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neuropsychological assessment in pain management

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https://www.readbyqxmd.com/read/29429039/health-survey-of-adults-with-neurofibromatosis-1-compared-to-population-study-controls
#1
Krister W Fjermestad, Livø Nyhus, Øivind J Kanavin, Arvid Heiberg, Lise B Hoxmark
Neurofibromatosis type 1 (NF1) is a genetic, autosomal dominant multi-organ disease characterized by susceptibility to tumor formation, changes in skin pigmentation, skeletal abnormalities, and neuropsychological deficits. Clinical studies have shown impaired health-related quality of life (HQoL) in adults with NF1. However, little is known about HQoL in non-clinical NF1 samples. We conducted a cross-sectional self-report survey of 142 persons with NF1 (M age = 50.3 years, SD = 12.0, range 32 to 80; 62...
February 10, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28655364/systematic-review-of-the-use-of-low-dose-ketamine-for-analgesia-in-the-emergency-department
#2
Gauri Ghate, Eric Clark, Christian Vaillancourt
OBJECTIVES: The aim of the study is to determine the performance of low-dose ketamine (LDK) as an analgesic for acute pain management in adult patients in the emergency department (ED). METHODS: We systematically reviewed electronic databases, grey literature, conference abstracts, and clinical trial registries. Two independent reviewers identified eligible studies. These selections were subsequently reviewed by one reviewer who identified the final eligible studies, using refined inclusion and exclusion criteria...
January 2018: CJEM
https://www.readbyqxmd.com/read/27676776/quality-of-life-and-coping-strategies-of-brain-injured-patients-in-context-of-support-for-social-and-professional-reintegration
#3
Mathilde Carlsberg, Jean-Michel Mazaux, Laurent Wiart, Emmanuelle Coste, Michèle Koleck, Audrey Simion, Véronique Soriano
OBJECTIVE: The causes responsible for a brain injuries are various. Whatever its origin (traumatic, vascular, tumor or anoxic), the after effects lead to a chronic disability that affects durably the quality of life (QOL) of brain injured patients but also the strategies in place to cope with the difficulties they face (coping). The objective of this study is to compare the quality of life and the coping strategies between patients with a traumatic brain injury and with those with other type of brain injuries...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26700484/systematic-bias-in-cancer-patient-reported-outcomes-symptom-orphans-and-champions
#4
Shirley Thomas, Declan Walsh, Aynur Aktas
INTRODUCTION: Patient-reported outcomes are an integral part of modern healthcare. We report a comparison of symptom item content from several validated cancer instruments to that of a published checklist, and identify the important differences this revealed. METHODS: We defined orphans as any symptom not assessed in any of the six selected instruments; champions, in contrast, were present in all six. An empirically derived cancer multisymptom checklist was used...
December 23, 2015: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/26555886/repetitive-transcranial-magnetic-stimulation-in-managing-mild-traumatic-brain-injury-related-headaches
#5
RANDOMIZED CONTROLLED TRIAL
Albert Leung, Shivshil Shukla, Amir Fallah, David Song, Lisa Lin, Shahrokh Golshan, Alice Tsai, Amy Jak, Greg Polston, Roland Lee
OBJECTIVE: Headache is one of the most common debilitating chronic pain conditions in either active or retired military personnel with mild traumatic brain injury (MTBI). This study assessed the effect of repetitive transcranial magnetic stimulation (rTMS) in alleviating MTBI-related headache (MTBI-HA). MATERIALS AND METHOD: Veterans with MTBI-HA were randomized to receive either real rTMS (REAL group) at 10 hz for a total of 2000 pulses divided into 20 trains with one-sec inter-train interval or sham rTMS (SHAM group) at the left motor cortex (LMC) with brain magnetic resonance imaging neuronavigation guidance...
