunhee Ji, Euni Lee, Yon Su Kim, Jung Mi Oh
Our goal was to help prevent drug-related morbidity and mortality by developing a collaborative multidisciplinary team care (MTC) service model using a service design framework that addressed the unmet needs and perspectives of diverse stakeholders. Our service model was based on a "4D" framework that included Discover, Define, Design, and Develop phases. In the "discover" phase, we conducted desk research and field research of stakeholders to identify the unmet needs in existing patient care services...
2018: PloS One
Anne K Baker, Eric L Garland
Prescription opioid misuse among chronic pain patients is undergirded by self-regulatory deficits, affective distress, and opioid-cue reactivity. Dispositional mindfulness has been associated with enhanced self-regulation, lower distress, and adaptive autonomic responses following drug-cue exposure. We hypothesized that dispositional mindfulness might serve as a protective factor among opioid-treated chronic pain patients. We examined heart-rate variability (HRV) during exposure to opioid cues and depressed mood as mediators of the association between dispositional mindfulness and opioid craving...
September 27, 2018: Experimental and Clinical Psychopharmacology
Kim E Innes, Terry Kit Selfe, Sahiti Kandati, Sijin Wen, Zenzi Huysmans
Objective: Disease-modifying treatments for OA remain elusive, and commonly used medications can have serious side effects. Although meditation and music listening (ML) have been shown to improve outcomes in certain chronic pain populations, research in OA is sparse. In this pilot RCT, we explore the effects of two mind-body practices, mantra meditation (MM) and ML, on knee pain, function, and related outcomes in adults with knee OA. Methods: Twenty-two older ambulatory adults diagnosed with knee OA were randomized to a MM (N=11) or ML program (N=11) and asked to practice 15-20 minutes, twice daily for 8 weeks...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
Nina Bendelin, Björn Gerdle, Gerhard Andersson
Purpose: Methods for delivering aftercare to help chronic pain patients to continue practice self-management skills after rehabilitation are needed. Internet-delivered cognitive behavioral therapy (ICBT) has the potential to partly fill this gap given its accessibility and emphasis on self-care. Methods for engaging and motivating patients to persist throughout the full length of treatment are needed. The aim of this study was to describe how chronic pain patients work in an ICBT program, through their descriptions of what is important when they initiate behavior change in aftercare and their descriptions of what is important for ongoing practice of self-management skills in aftercare...
2018: Journal of Pain Research
Melvin T Donaldson, Melissa A Polusny, Rich F MacLehose, Elizabeth S Goldsmith, Emily M Hagel Campbell, Lynsey R Miron, Paul D Thuras, Erin E Krebs
BACKGROUND: Non-pharmacological therapies and practices are commonly used for both health maintenance and management of chronic disease. Patterns and reasons for use of health practices may identify clinically meaningful subgroups of users. The objectives of this study were to identify classes of self-reported use of conventional and complementary non-pharmacological health practices using latent class analysis and estimate associations of participant characteristics with class membership...
September 5, 2018: BMC Complementary and Alternative Medicine
Danielle Ruskin, Lauren Campbell, Jennifer Stinson, Sara Ahola Kohut
Parenting a child with chronic pain can be stressful and impact parent functioning in a variety of areas. Several studies have examined mindfulness-based interventions (MBIs) for parents of children with different health and mental health conditions. However, no studies to date have examined MBIs for parents of children with pain conditions. This study aimed to: (1) determine the feasibility and acceptability of a one-time MBI workshop for parents ( n = 34) of adolescents with painful conditions (chronic pain and inflammatory bowel disease) who were participating in a concurrent mindfulness group for adolescents with pain, and (2) examine changes in parent mindfulness and psychological flexibility following the intervention...
September 3, 2018: Children
Saurabh Vig, Seema Mishra, Kanika Rustagi, Swati Bhan
Use of strong opioids like morphine as analgesics for painful conditions in haematological malignancies is a challenging task. We report a unique case of chronic myelomonocytic leukaemia presenting with opioid toxicity overlapping with tumour lysis syndrome. The patient was on hydroxyurea-based chemotherapy for the primary disease. She was receiving oral morphine for abdominal pain due to splenomegaly. She was brought to the emergency in unresponsive state with pinpoint pupils. Opioid overdose leading to unconsciousness was suspected as the first diagnosis...
August 27, 2018: BMJ Case Reports
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