10,271 research outputs found
A comprehensive categorical and bibliometric analysis of published research articles on pediatric pain from 1975 to 2010
No full textThe field of pediatric pain research began in the mid-1970s and has undergone significant growth and development in recent years as evidenced by the variety of books, conferences, and journals on the topic and also the number of disciplines engaged in work in this area. Using categorical and bibliometric meta-trend analysis, this study offers a synthesis of research on pediatric pain published between 1975 and 2010 in peer-reviewed journals. Abstracts from 4256 articles, retrieved from Web of Science, were coded across 4 categories: article type, article topic, type and age of participants, and pain stimulus. The affiliation of the first author and number of citations were also gathered. The results suggest a significant increase in the number of publications over the time period investigated, with 96% of the included articles published since 1990 and most research being multiauthored publications in pain-focused journals. First authors were most often from the United States and affiliated with a medical department. Most studies were original research articles; the most frequent topics were pain characterization (39.86%), pain intervention (37.49%), and pain assessment (25.00%). Clinical samples were most frequent, with participants most often characterized as children (6-12 years) or adolescents (13-18 years) experiencing chronic or acute pain. The findings provide a comprehensive overview of contributions in the field of pediatric pain research over 35 years and offers recommendations for future research in the area. © 2015 International Association for the Study of Pain
Innovation in Pain Management
No full textThe transcript of a Witness Seminar held by the Wellcome Trust Centre for the History of Medicine at UCL, London, on 12 December 2002.First published by the Wellcome Trust Centre for the History of Medicine at UCL, 2004.©The Trustee of the Wellcome Trust, London, 2004.All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Annotated and edited transcript of a Witness Seminar held on 12 December 2002. Introduction by Dr Christina Faull; edited interview with Professor Patrick Wall.Unrelieved pain caused by cancer is experienced by more than 5 million people worldwide, and over the past 50 years has been accepted as unnecessary by both clinicians and politicians. Major innovations in the understanding of pain and our ability to treat it have been made. This Witness Seminar, chaired by Professor David Clark, describes the development of pain clinics, the introduction of the hospice in Britain, and global implementation of innovative technologies for cancer pain relief and advances in research during the latter part of the twentieth century. International health planners argue that the outstanding challenge is to put this knowledge into practice in healthcare settings around the world, often where resources are limited. Reynolds L A, Tansey E M. (eds) (2004) Innovation in pain management, Wellcome Witnesses to Twentieth Century Medicine, vol. 21. London: The Wellcome Trust Centre for the History of Medicine at UCL.The Wellcome Trust Centre for the History of Medicine at University College London is funded by the Wellcome Trust,which is a registered charity, no. 210183
Accelerated aging in adults with knee osteoarthritis pain: consideration for frequency, intensity, time, and total pain sites
No full textabstract: Introduction: Individuals with osteoarthritis (OA) show increased morbidity and mortality. Telomere length, a measure of cellular aging, predicts increased morbidity and mortality. Telomeres shorten with persisting biological and psychosocial stress. Living with chronic OA pain is stressful. Previous research exploring telomere length in people with OA has produced inconsistent results. Considering pain severity may clarify the relationship between OA and telomeres.
Objectives: We hypothesized that individuals with high OA chronic pain severity would have shorter telomeres than those with no or low chronic pain severity.
Methods: One hundred thirty-six adults, ages 45 to 85 years old, with and without symptomatic knee OA were included in the analysis. Peripheral blood leukocyte telomere length was measured, and demographic, clinical, and functional data were collected. Participants were categorized into 5 pain severity groups based on an additive index of frequency, intensity, time or duration, and total number of pain sites (FITT). Covariates included age, sex, race or ethnicity, study site, and knee pain status.
Results: The no or low chronic pain severity group had significantly longer telomeres compared with the high pain severity group, P50.025. A significant chronic pain severity dose response emerged for telomere length, P50.034. The FITT chronic pain severity index was highly correlated with the clinical and functional OA pain measures. However, individual clinical and functional measures were not associated with telomere length.