February 2016: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/26463677/pain-and-temperature-processing-in-dementia-a-clinical-and-neuroanatomical-analysis
#6
Phillip D Fletcher, Laura E Downey, Hannah L Golden, Camilla N Clark, Catherine F Slattery, Ross W Paterson, Jonathan D Rohrer, Jonathan M Schott, Martin N Rossor, Jason D Warren
Symptoms suggesting altered processing of pain and temperature have been described in dementia diseases and may contribute importantly to clinical phenotypes, particularly in the frontotemporal lobar degeneration spectrum, but the basis for these symptoms has not been characterized in detail. Here we analysed pain and temperature symptoms using a semi-structured caregiver questionnaire recording altered behavioural responsiveness to pain or temperature for a cohort of patients with frontotemporal lobar degeneration (n = 58, 25 female, aged 52-84 years, representing the major clinical syndromes and representative pathogenic mutations in the C9orf72 and MAPT genes) and a comparison cohort of patients with amnestic Alzheimer's disease (n = 20, eight female, aged 53-74 years)...
November 2015: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/26461075/cognitive-effects-and-sedation
#7
REVIEW
Lara Dhingra, Ebtesam Ahmed, Jae Shin, Elyssa Scharaga, Maximilian Magun
OBJECTIVE: Cognitive effects and sedation (CES) are prevalent in chronic nonmalignant pain populations receiving long-term opioid therapy and are among the most common reasons patients discontinue opioid use. In this narrative review, we describe the phenomenology, epidemiology, mechanisms, assessment, and management of opioid-related CES. DESIGN: We reviewed the empirical and theoretical literature on CES in opioid-treated populations with chronic pain. Data on long-term opioid therapy (≥ 3 months in duration) in chronic nonmalignant pain patients were sought...
October 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/26226207/interdisciplinary-rehabilitation-referrals-in-a-concussion-clinic-cohort-an-exploratory-analysis
#8
Mary M Vargo, Kevin G Vargo, Douglas Gunzler, Kermit W Fox
OBJECTIVE: To assess the frequency and spectrum of referrals to rehabilitation disciplines in a concussion clinic population and factors associated with need for referral. DESIGN: Retrospective study. SETTING: Concussion clinic within the Physical Medicine and Rehabilitation Department of an academic medical center. PARTICIPANTS: Patients receiving physiatric management for concussion care. MAIN OUTCOME MEASURES: Referral to physical therapy (PT), occupational therapy, speech therapy (ST), neuropsychology, or any referral (Any), and reasons for referral...
March 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26067388/the-experience-of-cognitive-intrusion-of-pain-scale-development-and-validation
#9
Nina Attridge, Geert Crombez, Dimitri Van Ryckeghem, Edmund Keogh, Christopher Eccleston
Patients with chronic pain often report their cognition to be impaired by pain, and this observation has been supported by numerous studies measuring the effects of pain on cognitive task performance. Furthermore, cognitive intrusion by pain has been identified as one of 3 components of pain anxiety, alongside general distress and fear of pain. Although cognitive intrusion is a critical characteristic of pain, no specific measure designed to capture its effects exists. In 3 studies, we describe the initial development and validation of a new measure of pain interruption: the Experience of Cognitive Intrusion of Pain (ECIP) scale...
October 2015: Pain
https://www.readbyqxmd.com/read/26000686/cognitive-performance-is-related-to-central-sensitization-and-health-related-quality-of-life-in-patients-with-chronic-whiplash-associated-disorders-and-fibromyalgia
#10
Iris Coppieters, Kelly Ickmans, Barbara Cagnie, Jo Nijs, Robby De Pauw, Suzie Noten, Mira Meeus
BACKGROUND: A growing body of research has demonstrated that impaired central pain modulation or central sensitization (CS) is a crucial mechanism for the development of persistent pain in chronic whiplash-associated disorders (WAD) and fibromyalgia (FM) patients. Furthermore, there is increasing evidence for cognitive dysfunctions among these patients. In addition, chronic WAD and FM patients often report problems with health-related quality of life (QoL). Yet, there is limited research concerning the interrelations between cognitive performance, indices of CS, and health-related QoL in these patients...
May 2015: Pain Physician
https://www.readbyqxmd.com/read/25879681/pain-in-dementia-prevalence-and-associated-factors-protocol-of-a-multidisciplinary-study
#11
Janine van Kooten, Suzanne Delwel, Tarik T Binnekade, Martin Smalbrugge, Johannes C van der Wouden, Roberto S G M Perez, Didi Rhebergen, Wouter W A Zuurmond, Max L Stek, Frank Lobbezoo, Cees M P M Hertogh, Erik J A Scherder
BACKGROUND: Pain is a common problem in people with dementia, however the exact prevalence of pain in dementia subtypes, e.g. Alzheimer's Disease (AD), Vascular Dementia (VaD), Frontotemporal Dementia (FTD) and dementia with Lewy Bodies (DLB), is unknown, as is the relation between pain and the different subtypes of dementia. In this study, the prevalence of pain in people with dementia will be investigated per dementia subtype and the relationship between the various subtypes of dementia and the presence of specific types of pain (i...
