Assessing the Reactive as Well as the Sensory Component of Headache Pain

Andrasik, Frank; Blanchard, Edward B.; Ahles, B S Tim; Pallmeyer, B A Thomas; Barron, Kevin D.

doi:10.1111/j.1526-4610.1981.hed2105218.x

Cited by 15 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beecher 20 long ago proposed that the pain experience included at least two interacting components: (1) a sensory component which includes stimulus attributes such as intensity, location, and quality of the pain and (2) a reactive component which includes a patient's emotional reaction to the pain, fears about what the pain signals, and concerns about ability to cope in a socially acceptable manner (note, others, such as Melzack and Casey, 21 have proposed other dimensions as well). Within the headache literature, researchers have focused chiefly on only one component, that reflecting intensity 22 . Thus, an important aspect of headache pain may be relatively ignored in the extant literature—that assessing the reactive or affective realm.…”

Section: Supplemental/alternative Approachesmentioning

confidence: 99%

Outcome Measurement in Behavioral Headache Research: Headache Parameters and Psychosocial Outcomes

Andrasik

McCrory²,

Wittrock³

2005

Headache

Self Cite

View full text Add to dashboard Cite

The experience of pain is complex and includes multiple dimensions or aspects, such as sensory and affective (among others). Headache includes not only pain, but also associated symptoms that can further diversify the relevant dimensions. Subjective ratings of head pain, sampled daily, have come to be regarded as the "gold standard" in behavioral headache research. Primary measures of headache include the attack frequency or headache days per month. Secondary measures of headache may include headache activity/index, headache duration, peak headache severity, and/or frequency of severe headaches per month. Secondary measures of disability and quality of life include Migraine Disability Assessment (MIDAS), Headache Impact Test (HIT), Headache Disability Inventory (HDI). Secondary nonheadache measures include medication consumption, psychiatric symptoms, stress and coping, treatment satisfaction and preference, side effects, and others. Researchers should include not only primary measures of headache, but also secondary measures, disability and quality of life, and nonheadache measures. All measures should be clearly defined and reported. A baseline period that is adequate for each measure needs inclusion and a minimum of 4 weeks is recommended for primary headache measures. Specific suggestions for future research directions are provided.

show abstract

Section: Supplemental/alternative Approachesmentioning

confidence: 99%

Outcome Measurement in Behavioral Headache Research: Headache Parameters and Psychosocial Outcomes

Andrasik

McCrory²,

Wittrock³

2005

Headache

Self Cite

View full text Add to dashboard Cite

show abstract

“…The final part of the Tursky Pain Profile involves the use of psychophysically scaled pain descriptors in a diary format to assess the relationship of pain report to medication intake, time of day, and stressful life events. The utility of these pain-diary measures has been examined with headache patients (Andrasik, Blanchard, Ahles, Pallmeyer, & Barrow, 1981;Elmore & Tursky, 1981). Initial results are promising, and it is hoped that use of the pain diaries will be extended to other more chronic-pain problems.…”

Section: Cognitive-verbal Behaviorsmentioning

confidence: 99%

Behavioral assessment and treatment of chronic pain: Current status and future directions.

Keefe¹

1982

Journal of Consulting and Clinical Psychology

126

View full text Add to dashboard Cite

This article critically reviews the research literature on behavioral assessment and treatment of chronic pain. Behavioral assessment methods developed to assess three categories of behavior, (a) overt motor, (b) cognitive-verbal, and (c) physiologic, are described. Evidence for the efficacy of operant conditioning and selfmanagement techniques is presented. Data from both multimodal pain-treatment programs and controlled studies is reviewed. Advances in behavioral assessment research allow for a more precise and objective analysis of the behavior of chronicpain patients. Controlled treatment-outcome studies suggest that behavioral methods may help modify pain behavior and pain report in chronic-pain patients. Critical future research needs are identified and discussed.Chronic pain is one of the most prevalent and difficult problems physicians treat. Chronic pain ranks among the leading medical problems in terms of physician office visits, hospitalization costs, and disability payments (Nagi, Riley, & Newby, 1973). Conventional treatments for acute pain are usually ineffective for chronic pain. Analgesics and narcotics may temporarily decrease pain, but their long-term use is contraindicated because of side effects such as habituation, constipation, and addiction (Fordyce, 1976). Surgical alternatives to eliminate nociception (underlying tissue damage) are usually exhausted by the time the chronic-pain patient presents for treatment. Newly developed neurodestructive procedures and neuroaugmentation implants are interesting but help only a small and select group of patients (Urban, 1982).The importance of behavioral and psychological factors in chronic pain is increasingly recognized by physicians (Holden, 1978). There is growing interest in behavioral assessment and treatment methods for chronic pain. These methods appeal to the medical community for several reasons. First, they can help identify behavioral problems of chronic-pain patients in a more precise and objective fashion. Second, they may help Requests for reprints should be sent to

show abstract

“…Pain is a subjective experience with several empirically validated dimensions that have been described as sensory/reactive, 13 sensory-discriminative/attitudinal, 14 or motivational-affective/cognitive-evaluative. However, researchers often focus only on the intensity of pain, 16 ignoring the cognitive aspect of pain interference. However, researchers often focus only on the intensity of pain, 16 ignoring the cognitive aspect of pain interference.…”

mentioning

confidence: 99%

Exploring the Role of Insomnia in the Relation Between PTSD and Pain in Veterans With Polytrauma Injuries

Lang¹,

Veazey-Morris²,

Andrasik³

2014

Journal of Head Trauma Rehabilitation

Self Cite

View full text Add to dashboard Cite

These results highlight the overlap and complexity of presenting complaints in veterans and help identify the role of sleep disturbances in complicating diagnosis and treatment of veterans. As sleep problems reduce pain tolerance and exacerbate other symptoms, such as cognitive deficits and irritability, failure to address sleep disturbances may compromise rehabilitation efforts, suggesting the importance of a multidisciplinary team approach to assessing and treating these veterans.

show abstract

Assessing the Reactive as Well as the Sensory Component of Headache Pain

Cited by 15 publications

References 8 publications

Outcome Measurement in Behavioral Headache Research: Headache Parameters and Psychosocial Outcomes

Outcome Measurement in Behavioral Headache Research: Headache Parameters and Psychosocial Outcomes

Behavioral assessment and treatment of chronic pain: Current status and future directions.

Exploring the Role of Insomnia in the Relation Between PTSD and Pain in Veterans With Polytrauma Injuries

Contact Info

Product

Resources

About