Conclusion: Results demonstrate accelerated cellular aging with high knee OA chronic pain severity and provide evidence for the potential utility of the FITT chronic pain severity index in capturing the biological burden of chronic pain.The final version of this article, as published in PAIN Reports, can be viewed online at: https://insights.ovid.com/crossref?an=01938936-201706000-0000
Challenging neuropathic pain syndromes : evaluation and evidence-based treatment /
No full textIncludes bibliographical references and index.Pathophysiology of pain -- Central sensitization, central sensitization syndromes, and chronic neuropathic pain -- A physiatric approach to the treatment of complex regional pain syndrome -- Complex regional pain syndrome: introduction, history, and physical examination -- Complex regional pain syndrome diagnostic criteria -- Diagnostic testing in complex regional pain syndrome -- A physiotherapeutic, biopsychological approach to the management of patients with peripheral neuropathic pain and complex regional pain syndrome -- Complex regional pain syndrome: pharmacotherapy -- Complex regional pain syndrome: interventional treatment -- Diabetic neuropathic pain syndromes -- HIV-related pain syndromes -- Acute herpes zoster and postherpetic neuralgia -- Neuropathic pain syndromes in neuroborreliosis -- Postmastectomy pain syndrome -- Amputation-related pain -- Postthoracotomy pain syndrome -- Spinal cord injury-related neuropathic pain -- Pain syndromes associated with traumatic brain injury -- Pain syndromes associated with cerebrovascular accidents -- Multiple sclerosis pain -- Trigeminal neuralgias -- Thoracic outlet syndrome -- Neuralgic amyotrophy -- Piriformis syndrome: a review of the evidence and proposed new criteria for diagnosisDescription based on online resource; title from electronic title page (ClinicalKey, viewed October 8, 2018).Elsevie
Childhood maltreatment and chronic ‘all over’ body pain in adulthood : a counterfactual analysis using UK Biobank
No full textThe investigators on the CAPE consortium are: Tim Hales, Lesley Colvin, Douglas Steele, 11 Andrew Brown (University of Dundee), Gary Macfarlane (University of Aberdeen), Bhuvaneish Selvaraj, Colin Smith (University of Edinburgh), Line Caes (Stirling University), Reecha Sofat, Suellen Walker, Debajit Sen, Madeleine Verriotis (University College London) while the Chronic Pain Advisory Group includes Carolyn Graham, Maureen O’Reilly and Debs Smith, among others. We thank Jisha Babu (University of Aberdeen) for her work involved in administration in relation to access to data as part of this programme of work. Thanks also to Marcus Beasley and John McBeth for advice on analyses. The authors do not report any conflicts of interest. For the purpose of open access, the authors have applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising from this submission.Peer reviewe
Parents’ management of adolescent patients’ postoperative pain after discharge: A qualitative study
No full textBackground: Short hospital admission periods following pediatric inpatient surgery leave parents responsible for managing their child’s postoperative pain in the community following discharge. Little is known about the experiences of parents caring for their child’s postoperative pain after discharge home following inpatient surgery. Research examining parental postoperative pain management following their child’s day surgery has found that parents are challenged in their pain management knowledge and practices.
Aims: This interpretative phenomenological analysis study sought to understand parents’ experiences caring for their child’s postoperative pain at home.
Methods: Semistructured telephone interviews were conducted with seven parents between 2 weeks and 6 months after their child’s discharge from hospital.
Results: Identified themes were coming home without support, managing significant pain at home, and changes in the parent–child relationship.
Conclusions: Parents could potentially benefit from nurses optimizing educational interventions, from receiving ongoing support of transitional pain teams, and from assistance with return to school planning
3-D pain drawings-mobile data collection using a PDA
No full textA large number of the adult population suffers from some kind of back pain during their lifetime. Part of the process of diagnosing and treating such back pain is for a clinician to
collect information as to the type and location of the pain that is being suffered.Traditional approaches to gathering and visualizing this pain data have relied on simple 2-D representations of the human body, where different types of sensation are recorded with various monochrome symbols. Although patients have been shown to prefer such drawings to traditional questionnaires, these pain drawings can be limited in their ability to accurately record pain. The work described in this paper proposes an alternative that uses a 3-D representation of the human body, which can be marked in color to visualize and record the pain data. This study has shown that the new approach is a promising development in this area of medical practice and has been positively received by patients and clinicians alike
Adolescent patients’ management of postoperative pain after discharge: A qualitative study
No full textBackground
Adolescents are typically admitted for a short period of time after inpatient surgery, leaving much of their recovery to occur at home. Pain, and thus pain management, is a major component of recovery at home. Research among pediatric outpatient surgical patients has found that pain experienced in the community setting after discharge is often severe and is related to knowledge deficits resulting in inadequate pain management. However, there is little research on community pain management after inpatient surgery.