March 21, 2015: BMC Geriatrics
https://www.readbyqxmd.com/read/25800088/dynamic-pain-phenotypes-are-associated-with-spinal-cord-stimulation-induced-reduction-in-pain-a-repeated-measures-observational-pilot-study
#12
Claudia M Campbell, Luis F Buenaver, Srinivasa N Raja, Kasey B Kiley, Lauren J Swedberg, Paul W Wacnik, Steven P Cohen, Michael A Erdek, Kayode A Williams, Paul J Christo
OBJECTIVE: Spinal cord stimulation (SCS) has become a widely used treatment option for a variety of pain conditions. Substantial variability exists in the degree of benefit obtained from SCS and patient selection is a topic of expanding interest and importance. However, few studies have examined the potential benefits of dynamic quantitative sensory testing (QST) to develop objective measures of SCS outcomes or as a predictive tool to help patient selection. Psychological characteristics have been shown to play an important role in shaping individual differences in the pain experience and may aid in predicting responses to SCS...
July 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25790457/pain-agitation-and-behavioural-problems-in-people-with-dementia-admitted-to-general-hospital-wards-a-longitudinal-cohort-study
#13
MULTICENTER STUDY
Elizabeth L Sampson, Nicola White, Kathryn Lord, Baptiste Leurent, Victoria Vickerstaff, Sharon Scott, Louise Jones
Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no question and FACES scale) and observed pain (Pain Assessment in Advanced Dementia scale [PAINAD]) at movement and at rest, for agitation (Cohen-Mansfield Agitating Inventory [CMAI]) and BPSD (Behavioural Pathology in Alzheimer Disease Scale [BEHAVE-AD])...
April 2015: Pain
https://www.readbyqxmd.com/read/25775441/trajectories-of-change-during-a-randomized-controlled-trial-of-internet-delivered-psychological-treatment-for-adolescent-chronic-pain-how-does-change-in-pain-and-function-relate
#14
RANDOMIZED CONTROLLED TRIAL
Tonya M Palermo, Emily F Law, Chuan Zhou, Amy Lewandowski Holley, Deirdre Logan, Gabrielle Tai
Although pain and function improve at immediate posttreatment for youth receiving cognitive behavioral therapy for chronic pain, limited data are available to understand changes that youth make during psychological treatment. We sought to characterize distinct trajectory patterns of change in pain and function to understand the temporal association of these changes during internet-delivered cognitive behavioral therapy (CBT). Weekly repeated assessments of pain and function were conducted during 8 weeks of treatment among 135 adolescents, aged 11 to 17 years, with chronic pain who were randomized to the cognitive behavioral intervention arm of an ongoing trial of internet-delivered CBT (Web-based management of adolescent pain; Web-MAP2)...
April 2015: Pain
https://www.readbyqxmd.com/read/25517267/accuracy-of-the-modified-somatic-perception-questionnaire-and-pain-disability-index-in-the-detection-of-malingered-pain-related-disability-in-chronic-pain
#15
Kevin J Bianchini, Luis E Aguerrevere, Brian J Guise, Jonathan S Ord, Joseph L Etherton, John E Meyers, R Denis Soignier, Kevin W Greve, Kelly L Curtis, Joy Bui
The Modified Somatic Perception Questionnaire (MSPQ) and the Pain Disability Index (PDI) are both popular clinical screening instruments in general orthopedic, rheumatologic, and neurosurgical clinics and are useful for identifying pain patients whose physical symptom presentations and disability may be non-organic. Previous studies found both to accurately detect malingered pain presentations; however, the generalizability of these results is not clear. This study used a criterion groups validation design (retrospective cohort of patients with chronic pain, n = 328) with a simulator group (college students, n = 98) to determine the accuracy of the MSPQ and PDI in detecting Malingered Pain Related Disability...