Aim
This study aimed to explore the pain experiences of seven adolescents who underwent inpatient surgery.
Design
This study used Interpretative Phenomenological Analysis as a methodology.
Setting
This study took place at a pediatric tertiary care hospital in Canada.
Participants
7 adolescents participated, all of whom underwent inpatient surgery with admission between 2-14 days in length.
Methods
Semi-structured interviews were conducted 2 to 6 weeks post-discharge.
Results
Three themes were identified that described their experiences, including managing severe pain at home with minimal preparation, changes in the parent–child relationship, and difficulties returning to school and regular activities.
Conclusions
Involving adolescents directly in discharge education, particularly with the use of novel interventions and coaching, may improve outcomes
Persistance with non-functional problem solving in chronic pain
No full textResearch has demonstrated the relationship between persistence with problem solving focussed on pain removal and increased levels of distress in the chronic pain population. It has been suggested that one factor which motivates individuals to persist with pain removal strategies, despite repeated failed attempts, is their worries about the future. This can be conceptualised as the feared-for self. The purpose of this research was to investigate the relationship between problem solving strategies and the feared-for self in individuals with chronic pain. An additional aim of this research was to develop a new measure of problem solving requiring respondents to generate novel solutions to problem vignettes.
58 participants with chronic pain were recruited from specialist pain clinics. Participants completed the feared-for selves interview, a questionnaire measure of problem solving (PaSol), the new problem solving measure (MEPSP) and measures of pain severity (VAS), psychological distress(HADS), pain acceptance (CPAQ) and pain-related disability (PDI).
Persistence with pain removal (assimilative problem solving) was significantly correlated with proximity to the feared-for self and enmeshment with the feared-for self. Multiple regression analyses found mixed results. Proximity to the feared-for self was a significant predictor of assimilative problem solving when the MEPSP was used as the outcome variable but this was not replicated with the PaSol data. Enmeshment with the feared-for self was a significant predictor of assimilative problem solving when the PaSol was the outcome variable but this was not replicated with the MEPSP data.
This study has provided initial support for the relationship between the feared-for self and assimilative problem solving in the chronic pain population. However, further research is necessary to verify these findings. Initial results for the MEPSP suggest that further development of this measure is worthwhile. The clinical implications of these results are discussed along with suggestions for future research
Exposure and the reduction of fear of pain
No full textThis research investigated interoceptive exposure as a treatment option for disabling pain-related fear. Interoceptive exposure was conceptualised as an extension of the Fear Avoidance Model and a literature review highlighted three important areas: attention/hypervigilance to pain and its threat value, fear-avoidance and the acceptance of pain. A treatment manual was developed based on a literature review and an elaborated single case experimental design methodology was used to determine treatment efficacy.
Seven participants were recruited and four completed treatment which was designed as an ABC sequence: A, baseline; B, education; C interoceptive exposure. Follow up data were obtained at three months post-treatment. Data were obtained from psychometrically standardised assessments, daily measures of the treatment target, and sessional process measures. Participants completed a post-treatment Change Interview in an attempt to evaluate treatment causality in a non-biased way.
There was variation on the standard measures; all of the participants made significant changes on some but not all of the measures. Target measures showed both variation and stability. Process measures showed that all of the participants could engage in the treatment exercises. The participants rated the treatment as being fairly logical however there was differences in expectations about how successful the treatment would be. At the Change Interview, all of the participants described changes which they stated were important and unlikely to occur without therapy.
There is some evidence at different levels that this treatment may be effective. A combination of attention, fear-avoidance and acceptance of pain treatment approach has not been used before and this research indicates promising results for those suffering with chronic pain. However further research is necessary. The procedure could be refined; interoceptive exposure could be explored in more depth and pain and avoidance behaviour could be considered in relation to other goals
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