2014: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/24766740/development-and-validation-of-the-breakthrough-pain-assessment-tool-bat-in-cancer-patients
#16
Katherine Webber, Andrew N Davies, Giovambattista Zeppetella, Martin R Cowie
CONTEXT: The successful management of breakthrough pain depends on a combination of adequate assessment, appropriate (individualized) treatment, and adequate re-assessment. Currently, there is no fully validated clinical assessment tool for breakthrough pain in cancer patients. OBJECTIVES: The aim of this project was to develop and validate a breakthrough pain assessment tool (the BAT) for use in the clinical setting. METHODS: The content of the BAT was determined by reviewing the medical literature, conducting a Delphi process with experts in breakthrough pain and/or pain assessment and conducting semi-structured interviews with cancer patients with breakthrough pain...
October 2014: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/24658471/long-term-neuropsychological-effects-of-opioid-use-in-children-a-descriptive-literature-review
#17
REVIEW
Gaurav Jain, Vijaita Mahendra, Sarita Singhal, Kristina Dzara, Trinadha R Pilla, Renee Manworren, Alan D Kaye
BACKGROUND: Use of opioids in the management of pain and its consequences in children presents a substantial challenge. A significant concern in pediatric pain management is the long-term neuropsychological consequences of opioids. OBJECTIVES: The authors aim to provide a descriptive review of the current literature surrounding the neuropsychological impact of opioid use in children, along with possible extrapolations from their use in adults and animal models. STUDY DESIGN: Systematic review of published literature...
March 2014: Pain Physician
https://www.readbyqxmd.com/read/24452649/evidence-of-specific-cognitive-deficits-in-patients-with-chronic-low-back-pain-under-long-term-substitution-treatment-of-opioids
#18
Marcus Schiltenwolf, Michael Akbar, Andreas Hug, Ute Pfüller, Simone Gantz, Eva Neubauer, Herta Flor, Haili Wang
BACKGROUND: There is a growing number of patients worldwide being treated with long-term opioids for chronic non-cancer pain, although there is limited evidence for their effectiveness in improving pain and function. Opioid-use related adverse effects, especially in cognitive functioning in these patients, are rarely evaluated. OBJECTIVES: The present study investigated the cognitive functions of patients with chronic back pain who underwent long-term opioid treatment in comparison with those patients without opioid usage and healthy controls...
January 2014: Pain Physician
https://www.readbyqxmd.com/read/24319038/motor-cortex-stimulation-does-not-improve-dystonia-secondary-to-a-focal-basal-ganglia-lesion
#19
RANDOMIZED CONTROLLED TRIAL
Isabelle Rieu, Magaly Aya Kombo, Stéphane Thobois, Philippe Derost, Pierre Pollak, Jing Xie, Bruno Pereira, Marie Vidailhet, Pierre Burbaud, Jean Pascal Lefaucheur, Jean Jacques Lemaire, Patrick Mertens, Stephan Chabardes, Emmanuel Broussolle, Franck Durif
OBJECTIVE: To assess the efficacy of epidural motor cortex stimulation (MCS) on dystonia, spasticity, pain, and quality of life in patients with dystonia secondary to a focal basal ganglia (BG) lesion. METHODS: In this double-blind, crossover, multicenter study, 5 patients with dystonia secondary to a focal BG lesion were included. Two quadripolar leads were implanted epidurally over the primary motor (M1) and premotor cortices, contralateral to the most dystonic side...
January 14, 2014: Neurology
https://www.readbyqxmd.com/read/24281294/evidence-based-development-and-initial-validation-of-the-pain-assessment-checklist-for-seniors-with-limited-ability-to-communicate-ii-pacslac-ii
#20
RANDOMIZED CONTROLLED TRIAL
Sarah Chan, Thomas Hadjistavropoulos, Jaime Williams, Amanda Lints-Martindale
OBJECTIVES: Our goal was to develop and validate, based on theoretical and empirical knowledge, the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II), a shorter tool that would improve on the PACSLAC, while addressing limitations of the original version. METHODS: The PACSLAC was revised based on the relevant clinical and theoretical literature. Psychometric properties and clinical utility of the resulting 31-item PACSLAC-II were examined...
September 2014: Clinical Journal of Pain
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